Study of an Internet-delivered Treatment Based on Experiential Dynamic Psychotherapy for Social Anxiety Disorder

NCT ID: NCT05015166

Last Updated: 2023-01-13

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

181 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-18

Study Completion Date

2023-01-12

Brief Summary

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The aim of this randomized, controlled study is to examine an internet delivered, self-help program for social anxiety based on psychodynamic therapy. The study will compare three conditions: the psychodynamic program with therapist support, without therapist support and a waitlist control.

Detailed Description

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Conditions

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Social Anxiety Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Internet delivered self-help program with therapist support

The intervention consists of 8 therapist-supported self-help modules delivered over 8 weeks on a secure online platform. Modules consist of texts and video followed by exercises which they send to their therapist and receive feedback within a few days.

The treatment is based on principles from affect-focused psychodynamic psychotherapy.

Group Type EXPERIMENTAL

Experimental: Internet delivered self-help program with therapist support

Intervention Type BEHAVIORAL

During 8 weeks of treatment participants are taught how emotional conflicts may underlie and perpetuate symptoms of social anxiety. They are also taught how to observe their own anxiety and emotional avoidance (i.e. defenses) and how to gradually approach previously warded off feelings. The final part of the program contains material on how one may express previously warded off emotions to improve important relationships. The treatment program consists of text, videos and a series of experiential exercises which a therapist gives feedback on.

Internet delivered self-help program without therapist support

The intervention consists of 8 self-help modules delivered over 8 weeks on a secure online platform. Modules consist of texts and video followed by exercises which the participants are encouraged to try. The treatment is based on principles from affect-focused psychodynamic psychotherapy.

Group Type ACTIVE_COMPARATOR

Internet delivered self-help program without therapist support

Intervention Type BEHAVIORAL

During 8 weeks of treatment participants are taught how emotional conflicts may underlie and perpetuate symptoms of social anxiety. They are also taught how to observe their own anxiety and emotional avoidance (i.e. defenses) and how to gradually approach previously warded off feelings. The final part of the program contains material on how one may express previously warded off emotions to improve important relationships. The treatment program consists of text, videos and a series of experiential exercises.

Waitlist

Participants will receive no intervention for 8 weeks.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Experimental: Internet delivered self-help program with therapist support

During 8 weeks of treatment participants are taught how emotional conflicts may underlie and perpetuate symptoms of social anxiety. They are also taught how to observe their own anxiety and emotional avoidance (i.e. defenses) and how to gradually approach previously warded off feelings. The final part of the program contains material on how one may express previously warded off emotions to improve important relationships. The treatment program consists of text, videos and a series of experiential exercises which a therapist gives feedback on.

Intervention Type BEHAVIORAL

Internet delivered self-help program without therapist support

During 8 weeks of treatment participants are taught how emotional conflicts may underlie and perpetuate symptoms of social anxiety. They are also taught how to observe their own anxiety and emotional avoidance (i.e. defenses) and how to gradually approach previously warded off feelings. The final part of the program contains material on how one may express previously warded off emotions to improve important relationships. The treatment program consists of text, videos and a series of experiential exercises.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* 18 years old or older
* Fulfill the DSM-5 criteria for social anxiety disorder (Score \> 60 on the self-assessment instrument LSAS-SR)
* Have access to a computer/smartphone/tablet with internet connection
* Be able to read and write Swedish.

Exclusion Criteria

* Suicidal (within the previous month, assessed with the self-assessment instrument C-SSRS)
* Partaking in psychological treatment
* Ongoing treatment with psychopharmacological drugs with dose adjustments within the nearest month or planned dose adjustments.

The following self-reported diagnoses are excluded:

* Autism spectrum disorder
* Serious depression (Score ≥ 20 on the PHQ9)
* Indications of psychosis or bipolar disorder (type 1 or 2).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Stockholm University

OTHER

Sponsor Role lead

Responsible Party

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Per Carlbring

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Per Carlbring, PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Psychology at Stockholm University

Locations

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Stockholm University

Stockholm, , Sweden

Site Status

Countries

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Sweden

References

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Mechler J, Lindqvist K, Magnusson K, Ringstrom A, Krafman JD, Alvinzi P, Kassius L, Sowa J, Andersson G, Carlbring P. Guided and unguided internet-delivered psychodynamic therapy for social anxiety disorder: A randomized controlled trial. Npj Ment Health Res. 2024 May 10;3(1):21. doi: 10.1038/s44184-024-00063-0.

Reference Type DERIVED
PMID: 38730030 (View on PubMed)

Other Identifiers

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STePS

Identifier Type: -

Identifier Source: org_study_id

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