Treating university students with social phobia and public speaking fears: Internet delivered self-help with or without live group exposure sessions
2008 (English)In: Depression and anxiety (Print), ISSN 1091-4269, Vol. 25, no 8, 708-717 p.Article in journal (Refereed) Published
Background: This study investigated the efficacy of an Internet-based self-help program with minimal therapist contact via e-mail for Swedish university students with social phobia and public speaking fears. The main objective was to test if the Internet-based self-help program would be more effective if five live group exposure sessions were added. Methods: Thirty-eight students meeting the diagnostic and statistical manual of mental disorders, 4th edition criteria for social phobia were randomized into two different treatment groups: Internet delivered cognitive behavior therapy combined with five group exposure sessions (ICBT+ exp) or the Internet program alone (ICBT). Results: Results were analyzed on an intention-to-treat basis. Both treatment groups showed significant improvement from pre- to post-test, and from pre-test to 1-year follow-up, on all measured dimensions (social anxiety, general anxiety, depression levels, and quality of life). For both the groups, the average within-group effect sizes for the primary social anxiety scales, expressed as Cohen's d, were comparable to those seen in traditionally administered cognitive behavioral therapy both at post-test and at 1- year follow-up. Conclusions: The results suggest that the Internet-based self-help program on its own is efficient in the treatment of university students with social phobia. Adding group exposure sessions did not improve the outcome significantly. © 2008 Wiley-Liss, Inc.
Place, publisher, year, edition, pages
2008. Vol. 25, no 8, 708-717 p.
IdentifiersURN: urn:nbn:se:liu:diva-43599DOI: 10.1002/da.20416Local ID: 74362OAI: oai:DiVA.org:liu-43599DiVA: diva2:264459