Therapeutic Processes in iCBT for SAD

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-12-20

Study Completion Date

2020-06-20

Brief Summary

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The current study examines therapeutic processes during internet-based cognitive-behavioral therapy for social anxiety disorder. Participants will be randomized to either treatment or wait-list conditions. Participants in the wait-list condition will receive active treatment following the wait-list period.

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Detailed Description

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Internet-based cognitive-behavioral therapy (iCBT) is an effective treatment for social anxiety disorder (SAD). However, little is known about the processes and mechanisms of change in this treatment. Compared to face to face (FTF) treatments, online interventions may operate through partially different mechanisms of change due to the text-based nature of the interaction and the reduced level of therapist involvement. The present randomized controlled trial will examine therapeutic processes during iCBT for SAD including the presence of sudden gains and their relationship to outcome, the relationship between anxiety and depressive symptoms along the course of treatment, changes in the therapeutic alliance and attrition from therapy. Moreover, we will compare iCBT for SAD with a wait-list control group and utilize weekly measurements of anxiety, depression, and SAD-related cognitions in both groups. This will facilitate comparison between temporal processes in both conditions and also shed light on processes occurring in wait-list conditions.

Conditions

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Social Anxiety Disorder Social Phobia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Wait list

Wait list condition with no active treatment, length of 10 weeks, with weekly measurements.

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention- active treatment

Internet delivered CBT for social anxiety disorder

Group Type EXPERIMENTAL

Internet delivered CBT for social anxiety disorder

Intervention Type BEHAVIORAL

An internet-based CBT for social anxiety based on a protocol from Andersson et al., 2006:

"Internet-based self-help with therapist feedback and in vivo group exposure for social phobia: a randomized controlled trial."

Interventions

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Internet delivered CBT for social anxiety disorder

An internet-based CBT for social anxiety based on a protocol from Andersson et al., 2006:

"Internet-based self-help with therapist feedback and in vivo group exposure for social phobia: a randomized controlled trial."

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Meeting DSM-5 criteria for social anxiety disorder.
* Fluency in Hebrew
* Access to internet

Exclusion Criteria

* Substance use disorders
* Past or present psychosis
* High levels of suicidality
* Changes in pharmacological treatment 3 months or less prior to the start of the trial
* Participation in other psychotherapeutic treatments during the trial

Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No