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

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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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10.1016/j.janxdis.2016.05.004

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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. (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.",

author = "Dear, {B. F.} and Staples, {L. G.} and Terides, {M. D.} and Fogliati, {V. J.} and J. Sheehan and L. Johnston and R. Kayrouz and R. Dear and McEvoy, {P. M.} and N. Titov",

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.",

year = "2016",

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doi = "10.1016/j.janxdis.2016.05.004",

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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 › peer-review

TY - JOUR

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.

PY - 2016/8/1

Y1 - 2016/8/1

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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=84971260287&partnerID=8YFLogxK

UR - http://purl.org/au-research/grants/nhmrc/630560

UR - http://purl.org/au-research/grants/nhmrc/1052294

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SN - 0887-6185

ER -

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

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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

Bibliographical note

Access to Document

Other files and links

Fingerprint

Projects

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

Transdiagnostic internet therapy for internalising disorders

Cite this