Brief, developmentally oriented cognitive therapy for adolescents with social anxiety disorder: A case series from a pilot evaluation
Background: Social anxiety disorder (SAD) is one of the key mental health disorders of adolescence. Due to the mental health challenge across the globe in this age group, a growing acknowledgement of the need to effectively identify and treat incipient SAD at an early stage has been presented in m...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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The Finnish Foundation for Psychiatric Research
2022-11-01
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| Series: | Psychiatria Fennica |
| Subjects: | |
| Online Access: | https://www.psykiatriantutkimussaatio.fi/wp-content/uploads/2022/11/Psychiatria_Fennica-2022-Lampela.pdf |
| _version_ | 1811332705685602304 |
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| author | Siiri Lampela Jaakko Monthan Mauri Marttunen Jaana Minkkinen Klaus Ranta |
| author_facet | Siiri Lampela Jaakko Monthan Mauri Marttunen Jaana Minkkinen Klaus Ranta |
| author_sort | Siiri Lampela |
| collection | DOAJ |
| description | Background: Social anxiety disorder (SAD) is one of the key mental health disorders of adolescence. Due to the mental health
challenge across the globe in this age group, a growing acknowledgement of the need to effectively identify and treat incipient
SAD at an early stage has been presented in many countries. Aim: The aim of this study was to examine the accuracy of
detection of SAD in schools, using a detection toolkit and a professional operating model in which school psychologists
acted in a consultant/coordinator role. The second aim was to gain initial data on usefulness and feasibility of brief,
developmentally oriented cognitive therapy (DOCT-SAD) for adolescents with SAD. Methods: Ten adolescents, identified
from upper secondary schools with a mean age of 13.8 years, participated in DOCT-SAD. Accuracy rate of detection in
the school was calculated as the proportion of adolescents who had interview-confirmed SAD and completed the treatment
out of those altogether referred from schools. Usefulness of DOCT-SAD was assessed with pre- post-treatment changes
in symptoms of SAD (SPIN), mood (PHQ-9) and in adolescents’ wellbeing (YP-CORE), and by evaluating change
in DSM-5 diagnostic status. Feasibility was evaluated by semi-structured interviews of adolescents and their parents.
Results: Use of the SAD detection toolkit and the professional operating model yielded a 71% accuracy rate for schoolbased identification of adolescents who had SAD, and who eventually completed treatment. DOCT-SAD showed promise
as treatment of SAD: adolescents’ symptoms of SAD and depression decreased markedly pre-post effect sizes being 1.6
and 1.4 respectively, adolescents’ wellbeing improved, and a 60% rate of diagnostic remission, comparable to established
treatments, was found. Feasibility of DOCT-SAD appeared good or excellent for adolescents and parents. Discussion: As
incidence of SAD is high in adolescence, methods for detection and treatment are needed. The 10-session DOCT-SAD
shows promise for further development as a treatment for adolescent SAD. Conclusion: This case series found support for
using a structured detection model, and for treatment of SAD using a brief cognitive therapy program among adolescents
identified in the school. |
| first_indexed | 2024-04-13T16:40:06Z |
| format | Article |
| id | doaj.art-854e0ee0417248cb891ce14df890a923 |
| institution | Directory Open Access Journal |
| issn | 2489-6152 |
| language | English |
| last_indexed | 2024-04-13T16:40:06Z |
| publishDate | 2022-11-01 |
| publisher | The Finnish Foundation for Psychiatric Research |
| record_format | Article |
| series | Psychiatria Fennica |
| spelling | doaj.art-854e0ee0417248cb891ce14df890a9232022-12-22T02:39:15ZengThe Finnish Foundation for Psychiatric ResearchPsychiatria Fennica2489-61522022-11-01535675Brief, developmentally oriented cognitive therapy for adolescents with social anxiety disorder: A case series from a pilot evaluation Siiri Lampela0Jaakko Monthan1Mauri Marttunen2Jaana Minkkinen3Klaus Ranta4Department Psychology, University of TampereDepartment Psychology, University of Tampere2Department of Psychiatry, University of Helsinki and Helsinki University Hospital, FinlandDepartment Psychology, University of TampereDepartment Psychology, University of Tampere, Department of Psychiatry, University of Helsinki and Helsinki University Hospital, FinlandBackground: Social anxiety disorder (SAD) is one of the key mental health disorders of adolescence. Due to the mental health challenge across the globe in this age group, a growing acknowledgement of the need to effectively identify and treat incipient SAD at an early stage has been presented in many countries. Aim: The aim of this study was to examine the accuracy of detection of SAD in schools, using a detection toolkit and a professional operating model in which school psychologists acted in a consultant/coordinator role. The second aim was to gain initial data on usefulness and feasibility of brief, developmentally oriented cognitive therapy (DOCT-SAD) for adolescents with SAD. Methods: Ten adolescents, identified from upper secondary schools with a mean age of 13.8 years, participated in DOCT-SAD. Accuracy rate of detection in the school was calculated as the proportion of adolescents who had interview-confirmed SAD and completed the treatment out of those altogether referred from schools. Usefulness of DOCT-SAD was assessed with pre- post-treatment changes in symptoms of SAD (SPIN), mood (PHQ-9) and in adolescents’ wellbeing (YP-CORE), and by evaluating change in DSM-5 diagnostic status. Feasibility was evaluated by semi-structured interviews of adolescents and their parents. Results: Use of the SAD detection toolkit and the professional operating model yielded a 71% accuracy rate for schoolbased identification of adolescents who had SAD, and who eventually completed treatment. DOCT-SAD showed promise as treatment of SAD: adolescents’ symptoms of SAD and depression decreased markedly pre-post effect sizes being 1.6 and 1.4 respectively, adolescents’ wellbeing improved, and a 60% rate of diagnostic remission, comparable to established treatments, was found. Feasibility of DOCT-SAD appeared good or excellent for adolescents and parents. Discussion: As incidence of SAD is high in adolescence, methods for detection and treatment are needed. The 10-session DOCT-SAD shows promise for further development as a treatment for adolescent SAD. Conclusion: This case series found support for using a structured detection model, and for treatment of SAD using a brief cognitive therapy program among adolescents identified in the school.https://www.psykiatriantutkimussaatio.fi/wp-content/uploads/2022/11/Psychiatria_Fennica-2022-Lampela.pdfsocial anxiety disorderadolescentscognitive therapycognitive behavioural therapydevelopmental factorsfeasibilitystudyschool |
| spellingShingle | Siiri Lampela Jaakko Monthan Mauri Marttunen Jaana Minkkinen Klaus Ranta Brief, developmentally oriented cognitive therapy for adolescents with social anxiety disorder: A case series from a pilot evaluation Psychiatria Fennica social anxiety disorder adolescents cognitive therapy cognitive behavioural therapy developmental factors feasibility study school |
| title | Brief, developmentally oriented cognitive therapy for adolescents with social anxiety disorder: A case series from a pilot evaluation |
| title_full | Brief, developmentally oriented cognitive therapy for adolescents with social anxiety disorder: A case series from a pilot evaluation |
| title_fullStr | Brief, developmentally oriented cognitive therapy for adolescents with social anxiety disorder: A case series from a pilot evaluation |
| title_full_unstemmed | Brief, developmentally oriented cognitive therapy for adolescents with social anxiety disorder: A case series from a pilot evaluation |
| title_short | Brief, developmentally oriented cognitive therapy for adolescents with social anxiety disorder: A case series from a pilot evaluation |
| title_sort | brief developmentally oriented cognitive therapy for adolescents with social anxiety disorder a case series from a pilot evaluation |
| topic | social anxiety disorder adolescents cognitive therapy cognitive behavioural therapy developmental factors feasibility study school |
| url | https://www.psykiatriantutkimussaatio.fi/wp-content/uploads/2022/11/Psychiatria_Fennica-2022-Lampela.pdf |
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