Development of a Moderated Online Intervention to Treat Social Anxiety in First-Episode Psychosis
Background: It is well established that social anxiety disorder (SAD) is a significant clinical problem for individuals with a psychotic disorder. Comorbid social anxiety in individuals with psychosis has been associated with poorer premorbid functioning, increased depression, and a reduced quality...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2019-08-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyt.2019.00581/full |
| _version_ | 1811269038957920256 |
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| author | Carla McEnery Carla McEnery Carla McEnery Michelle H. Lim Michelle H. Lim Ann Knowles Simon Rice Simon Rice John Gleeson Simmone Howell Simmone Howell Penni Russon Penni Russon Chris Miles Chris Miles Simon D’Alfonso Simon D’Alfonso Simon D’Alfonso Mario Alvarez-Jimenez Mario Alvarez-Jimenez |
| author_facet | Carla McEnery Carla McEnery Carla McEnery Michelle H. Lim Michelle H. Lim Ann Knowles Simon Rice Simon Rice John Gleeson Simmone Howell Simmone Howell Penni Russon Penni Russon Chris Miles Chris Miles Simon D’Alfonso Simon D’Alfonso Simon D’Alfonso Mario Alvarez-Jimenez Mario Alvarez-Jimenez |
| author_sort | Carla McEnery |
| collection | DOAJ |
| description | Background: It is well established that social anxiety disorder (SAD) is a significant clinical problem for individuals with a psychotic disorder. Comorbid social anxiety in individuals with psychosis has been associated with poorer premorbid functioning, increased depression, and a reduced quality of life. Cognitive behavior therapy (CBT) is recommended for people with psychosis as a first-line psychological treatment; however, its focus and evaluation primarily revolves around reducing psychotic symptoms and not necessarily targeting comorbid social anxiety symptoms. We developed a novel online social cognitive behavioral intervention (entitled EMBRACE) specifically designed to treat social anxiety symptoms in first episode psychosis (FEP).Methods: The key clinical and engagement features of the intervention were established through integrating evidence-based material derived from 1) CBT-based treatment models for SAD, 2) relevant literature findings related to psychosis and its clinical correlates (e.g., shame, social rank, and its relationship with social anxiety and paranoia), 3) feedback from youth focus groups in order to inform a user-centered intervention design, and 4) a highly multidisciplinary collaborative development approach to design therapy comics.Results: A detailed description of the final version of the 12-week online social intervention to treat social anxiety in FEP is presented.Conclusion: The EMBRACE intervention was designed to provide young people with the necessary skills and confidence to overcome social anxiety within a supportive, safe online space. By design, it allows young people the opportunity to practice their newly learnt skills to connect with others and in doing so, learn to embrace their true authentic selves. |
| first_indexed | 2024-04-12T21:33:50Z |
| format | Article |
| id | doaj.art-9c32f9b2a40b4f00bcb696d355e125c3 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-12T21:33:50Z |
| publishDate | 2019-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-9c32f9b2a40b4f00bcb696d355e125c32022-12-22T03:15:58ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402019-08-011010.3389/fpsyt.2019.00581453581Development of a Moderated Online Intervention to Treat Social Anxiety in First-Episode PsychosisCarla McEnery0Carla McEnery1Carla McEnery2Michelle H. Lim3Michelle H. Lim4Ann Knowles5Simon Rice6Simon Rice7John Gleeson8Simmone Howell9Simmone Howell10Penni Russon11Penni Russon12Chris Miles13Chris Miles14Simon D’Alfonso15Simon D’Alfonso16Simon D’Alfonso17Mario Alvarez-Jimenez18Mario Alvarez-Jimenez19Centre for Mental Health, Swinburne University of Technology, Hawthorn, VIC, AustraliaCentre for Youth Mental Health, The University of Melbourne, Parkville, VIC, AustraliaOrygen, The National Centre of Excellence in Youth Mental Health, Parkville, VIC, AustraliaCentre for Mental Health, Swinburne University of Technology, Hawthorn, VIC, AustraliaIverson Health Innovation Research Institute, Swinburne University of Technology, Hawthorn, VIC, AustraliaDepartment of Psychological Sciences, Swinburne University of Technology, Hawthorn, VIC, AustraliaCentre for Youth Mental Health, The University of Melbourne, Parkville, VIC, AustraliaOrygen, The National Centre of Excellence in Youth Mental Health, Parkville, VIC, AustraliaSchool of Behavioural and Health Sciences, Australian Catholic University, Melbourne, VIC, AustraliaCentre for Youth Mental Health, The University of Melbourne, Parkville, VIC, AustraliaOrygen, The National Centre of Excellence in Youth Mental Health, Parkville, VIC, AustraliaCentre for Youth Mental Health, The University of Melbourne, Parkville, VIC, AustraliaOrygen, The National Centre of Excellence in Youth Mental Health, Parkville, VIC, AustraliaCentre for Youth Mental Health, The University of Melbourne, Parkville, VIC, AustraliaOrygen, The National Centre of Excellence in Youth Mental Health, Parkville, VIC, AustraliaCentre for Youth Mental Health, The University of Melbourne, Parkville, VIC, AustraliaOrygen, The National Centre of Excellence in Youth Mental Health, Parkville, VIC, AustraliaSchool of Computing and Information Systems, University of Melbourne, Parkville, VIC, AustraliaCentre for Youth Mental Health, The University of Melbourne, Parkville, VIC, AustraliaOrygen, The National Centre of Excellence in Youth Mental Health, Parkville, VIC, AustraliaBackground: It is well established that social anxiety disorder (SAD) is a significant clinical problem for individuals with a psychotic disorder. Comorbid social anxiety in individuals with psychosis has been associated with poorer premorbid functioning, increased depression, and a reduced quality of life. Cognitive behavior therapy (CBT) is recommended for people with psychosis as a first-line psychological treatment; however, its focus and evaluation primarily revolves around reducing psychotic symptoms and not necessarily targeting comorbid social anxiety symptoms. We developed a novel online social cognitive behavioral intervention (entitled EMBRACE) specifically designed to treat social anxiety symptoms in first episode psychosis (FEP).Methods: The key clinical and engagement features of the intervention were established through integrating evidence-based material derived from 1) CBT-based treatment models for SAD, 2) relevant literature findings related to psychosis and its clinical correlates (e.g., shame, social rank, and its relationship with social anxiety and paranoia), 3) feedback from youth focus groups in order to inform a user-centered intervention design, and 4) a highly multidisciplinary collaborative development approach to design therapy comics.Results: A detailed description of the final version of the 12-week online social intervention to treat social anxiety in FEP is presented.Conclusion: The EMBRACE intervention was designed to provide young people with the necessary skills and confidence to overcome social anxiety within a supportive, safe online space. By design, it allows young people the opportunity to practice their newly learnt skills to connect with others and in doing so, learn to embrace their true authentic selves.https://www.frontiersin.org/article/10.3389/fpsyt.2019.00581/fullsocial anxietysocial phobiapsychosisonline psychosocial interventionsschizophrenia spectrum and other psychotic disorder |
| spellingShingle | Carla McEnery Carla McEnery Carla McEnery Michelle H. Lim Michelle H. Lim Ann Knowles Simon Rice Simon Rice John Gleeson Simmone Howell Simmone Howell Penni Russon Penni Russon Chris Miles Chris Miles Simon D’Alfonso Simon D’Alfonso Simon D’Alfonso Mario Alvarez-Jimenez Mario Alvarez-Jimenez Development of a Moderated Online Intervention to Treat Social Anxiety in First-Episode Psychosis Frontiers in Psychiatry social anxiety social phobia psychosis online psychosocial interventions schizophrenia spectrum and other psychotic disorder |
| title | Development of a Moderated Online Intervention to Treat Social Anxiety in First-Episode Psychosis |
| title_full | Development of a Moderated Online Intervention to Treat Social Anxiety in First-Episode Psychosis |
| title_fullStr | Development of a Moderated Online Intervention to Treat Social Anxiety in First-Episode Psychosis |
| title_full_unstemmed | Development of a Moderated Online Intervention to Treat Social Anxiety in First-Episode Psychosis |
| title_short | Development of a Moderated Online Intervention to Treat Social Anxiety in First-Episode Psychosis |
| title_sort | development of a moderated online intervention to treat social anxiety in first episode psychosis |
| topic | social anxiety social phobia psychosis online psychosocial interventions schizophrenia spectrum and other psychotic disorder |
| url | https://www.frontiersin.org/article/10.3389/fpsyt.2019.00581/full |
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