None listed
Conditions
Brief summary
The primary objective of this program of research is to examine the acceptability and efficacy of videoconferencing delivered cognitive behavioural therapy (CBT) for social anxiety disorder. The secondary objective of this research project is to examine the efficacy of an imagery rescripting (ImR) enhanced cognitive behavioural therapy intervention for individuals with social anxiety disorder. It is anticipated that high-intensity videoconferencing delivered CBT will (1) be acceptable to individuals with SAD; (2) result in significant reductions in symptoms of social anxiety compared to waitlist control at post-treatment and follow up; (3) ImR enhanced CBT will result in similar reductions to standard CBT.
Interventions
Those in the immediate treatment condition will receive a manualised cognitive behaviour therapy (CBT) protocol that is informed by the Rapee and Heimberg (1997) model of social anxiety disorder. The treatment will be delivered by internet-videoconferencing. Treatment is delivered one-on-one in 50-minute sessions over an 8 week period. In total, participants will receive 8 sessions as one 50-minute per week. Participants will be asked to complete at-home activities between sessions such as symp
Those in the immediate treatment condition will receive a manualised cognitive behaviour therapy (CBT) protocol that is informed by the Rapee and Heimberg (1997) model of social anxiety disorder. The treatment will be delivered by internet-videoconferencing. Treatment is delivered one-on-one in 50-minute sessions over an 8 week period. In total, participants will receive 8 sessions as one 50-minute per week. Participants will be asked to complete at-home activities between sessions such as symptom monitoring, problem solving using restructured thoughts, graded exposure. It is anticipated that participants will spend at least 10 minutes per day practicing cognitive restructuring and exposure techniques learned in session. The treatment will comprise of five modules and will cover the following topics: Module 1: Psychoeducation (week 1) Module 2: Challenging automatic thoughts (weeks 2 - 3) Module 3: Challenging core beliefs (week 4) Module 4: Exposure (weeks 5 - 7) Module 5: Relapse prevention/consolidation (week 8) Treatment will be delivered by provisionally registered psychologists in their final year of a Master of Clinical Psychology degree or a clinical psychology registrar, under the supervision of an experienced clinical psychologist. All treating clinicians will be thoroughly trained in the administration of the treatment protocol by the project investigators and receive weekly supervision. All sessions will be recorded and at least 10% of sessions will be randomly selected for treatment fidelity.
Sponsors
University of Technology Sydney
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Currently resides in Australia 2. Aged 18+ years 3. Fluent in English 4. Meets criteria for social anxiety disorder as primary diagnosis and the disorder is of at least 'moderate severity' (defined as a score of 4 on the DIAMOND module severity measure (Tolin et al., 2018)) 5. Medication free or on a stable dose of psychotropic medication 6. Not currently receiving regular psychological services for their social anxiety symptoms (defined as sessions at least once a week with a qualified mental health professional)
Exclusion criteria
1. Severe depressive symptoms as assessed by a score of 20 or above on the PHQ-9 2. Are at suicide risk by a score of "2" (more than half the days) or higher on item 9 of the PHQ-9 on the screening questions or via clinician judgement during the interview using the Columbia-Suicide Severity Rating Scale (C-SSRS) 3. Engage in daily alcohol use or daily illicit drug use 4. Presence of schizophrenia spectrum disorder as assessed by the DIAMOND 5. Significant cognitive/intellectual impairment as assessed during the diagnostic interview 6. A medical condition that may interfere with treatment 7. Does not have access to a computer with a camera and stable internet on a regular basis 8. Is not willing to engage in treatment via internet videoconferencing software
Outcome results
None listed