Article2008

Shyness 1: Distance Treatment of Social Phobia Over the Internet

Nickolai Titov · Gavin Andrews · Genevieve Schwencke · Juliette Drobny · Danielle A. Einstein

180 citations0/0 files storedAustralian & New Zealand Journal of Psychiatry

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Digital Mental Health Interventions Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Telemedicine and Telehealth Implementation

Abstract

OBJECTIVE: The purpose of the present study was to examine the effectiveness of an Internet-based clinician-assisted computerized cognitive behavioural therapy programme for social phobia. METHOD: A total of 105 individuals with social phobia were randomly assigned to a six-lesson cognitive behavioural treatment programme or to a waitlist control group. Treatment consisted of four components: six online lessons; homework assignments; participation in an online discussion forum; and regular email contact with a therapist. An intention-to-treat model was used for data analyses. RESULTS: A total of 78% of treatment group participants completed all lessons, and post-treatment data were obtained from 93/105 participants. Significant post-treatment differences between treatment and waitlist participants were found on two measures of symptoms of social phobia. Mean within- and between-group effect sizes (Cohen's d) for the primary social phobia outcome measures were 1.15, and 0.95, respectively. CONCLUSIONS: These results were comparable with those obtained in exemplary face-to-face treatment programmes. They provide further positive data about the utility of Internet-based guided self-help programmes for people with common mental disorders.

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References

2001The PHQ-9 2000Diagnostic and Statistical Manual of Mental Disorders.1994Lifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United States 2002Short screening scales to monitor population prevalences and trends in non-specific psychological distress 2004The World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI)1998Development and validation of measures of social phobia scrutiny fear and social interaction anxiety11Editor’s note: This article was written before the development of some contemporary measures of social phobia, such as the Social Phobia and Anxiety Inventory (Turner et al., 1989). We have invited this article for publication because of the growing interest in the scales described therein. S.T.2000Psychometric properties of the credibility/expectancy questionnaire 1972Credibility of analogue therapy rationales

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