Social anxiety disorder Mental and Behavioural Disorders
Conditions
Interventions
Cognitive therapy for social anxiety disorder (CT-SAD) is a cognitive behavioural treatment for posttraumatic stress disorder recommended by NICE (2013) and international treatment guidelines. It is u
Sponsors
University of Oxford
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Social Anxiety Disorder is the main difficulty, and the client's priority to work on in therapy 2. Social Phobia Inventory (SPIN) score >25 at initial assessment 3. Regular, private access to internet-enabled device with webcam and reliable internet connection 4. Able to take phone calls from their therapist within normal IAPT clinic hours, and have enough time in their week to be able to log in and work on the programme regularly (i.e. at least 20 mins on 3-4 days each week) 5. Able to speak, read and write English 6. If on medication for mood/anxiety, the participant agrees not to change medication during the study 7. Aged 16 to 80 years
Exclusion criteria
Exclusion criteria: 1. Marked clinical risk based on the service's intake assessment 2. Dependence on alcohol or substances. 3. Currently participating in another clinical research study 4. Current psychosis/bipolar affective disorder/emotionally unstable personality disorder (These conditions are not typically treated within IAPT services)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recovery (as defined in IAPT by cut-offs scores below the clinical cut-off) measured using the Social Phobia Inventory (SPIN) and Patient Health Questionnaire (PHQ-9) at baseline and 7 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Social anxiety symptoms measured using the Social Anxiety Inventory (SPIN) and Liebowitz Social Anxiety Scale (LSAS-SR) collected by the internet programme each week between baseline and 4 months, and at 5, 6, and 7 months 2. Depression symptoms measured with the PHQ-9 completed at baseline, 4, and 7 months. The PHQ-9 is given weekly during the weekly therapy phase as is standard in IAPT services. 3. Anxiety symptoms measured with the Generalised Anxiety Disorder Questionnaire (GAD-7) completed at baseline, 4, and 7 months. The GAD-7 is given weekly during the weekly therapy phase as is standard in IAPT services. 4. Disability measured with the Work and Social Adjustment Scale (WSAS) completed at baseline, 4, and 7 months. The WSAS is given weekly during the weekly therapy phase as is standard in IAPT services. 5. Satisfaction with treatment assessed with the IAPT Patient Experience Questionnaire at 7 months Process measures: 1. Credibility of treatment measured with the Borkovec and Nau Credibility scale at 2 weeks. 2. Working alliance measured with the Working Alliance Scale completed by patients and therapists at 2 weeks 3. Key variables in the Clark & Wells (1995) cognitive model of SAD (social anxiety-related beliefs, safety behaviours, and focus of attention) are assessed repeatedly during treatment with relevant questionnaires 4. Patient activity on the online programme measured using data collected by the internet programme such as time spent on the programme and modules completed during treatment between baseline and 4 months 5. Therapist activity with the online programme measured using data collected by the internet programme such as number of calls and messages with patient during treatment between baseline and 4 months User experience with iCT-SAD: 1. Therapis | — |
Countries
England, United Kingdom
Outcome results
None listed