Social Anxiety Disorder
Conditions
Brief summary
This 5-year study addresses the unmet needs of adolescents with social phobia through the testing of a 12-week cognitive-behavioral, school-based group intervention delivered by trained school counselors compared to a nonspecific school counseling program. A secondary goal is to provide further examination of the efficacy of the CBT program delivered by school counselors as compared to the same program delivered by psychologists.
Detailed description
The investigators have tested SASS, a school-based group CBT intervention for social phobia, and found it to be effective when delivered by psychologists (Masia Warner et al., 2005; Masia Warner et al., 2007). The proposed dissemination study extends this work through a controlled trial of SASS delivered by school counselors. The investigators will randomize 126 adolescents with social anxiety disorder, ages 14 through 17, to one of 3 treatments: 1) SASS delivered by school counselors (SC-SASS), 2) SASS delivered by psychologists (Expert-SASS), or 3) a manualized adolescent group counseling program specifically designed for school counselors, called Skills for Living (SFL). A comprehensive evaluation will include diagnosis, illness severity, scale ratings of social anxiety and depression, clinical global improvement, overall functioning, and school-relevant indices of function. Outcomes will be assessed at baseline, mid-point (after 6 weeks of intervention), post-treatment, and 6 months following intervention completion.
Interventions
BEHAVIORALSkills for Academic and Social Success
12-week cognitive-behavioral, school-based group intervention
BEHAVIORALSkills for Life
SFL is the Skills for Life Protocol delivered by school counselors.
Sponsors
National Institute of Mental Health (NIMH)
NYU Langone Health
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)
Eligibility
Sex/Gender
ALL
Age
14 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
1. Diagnosis. DSM-IV primary diagnosis (most severe) of social anxiety disorder (as determined by the ADIS-PC) 2. Age and Sex. Boys and Girls, 14 through 19 years 3. Grade. 9th, 10th, 11th, or 12th 4. English speaking. Adolescent
Exclusion criteria
1. Current diagnosis of substance use or conduct disorder 2. Concurrent mental disorder of greater severity than social anxiety disorder 3. Current psychotic symptoms 4. Current suicidal ideation 5. Pervasive developmental disorder, or a significant medical disorder (e.g., substantially impairs functioning, school attendance, or the ability to engage in treatment) 6. Current psychological or pharmacological treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Diagnostic severity of social anxiety disorder (ADIS CSR score) | 2 week and 6-month follow-up | ADIS CSR Ratings are taken at baseline, immediately following treatment, and at a 6-month followup. |
| Change in Treatment response/non-response (a CGI-I of Improved or better, ratings of 1-3, 3 = Improved) | 2 week and 6-month follow-up | CGI-I assesses improvement from baseline immediately following treatment and at a 6-month followup assessment. |
Secondary
| Measure | Time frame |
|---|---|
| Change in Diagnostic status: presence or absence of social anxiety disorder | 2 week and 6-month follow-up |
| Change in Overall and school functioning: spare-time, peer relations, home life, school attendance, grades, and LSAS-CA school items total score | 2 week and 6-month follow-up |
| Change in Adolescent and parent ratings of social anxiety scale scores (self and parent SPAI-C), and adolescent ratings of depression (BDI-II) | 2 week and 6-month follow-up |
Countries
United States
Outcome results
None listed