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The effectiveness of guided internet-based cognitive behavioral therapy for social anxiety disorder in a routine care setting
Haukeland Hosp, Norway; Univ Bergen, Norway.
Haukeland Hosp, Norway; Haukeland Hosp, Norway.
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Karolinska Inst, Sweden.ORCID iD: 0000-0003-4753-6745
Stockholm Univ, Sweden; Univ Southern Denmark, Denmark.
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2018 (English)In: Internet interventions, ISSN 2214-7829, Vol. 13, p. 24-29Article in journal (Refereed) Published
Abstract [en]

Social anxiety disorder (SAD) is a common mental disorder with high persistence when untreated. As access to effective treatment is limited, guided internet-based cognitive behavioral therapy (ICBT) has been proposed as an effective alternative to face-to-face treatment. In this study, we examined the effectiveness of a 14-week therapist-guided ICBT program for patients with SAD undergoing routine care. From 2014 to 2017, 169 patients were included in the study, of which 145 started the treatment. The sample was all general practitioner-referred and had a lower educational level and higher rate of work absence compared to similar effectiveness studies. Regarding social anxiety symptoms, we identified significant within-group effect sizes (post-treatment: d = 1.00-1.10; six-month follow-up: d = 1.03-1.55). We also found significant effects on secondary depression symptoms (d = 0.67). Clinically significant improvement was reported by 66.2% of the participants, and 16.6% had a significant deterioration. Clinical implications of the current study are that guided ICBT for SAD is an effective treatment for the majority of the patients undergoing routine care. Future studies should explore interventions targeting non-responders and deteriorated patients.

Place, publisher, year, edition, pages
ELSEVIER SCIENCE BV , 2018. Vol. 13, p. 24-29
Keywords [en]
Social anxiety disorder; Guided internet-based treatment; Cognitive behavioral therapy; Implementation; Effectiveness
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:liu:diva-154753DOI: 10.1016/j.invent.2018.05.003ISI: 000457135000004PubMedID: 30206515OAI: oai:DiVA.org:liu-154753DiVA, id: diva2:1291957
Note

Funding Agencies|Western Norway Regional Health Authority [911826]; Directorate of Health [11/6252]; Haukeland University Hospital

Available from: 2019-02-26 Created: 2019-02-26 Last updated: 2019-03-15

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