Social phobia (social anxiety disorder) Mental and Behavioural Disorders Social anxiety disorder
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Diagnosis of social phobia (SP) according to the Structured Interview for Diagnostic and Statistical Manual of Mental Disorders - fourth edition [SCID-I DSM-IV]) and primary diagnosis of social phobia according to the Liebowitz Social Anxiety Scale >302 2. Aged 18 to 59 versus 60 to 70 years 4. Participants must be made up of 60% women; 40% men
Exclusion criteria
Exclusion criteria: 1. Psychotic disorder 2. Risk of self-harm 3. Acute substance related disorder 4. Personality disorders except for cluster C 5. Organic mental disorder 6. Severe medical conditions 7. Concurrent psychotherapeutic or psychopharmacological treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| For A1, primary outcome is no diagnosis of SP according to the SCID-I DSM-IV and the Liebowitz Social Anxiety Scale For C1, the primary outcome will be, that the psychotherapy outcome is associated with genetic variation in the serotonin transporter (SERT) gene (directed: L12 higher pre-post difference in the Liebowitz Social Anxiety Scale [LSAS]) For C2, primary outcomes will include normalisation of neural structural and functional abnormalities after successful treatment For C3, primary outcomes will be whether patients reveal a secure organized attachment; representation will reach a better outcome than those with insecure features and\or disorganized states of mind | — |
Secondary
| Measure | Time frame |
|---|---|
| For A1, secondary outcomes will include: 1. Social anxiety (Social Phobia and Anxiety Inventory [SPAI]) 2. Depression (Beck Depression Inventory [BDI]) 3. Interpersonal problems (IIP) 4. Self-image 5. Quality of life or social functioning (short-form-12 questionnaire [SF-12]) 6. Costs and utilities of the treatments For C1, the secondary outcome will be, that the severity of social phobia is linked with genetic variation in SERT gene (directed: S10 higher LSAS at baseline) For C2 secondary outcome will include specificity of neural structural and functional abnormalities in social phobia For C3, secondary outcome will include whether a self-reported attachment will significantly change after successful therapy indicating increased security. This will be tested by using the Experiences in Close Relationships-Revised (ECR-R) instrument within the entire sample (n = 512) | — |
Countries
Germany