Social Anxiety Disorder
Conditions
Brief summary
Goals of the study: Systemic Therapy was approved in 2008 by the Scientific Advisory Board on Psychotherapy (Wissenschaftlicher Beirat Psychotherapie: WBP) for a variety of disorders which, at the time, did not include anxiety disorders. According to the 2007 joint methods paper of the WBP and the Mutual Federal Committee (Gemeinsamen Bundesausschuss: G-Ba), there must be three randomized-controlled trials (RCT) for anxiety disorders. These studies are available now but lack explicit details about the clinical significance of the reductions they show in social anxiety symptoms. This project is funded by the German Association for Systemic Therapy, Counseling and Family Therapy (Deutsche Gesellschaft für Systemische Therapie, Beratung und Familientherapie: DGSF). Study design: The study is planned as a mono-centric, balanced pilot RCT. It investigates the feasibility of an RCT comparing Systemic Therapy and Cognitive Behavioral Therapy for Social Anxiety Disorders (SAD) in 32 patients.
Interventions
BEHAVIORALSystemic Therapy for Social Anxiety Disorder
Sponsors
German Association for Systemic Therapy, Counseling and Family Therapy (DGSF)
Systemic Society (SG)
Heidehof Foundation
Heidelberg University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Social Anxiety Disorder (SKID: ICD-Diagnosis: F40.1, Liebowitz Social Anxiety Scale \> 30); * Agreement to participate in the study and to be randomized into the two treatment groups
Exclusion criteria
* Acute drug or alcohol intoxication or dependency * Anorexia with BMI \< 14 * Psychotic disorder * Severe physical diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of Liebowitz Social Anxiety Scale (LSAS-SR) | Baseline, 8th,15th, 20th and 26th hour of therapy; 6, 9 and 12 months after randomization | Social Anxiety will be assessed using the Liebowitz Social Anxiety Scale (LSAS-SR) in its German version. The LSAS-SR is a brief 24-item self report instrument with 13 items relating to performance anxiety and 11 concerning social situations. Its purpose is to assess the range of social interaction and performance situations feared and the degree of avoidance by a patient in order to assist in the diagnosis of social anxiety disorder, 24 items, German version |
| Change of Social Interaction Anxiety Scale (SIAS) | Baseline, 8th,15th, 20th and 26th hour of therapy; 6, 9 and 12 months after randomization | Measure of social interaction anxiety, 20 items, German version |
| Change of Social Phobia Scale (SPS) | Baseline, 8th,15th and 20th hour of therapy, end of treatment; 6, 9 and 12 months after randomization | Measure of anxiety while being observed by others, 20 items, German version |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change of Experience in Social Systems (EXIS) | Baseline, 8th,15th, 20th and 26th hour of therapy; 6, 9 and 12 months after randomization | Measure of the individual experience in different social systems, 24 items, German version |
| Change of Beck Depression Inventory-II (BDI-II) | Baseline, 8th,15th, 20th and 26th hour of therapy; 6, 9 and 12 months after randomization | Severity of depressive symptoms at that moment, specifically assessing the intensity of depression in psychiatric and normal populations, 21 items, German version |
| Change of Inventory of Interpersonal Problems (IIP-32) | Baseline, 8th,15th, 20th and 26th hour of therapy; 6, 9 and 12 months after randomization | The IIP-32 is a self-report instrument that identifies a person's most salient interpersonal difficulties. It is a short version of the Inventory of Interpersonal Problems, 32 items, German version |
| Change of Adjustment to Symptomatology Scale (ASS) | Baseline, 8th,15th, 20th and 26th hour of therapy; 6, 9 and 12 months after randomization | Measure of adjustment to the symptomatology, 5 items, German version |
| Change of University of Rhode Island Change Assessment (URICA-S, short version) | Baseline, 8th,15th, 20th and 26th hour of therapy; 6, 9 and 12 months after randomization | Measure of stages of change, 16 items, German version |
| Change of Burden Assessment Scale (BAS) | Baseline, 26th hour of therapy; 12 months after randomization | Measure of perceived burden in daily life among resource persons, 19 items, German version |
| Change of Scale for the Multiperspective Assessment of General Change Mechanisms in Psychotherapy (SACiP), | 8th,15th, 20th and 26th hour of therapy; 6, 9 and 12 months after randomization | Measure of the six dimensions of resource activation, problem actuation, mastery, clarification of meaning, emotional bond, agreement on collaboration, 21 items, German version |
| Change of Dyadic Adjustment Scale (DAS-12) | Baseline, 8th,15th, 20th and 26th hour of therapy; 6, 9 and 12 months after randomization | Measure of relationship adjustment, 12 items, German version |
| Change of Evaluation of Social Systems (EVOS) | Baseline, 8th,15th, 20th and 26th hour of therapy; 6, 9 and 12 months after randomization | Measure of social relationships in different social systems, 10 items, German version |
| Change of Brief Symptom Checklist (BSCL) | Baseline, 8th,15th, 20th and 26th hour of therapy; 6, 9 and 12 months after randomization | The instrument provides an overview of a patient's symptoms and their intensity at a specific point in time, 53 items, German version |
Countries
Germany
Outcome results
None listed