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Mediation of social anxiety and depression during internet-delivered treatment for social anxiety disorder
Univ Haifa, Israel.
Univ Haifa, Israel.
Hebrew Univ Jerusalem, Israel.
Hebrew Univ Jerusalem, Israel.
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2024 (English)In: Cognitive Behaviour Therapy, ISSN 1650-6073, E-ISSN 1651-2316, Vol. 53, no 4, p. 436-453Article in journal (Refereed) Published
Abstract [en]

Many individuals with social anxiety disorder (SAD) have depressive symptoms that meet criteria for major depressive disorder (MDD). In our study, we examined the temporal relationship between symptoms of social anxiety and symptoms of depression during the course of an 11-week internet-delivered cognitive behavioral treatment (ICBT) for SAD (n = 170). Specifically, we investigated whether weekly changes in social anxiety mediated changes in depression, changes in depression mediated changes in anxiety, both or neither. In addition, we compared individuals with SAD and MDD (n = 50) and individuals with SAD and no MDD (n = 120) to examine the role of MDD as a moderator of the social anxiety-depression relationship. Lower-level mediational modeling revealed that changes in social anxiety symptoms mediated changes in depression symptoms to a greater extent than vice versa. In addition, mediation among individuals with SAD and MDD was significantly greater compared to individuals with SAD and no MDD. Our findings suggest that ICBT is effective in treating individuals with SAD regardless of comorbid depression, and that focusing ICBT interventions on social anxiety can lead to significant reductions in depression among individuals with SAD.

Place, publisher, year, edition, pages
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD , 2024. Vol. 53, no 4, p. 436-453
Keywords [en]
Social anxiety disorder; major depressive disorder; depression; lower-level mediational models; internet-delivered cognitive behavior therapy
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:liu:diva-201815DOI: 10.1080/16506073.2024.2331188ISI: 001186891300001PubMedID: 38502174Scopus ID: 2-s2.0-85188658489OAI: oai:DiVA.org:liu-201815DiVA, id: diva2:1846684
Note

Funding Agencies|Israel Science Foundation [1603/19]

Available from: 2024-03-25 Created: 2024-03-25 Last updated: 2025-08-11Bibliographically approved

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Andersson, Gerhard

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PsychologyFaculty of Arts and SciencesDepartment of Biomedical and Clinical SciencesFaculty of Medicine and Health Sciences
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CiteExportLink to record
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