Internet-delivered cognitive therapy for social anxiety disorder: a development pilot series.
BACKGROUND: Randomized controlled trials have established that individual cognitive therapy based on the Clark and Wells (1995) model is an effective treatment for social anxiety disorder that is superior to a range of alternative psychological and pharmacological interventions. Normally the treatme...
Príomhchruthaitheoirí: | , , , , , , , , , , |
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Formáid: | Journal article |
Teanga: | English |
Foilsithe / Cruthaithe: |
2013
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_version_ | 1826300672629276672 |
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author | Stott, R Wild, J Grey, N Liness, S Warnock-Parkes, E Commins, S Readings, J Bremner, G Woodward, E Ehlers, A Clark, D |
author_facet | Stott, R Wild, J Grey, N Liness, S Warnock-Parkes, E Commins, S Readings, J Bremner, G Woodward, E Ehlers, A Clark, D |
author_sort | Stott, R |
collection | OXFORD |
description | BACKGROUND: Randomized controlled trials have established that individual cognitive therapy based on the Clark and Wells (1995) model is an effective treatment for social anxiety disorder that is superior to a range of alternative psychological and pharmacological interventions. Normally the treatment involves up to 14 weekly face-to-face therapy sessions. AIM: To develop an internet based version of the treatment that requires less therapist time. METHOD: An internet-delivered version of cognitive therapy (iCT) for social anxiety disorder is described. The internet-version implements all key features of the face-to-face treatment; including video feedback, attention training, behavioural experiments, and memory focused techniques. Therapist support is via a built-in secure messaging system and by brief telephone calls. A cohort of 11 patients meeting DSM-IV criteria for social anxiety disorder worked through the programme and were assessed at pretreatment and posttreatment. RESULTS: No patients dropped out. Improvements in social anxiety and related process variables were within the range of those observed in randomized controlled trials of face-to-face CT. Nine patients (82%) were classified as treatment responders and seven (64%) achieved remission status. Therapist time per patient was only 20% of that in face-to-face CT. CONCLUSIONS: iCT shows promise as a way of reducing therapist time without compromising efficacy. Further evaluation of iCT is ongoing. |
first_indexed | 2024-03-07T05:20:43Z |
format | Journal article |
id | oxford-uuid:deccc0b7-51a4-427e-bc09-1b6d0643d6a6 |
institution | University of Oxford |
language | English |
last_indexed | 2024-03-07T05:20:43Z |
publishDate | 2013 |
record_format | dspace |
spelling | oxford-uuid:deccc0b7-51a4-427e-bc09-1b6d0643d6a62022-03-27T09:34:50ZInternet-delivered cognitive therapy for social anxiety disorder: a development pilot series.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:deccc0b7-51a4-427e-bc09-1b6d0643d6a6EnglishSymplectic Elements at Oxford2013Stott, RWild, JGrey, NLiness, SWarnock-Parkes, ECommins, SReadings, JBremner, GWoodward, EEhlers, AClark, DBACKGROUND: Randomized controlled trials have established that individual cognitive therapy based on the Clark and Wells (1995) model is an effective treatment for social anxiety disorder that is superior to a range of alternative psychological and pharmacological interventions. Normally the treatment involves up to 14 weekly face-to-face therapy sessions. AIM: To develop an internet based version of the treatment that requires less therapist time. METHOD: An internet-delivered version of cognitive therapy (iCT) for social anxiety disorder is described. The internet-version implements all key features of the face-to-face treatment; including video feedback, attention training, behavioural experiments, and memory focused techniques. Therapist support is via a built-in secure messaging system and by brief telephone calls. A cohort of 11 patients meeting DSM-IV criteria for social anxiety disorder worked through the programme and were assessed at pretreatment and posttreatment. RESULTS: No patients dropped out. Improvements in social anxiety and related process variables were within the range of those observed in randomized controlled trials of face-to-face CT. Nine patients (82%) were classified as treatment responders and seven (64%) achieved remission status. Therapist time per patient was only 20% of that in face-to-face CT. CONCLUSIONS: iCT shows promise as a way of reducing therapist time without compromising efficacy. Further evaluation of iCT is ongoing. |
spellingShingle | Stott, R Wild, J Grey, N Liness, S Warnock-Parkes, E Commins, S Readings, J Bremner, G Woodward, E Ehlers, A Clark, D Internet-delivered cognitive therapy for social anxiety disorder: a development pilot series. |
title | Internet-delivered cognitive therapy for social anxiety disorder: a development pilot series. |
title_full | Internet-delivered cognitive therapy for social anxiety disorder: a development pilot series. |
title_fullStr | Internet-delivered cognitive therapy for social anxiety disorder: a development pilot series. |
title_full_unstemmed | Internet-delivered cognitive therapy for social anxiety disorder: a development pilot series. |
title_short | Internet-delivered cognitive therapy for social anxiety disorder: a development pilot series. |
title_sort | internet delivered cognitive therapy for social anxiety disorder a development pilot series |
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