1. Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for Social Anxiety Disorder and comorbid disorders: A randomized controlled trial
- Author
-
Dear, B.F., Staples, L.G., Terides, M.D., Fogliati, V.J., Sheehan, J., Johnston, L., Kayrouz, R., Dear, R., McEvoy, P.M., and Titov, N.
- Subjects
Adult ,Male ,050103 clinical psychology ,CBT ,Self-guided ,behavioral disciplines and activities ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Therapist-guided ,mental disorders ,Humans ,0501 psychology and cognitive sciences ,Social anxiety disorder ,Transdiagnostic ,Depressive Disorder ,Internet ,Cognitive Behavioral Therapy ,Depression ,Disorder-specific ,05 social sciences ,24-month follow-up ,Phobia, Social ,Middle Aged ,Anxiety Disorders ,3. Good health ,030227 psychiatry ,Treatment ,Self Care ,Psychiatry and Mental health ,Clinical Psychology ,Treatment Outcome ,Randomized controlled trial ,Therapy, Computer-Assisted ,Female - Abstract
Disorder-specific (DS-CBT) and transdiagnostic (TD-CBT) cognitive behaviour therapy have both been used to treat social anxiety disorder (SAD). This study compared internet-delivered DS-CBT and TD-CBT for SAD across clinician-guided (CG-CBT) and self-guided (SG-CBT) formats. Participants with SAD (n=233) were randomly allocated to receive internet-delivered TD-CBT or DS-CBT and CG-CBT or SG-CBT. Large reductions in symptoms of SAD (Cohen’s d≥1.01; avg. reduction≥30%) and moderate-to-large reductions in symptoms of comorbid depression (Cohen’s d≥1.25; avg. reduction≥39%), generalised anxiety disorder (Cohen’s d≥0.86; avg. reduction≥36%) and panic disorder (Cohen’s d≥0.53; avg. reduction≥25%) were found immediately post-treatment and were maintained or further improved to 24-month follow-up. No marked differences were observed between TD-CBT and DS-CBT or CG-CBT and SG-CBT highlighting the potential of each for the treatment of SAD and comorbid disorders.
- Published
- 2015