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6. 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

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