Internet-Delivered Cognitive Therapy for Social Anxiety Disorder: A Development Pilot Series

被引:38
作者
Stott, Richard [1 ]
Wild, Jennifer [2 ]
Grey, Nick [3 ]
Liness, Sheena [1 ]
Warnock-Parkes, Emma [1 ,2 ]
Commins, Siobhan [1 ]
Readings, Jennifer [1 ]
Bremner, Georgina [1 ,2 ]
Woodward, Elizabeth [2 ]
Ehlers, Anke [2 ]
Clark, David M. [2 ]
机构
[1] Kings Coll London, Inst Psychiat, London, England
[2] Univ Oxford, Oxford OX1 2JD, England
[3] South London & Maudsley NHS Fdn Trust, London, England
基金
英国惠康基金;
关键词
Social phobia; social anxiety disorder; safety behaviours; fear of blushing; cognitive behaviour therapy; CCBT; RANDOMIZED-CONTROLLED-TRIAL; BEHAVIORAL GROUP-THERAPY; PSYCHOMETRIC PROPERTIES; SELF-REPORT; PHOBIA; PLACEBO; SCALE; PSYCHOTHERAPY; REPLICATION; COMORBIDITY;
D O I
10.1017/S1352465813000404
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background: Randomized controlled trials have established that individual cognitive therapy based on the Clark and Wells (1995) model is an effective treatment for social anxiety disorder that is superior to a range of alternative psychological and pharmacological interventions. Normally the treatment involves up to 14 weekly face-to-face therapy sessions. Aim: To develop an internet based version of the treatment that requires less therapist time. Method: An internet-delivered version of cognitive therapy (iCT) for social anxiety disorder is described. The internet-version implements all key features of the face-to-face treatment; including video feedback, attention training, behavioural experiments, and memory focused techniques. Therapist support is via a built-in secure messaging system and by brief telephone calls. A cohort of 11 patients meeting DSM-IV criteria for social anxiety disorder worked through the programme and were assessed at pretreatment and posttreatment. Results: No patients dropped out. Improvements in social anxiety and related process variables were within the range of those observed in randomized controlled trials of face-to-face CT. Nine patients (82%) were classified as treatment responders and seven (64%) achieved remission status. Therapist time per patient was only 20% of that in face-to-face CT. Conclusions: iCT shows promise as a way of reducing therapist time without compromising efficacy. Further evaluation of iCT is ongoing.
引用
收藏
页码:383 / 397
页数:15
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