Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for Social Anxiety Disorder and comorbid disorders

a randomized controlled trial

B. F. Dear, L. G. Staples, M. D. Terides, V. J. Fogliati, J. Sheehan, L. Johnston, R. Kayrouz, R. Dear, P. M. McEvoy, N. Titov*

*Corresponding author for this work

Research output: Contribution to journalArticle

35 Citations (Scopus)
6 Downloads (Pure)

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.

Original languageEnglish
Pages (from-to)30-44
Number of pages15
JournalJournal of Anxiety Disorders
Volume42
DOIs
Publication statusPublished - 1 Aug 2016

Bibliographical note

Copyright the Author(s) 2016. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

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  • Transdiagnostic internet therapy for internalising disorders

    Titov, N.

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