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

doi:10.1016/j.janxdis.2016.05.004

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

Department of Psychology

Research output: Contribution to journal › Article

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 language	English
Pages (from-to)	30-44
Number of pages	15
Journal	Journal of Anxiety Disorders
Volume	42
DOIs	https://doi.org/10.1016/j.janxdis.2016.05.004
Publication status	Published - 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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Projects

2 Finished

Understanding what works: Examining innovative internet-delivered self-help treatments for chronic pain

Dear, B.

7/01/13 → 31/12/16

Project: Research

Transdiagnostic internet therapy for internalising disorders

Titov, N.

1/01/10 → 31/12/14

Project: Research

Cite this

Dear, B. F., Staples, L. G., Terides, M. D., Fogliati, V. J., Sheehan, J., Johnston, L., ... Titov, N. (2016). Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for Social Anxiety Disorder and comorbid disorders: a randomized controlled trial. Journal of Anxiety Disorders, 42, 30-44. https://doi.org/10.1016/j.janxdis.2016.05.004

Dear, B. F. ; Staples, L. G. ; Terides, M. D. ; Fogliati, V. J. ; Sheehan, J. ; Johnston, L. ; Kayrouz, R. ; Dear, R. ; McEvoy, P. M. ; Titov, N. / Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for Social Anxiety Disorder and comorbid disorders : a randomized controlled trial. In: Journal of Anxiety Disorders. 2016 ; Vol. 42. pp. 30-44.

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title = "Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for Social Anxiety Disorder and comorbid disorders: a randomized controlled trial",

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.",

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Dear, BF, Staples, LG, Terides, MD, Fogliati, VJ, Sheehan, J, Johnston, L, Kayrouz, R, Dear, R, McEvoy, PM & Titov, N 2016, 'Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for Social Anxiety Disorder and comorbid disorders: a randomized controlled trial', Journal of Anxiety Disorders, vol. 42, pp. 30-44. https://doi.org/10.1016/j.janxdis.2016.05.004

Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for Social Anxiety Disorder and comorbid disorders : a randomized controlled trial. / Dear, B. F.; Staples, L. G.; Terides, M. D.; Fogliati, V. J.; Sheehan, J.; Johnston, L.; Kayrouz, R.; Dear, R.; McEvoy, P. M.; Titov, N.

In: Journal of Anxiety Disorders, Vol. 42, 01.08.2016, p. 30-44.

Research output: Contribution to journal › Article

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T1 - Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for Social Anxiety Disorder and comorbid disorders

T2 - a randomized controlled trial

AU - Dear, B. F.

AU - Staples, L. G.

AU - Terides, M. D.

AU - Fogliati, V. J.

AU - Sheehan, J.

AU - Johnston, L.

AU - Kayrouz, R.

AU - Dear, R.

AU - McEvoy, P. M.

AU - Titov, N.

N1 - 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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N2 - 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.

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