Generic versus disorder specific cognitive behavior therapy for social anxiety disorder in youth: A randomized controlled trial using internet delivery
Article
Article Title | Generic versus disorder specific cognitive behavior therapy for social anxiety disorder in youth: A randomized controlled trial using internet delivery |
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ERA Journal ID | 6142 |
Article Category | Article |
Authors | Spence, Susan H. (Author), Donovan, Caroline L. (Author), March, Sonja (Author), Kenardy, Justin A. (Author) and Hearn, Cate S. (Author) |
Journal Title | Behaviour Research and Therapy |
Journal Citation | 90, pp. 41-57 |
Number of Pages | 17 |
Year | Mar 2017 |
Place of Publication | United Kingdom |
ISSN | 0005-7967 |
1873-622X | |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.brat.2016.12.003 |
Web Address (URL) | https://www.sciencedirect.com/science/article/abs/pii/S0005796716302121 |
Abstract | The study examined whether the efficacy of cognitive behavioral treatment for Social Anxiety Disorder for children and adolescents is increased if intervention addresses specific cognitive and behavioral factors linked to the development and maintenance of SAD in young people, over and above the traditional generic CBT approach. Participants were 125 youth, aged 8e17 years, with a primary diagnosis of SAD, who were randomly assigned to generic CBT (CBT-GEN), social anxiety specific CBT (CBT SAD) or a wait list control (WLC). Intervention was delivered using a therapist-supported online program. After 12-weeks, participants who received treatment (CBT SAD or CBT-GEN) showed significantly greater reduction in social anxiety and post-event processing, and greater improvement in global functioning than the WLC but there was no significant difference between CBT-SAD and CBT-GEN on any outcome variable at 12-weeks or 6-month follow-up. Despite significant reductions in anxiety, the majority in both treatment conditions continued to meet diagnostic criteria for SAD at 6-month follow-up. Decreases in social anxiety were associated with decreases in post-event processing. Future research should continue to investigate disorder-specific interventions for SAD in young people, drawing on evidence regarding causal or maintaining factors, in order to enhance treatment outcomes for this debilitating condition. |
Keywords | Social anxiety disorder; Social phobia; Children and adolescents; Disorder-specific; Post-event processing; Cognitive behavior therapy |
Contains Sensitive Content | Does not contain sensitive content |
ANZSRC Field of Research 2020 | 320221. Psychiatry (incl. psychotherapy) |
420313. Mental health services | |
520399. Clinical and health psychology not elsewhere classified | |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | Griffith University |
School of Psychology and Counselling | |
University of Queensland | |
Institution of Origin | University of Southern Queensland |
Funding source | NHMRC |
https://research.usq.edu.au/item/q3v52/generic-versus-disorder-specific-cognitive-behavior-therapy-for-social-anxiety-disorder-in-youth-a-randomized-controlled-trial-using-internet-delivery
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