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...

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Príomhchruthaitheoirí: Stott, R, Wild, J, Grey, N, Liness, S, Warnock-Parkes, E, Commins, S, Readings, J, Bremner, G, Woodward, E, Ehlers, A, Clark, D
Formáid: Journal article
Teanga:English
Foilsithe / Cruthaithe: 2013
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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.
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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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