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Guided and unguided self-help for social anxiety disorder: randomised controlled trial
Uppsala University, Department Psychol, SE-75142 Uppsala, Sweden .
Linköping University, Department of Behavioural Sciences and Learning, Clinical and Social Psychology. Linköping University, Faculty of Arts and Sciences.
Karolinska Institute, Department Clin Neurosci, Psychiat Sect, Stockholm, Sweden .
Uppsala University, Department Psychol, SE-75142 Uppsala, Sweden .
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2009 (English)In: BRITISH JOURNAL OF PSYCHIATRY, ISSN 0007-1250, Vol. 195, no 5, 440-447 p.Article in journal (Refereed) Published
Abstract [en]

Background Internet-delivered self-help programmes with added guidance have shown efficacy in social anxiety disorder, unguided self-help has been insufficiently studied. Aims To evaluate the efficacy of guided and unguided self-help social anxiety disorder. Method Participants followed a cognitive-behavioural self-help programme in the form of either pure bibliotherapy or an internet-based treatment with therapist guidance and online group discussions. A subsequent trial was conducted to evaluate treatment specificity. Participants (n=235) were randomised to one of three conditions in the first trial, or one of four conditions in the second. Results Pure bibliotherapy and the internet-based treatment were better than waiting list on measures of social anxiety, general anxiety, depression and quality of life. The internet-based therapy had the highest effect sizes, but directly comparable effects were noted for bibliotherapy augmented with online group discussions. Gains were well maintained a year later. Conclusions Unguided self-help through bibliotherapy can produce enduring improvement for individuals with social anxiety disorder.

Place, publisher, year, edition, pages
2009. Vol. 195, no 5, 440-447 p.
National Category
Social Sciences
URN: urn:nbn:se:liu:diva-52814DOI: 10.1192/bjp.bp.108.060996OAI: diva2:285586
Available from: 2010-01-12 Created: 2010-01-12 Last updated: 2014-11-28

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Carlbring, PerAndersson, Gerhard
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