Long-term effectiveness and outcome predictors of therapist-guided internet-based cognitive-behavioural therapy for social anxiety disorder in routine psychiatric care

BMJ Open

Volumn 5, Issue 6, 2015, Pages

  El Alaoui, Samir ^a   Hedman, Erik ^a   Ljótsson, Brjánn ^a   Lindefors, Nils ^a  

^a KAROLINSKA INSTITUTE   (Sweden)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ADVERSE OUTCOME; ARTICLE; CLINICAL EFFECTIVENESS; COGNITIVE THERAPY; COMORBIDITY; DEPRESSION; DISEASE SEVERITY; FAMILY HISTORY; FEMALE; HUMAN; INTERNET; LIEBOWITZ SOCIAL ANXIETY SCALE; MAJOR CLINICAL STUDY; MALE; MENTAL HEALTH CARE; PATIENT COMPLIANCE; PROGNOSIS; PSYCHOTHERAPIST; QUALITY OF LIFE; REMISSION; SOCIAL PHOBIA; TREATMENT OUTCOME; TREATMENT RESPONSE; ANXIETY DISORDERS; EVALUATION STUDY; EVIDENCE BASED PRACTICE; FOLLOW UP; LONGITUDINAL STUDY; MIDDLE AGED; PHOBIC DISORDERS; PSYCHOLOGY; PSYCHOTHERAPY; SWEDEN;

ADULT; ANXIETY DISORDERS; COGNITIVE THERAPY; EVIDENCE-BASED PRACTICE; FEMALE; FOLLOW-UP STUDIES; HUMANS; LONGITUDINAL STUDIES; MALE; MIDDLE AGED; PHOBIC DISORDERS; PROGNOSIS; PSYCHOTHERAPY; QUALITY OF LIFE; SWEDEN; TREATMENT OUTCOME;

EID: 84937203659     PISSN: None     EISSN: 20446055     Source Type: Journal    
DOI: 10.1136/bmjopen-2015-007902     Document Type: Article

References (46)

1. Ruscio AM, Brown TA, Chiu W.T., et al. Social fears and social phobia in the USA: results from the National Comorbidity Survey Replication. Psychol Med 2008; 38:15-28.
2. Reich J, Goldenberg I, Vasile R., et al. A prospective follow-along study of the course of social phobia. Psychiatry Res 1994; 54:249-58.
3. Stein MB, Roy-Byrne PP, Craske M.G., et al. Functional impact and health utility of anxiety disorders in primary care outpatients. Med Care 2005; 43:1164-70.
4. Hofmann SG. Cognitive factors that maintain social anxiety disorder: a comprehensive model and its treatment implications. Cogn Behav Ther 2007; 36:193-209.
5. Mewton L, Smith J, Rossouw P., et al. Current perspectives on Internet-delivered cognitive behavioral therapy for adults with anxiety and related disorders. Psychol Res Behav Manage 2014; 7:37-46.
6. Furmark T, Carlbring P, Hedman E., et al. Guided and unguided self-help for social anxiety disorder: randomised controlled trial. Br J Psychiatry 2009; 195:440-7.
7. Andersson G, Cuijpers P, Carlbring P., et al. Guided Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: a systematic review and meta-analysis. World Psychiatry 2014; 13:288-95.
8. Boettcher J, Carlbring P, Renneberg B., et al. Internet-based interventions for social anxiety disorder-an overview. Verhaltenstherapie 2013; 23:160-8.
9. Carlbring P, Nordgren LB, Furmark T, et al. Long-term outcome of Internet-delivered cognitive-behavioural therapy for social phobia: a 30-month follow-up. Behav Res Ther 2009; 47:848-50.
10. Hedman E, Furmark T, Carlbring P., et al. A 5-Year follow-up of internet-based cognitive behavior therapy for social anxiety disorder. J Med Internet Res 2011; 13:e39.
11. Hedman E, El Alaoui S, Lindefors N, et al. Clinical effectiveness and cost-effectiveness of Internet-vs. group-based cognitive behavior therapy for social anxiety disorder: 4-Year follow-up of a randomized trial. Behav Res Ther 2014; 59C:20-9.
12. Aydos L, Titov N, Andrews G. Shyness 5: the clinical effectiveness of Internet-based clinician-assisted treatment of social phobia. Australas Psychiatry 2009; 17:488-92.
13. Hedman E, Andersson G, Ljotsson B., et al. Internet-based cognitive behavior therapy vs. cognitive behavioral group therapy for social anxiety disorder: a randomized controlled non-inferiority trial. PLoS ONE 2011; 6:e18001.
14. El Alaoui S, Hedman E, Kaldo V., et al. Effectiveness of internet-based cognitive behavior therapy for social anxiety disorder in clinical psychiatry. J Consult Clin Psychol 2015. [epub ahead of print 25 May 2015]. doi.org/10.1037/a0039198
15. Schulz KF, Chalmers I, Hayes R.J., et al. Empirical-evidence of bias-dimensions of methodological quality associated with estimates of treatment effects in controlled trials. JAMA 1995; 273:408-12.
16. McEvoy PM, Nathan P, Rapee R.M., et al. Cognitive behavioural group therapy for social phobia: evidence of transportability to community clinics. Behav Res Ther 2012; 50:258-65.
17. Hedman E, Andersson E, Ljotsson B., et al. Clinical and genetic outcome determinants of internet- and group-based cognitive behavior therapy for social anxiety disorder. Acta Psychiatr Scand 2012; 126:126-36.
18. Scholing A, Emmelkamp PM. Prediction of treatment outcome in social phobia: a cross-validation. Behav Res Ther 1999; 37:659-70.
19. Nordgreen T, Havik OE, Ost L.G., et al. Outcome predictors in guided and unguided self-help for social anxiety disorder. Behav Res Ther 2012; 50:13-21.
20. El Alaoui S, Ljotsson B, Hedman E, et al. Predictors of symptomatic change and adherence in internet-based cognitive behaviour therapy for social anxiety disorder in routine psychiatric care. PloS one 2015; 10:e0124258.
21. Andersson G, Carlbring P, Holmstrom A., et al. Internet-based self-help with therapist feedback and in vivo group exposure for social phobia: a randomized controlled trial. J Consult Clin Psychol 2006; 74:677-86.
22. Clark DM, Wells A. A cognitive model of social phobia. In: Heimberg RG, Leibowitz M, Hope DA, et al., eds. Social phobia: diagnosis, assessment and treatment. New York: Guilford press, 1995:63-93.
23. Hedman E, Ljótsson B, Rück C, et al. Internet administration of self-report measures commonly used in research on social anxiety disorder: a psychometric evaluation. Comput Hum Behav 2010; 26:736-40.
24. Baker SL, Heinrichs N, Kim H-J, et al. The Liebowitz Social Anxiety Scale as a self-report instrument: a preliminary psychometric analysis. Behav Res Ther 2002; 40:701-15.
25. Heimberg RG, Horner KJ, Juster H.R., et al. Psychometric properties of the Liebowitz Social Anxiety Scale. Psychol Med 1999; 29:199-212.
26. Mattick RP, Clarke JC. Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behav Res Ther 1998; 36:455-70.
27. Fresco DM, Coles ME, Heimberg R.G., et al. The Liebowitz Social Anxiety Scale: a comparison of the psychometric properties of self-report and clinician-administered formats. Psychol Med 2001; 31:1025-35.
28. Rytwinski NK, Fresco DM, Heimberg R.G., et al. Screening for social anxiety disorder with the self-report version of the Liebowitz Social Anxiety Scale. Depress Anxiety 2009; 26:34-8.
29. Svanborg P, Asberg M. A new self-rating scale for depression and anxiety states based on the Comprehensive Psychopathological Rating Scale. Acta Psychiatr Scand 1994; 89:21-8.
30. Svanborg P, Ekselius L. Self-assessment of DSM-IV criteria for major depression in psychiatric out- and inpatients. Nord J Psychiatry 2003; 57:291-6.
31. Svanborg P, Asberg M. A comparison between the Beck Depression Inventory (BDI) and the self-rating version of the Montgomery Asberg Depression Rating Scale (MADRS). J Affect Disord 2001; 64:203-16.
32. EuroQol-Group. EuroQol-a new facility for the measurement of health-related quality of life. Health Policy 1990; 16:199-208.
33. Stark RG, Reitmeir P, Leidl R., et al. Validity, reliability, and responsiveness of the EQ-5D in inflammatory bowel disease in Germany. Inflamm Bowel Dis 2010; 16:42-51.
34. Guy W. Clinical global impressions. ECDEU manual. Rockville, MD: NIMH; US Dept of Health and Human Services, 1976:217-22.
35. Borkovec TD, Nau SD. Credibility of analogue therapy rationales. J Behav Ther Exp Psychiatry 1972; 3:257-60.
36. Heck RH, Thomas SL, Tabata LN. Multilevel and longitudinal modeling with IBM SPSS. 2nd edn. New York, NY: Routledge, 2013.
37. Hox JJ. Multilevel analysis: techniques and applications. 2nd edn. New York: Routledge, 2010.
38. Eskildsen A, Hougaard E, Rosenberg NK. Pre-treatment patient variables as predictors of drop-out and treatment outcome in cognitive behavioural therapy for social phobia: a systematic review. Nord J Psychiatry 2010; 64:94-105.
39. Mululo SC, Menezes GB, Vigne P, et al. A review on predictors of treatment outcome in social anxiety disorder. Rev Bras Psiquiatr 2012; 34:92-100.
40. Slaap BR, van Vliet IM, Westenberg HG, et al. Responders and non-responders to drug treatment in social phobia: differences at baseline and prediction of response. J Affect Disord 1996; 39:13-19.
41. Tillfors M, Furmark T, Ekselius L., et al. Social phobia and avoidant personality disorder as related to parental history of social anxiety: a general population study. Behav Res Ther 2001; 39:289-98.
42. Yonkers KA, Dyck IR, Keller MB. An eight-year longitudinal comparison of clinical course and characteristics of social phobia among men and women. Psychiatr Serv 2001; 52:637-43.
43. Titov N, Andrews G, Choi I., et al. Shyness 3: randomized controlled trial of guided versus unguided Internet-based CBT for social phobia. Aust N Z J Psychiatry 2008; 42:1030-40.
44. Titov N, Andrews G, Schwencke G. Shyness 2: treating social phobia online: replication and extension. Aust N Z J Psychiatry 2008; 42:595-605.
45. Titov N, Andrews G, Schwencke G., et al. Shyness 1: distance treatment of social phobia over the Internet. Aust N Z J Psychiatry 2008; 42:585-94.
46. Carlbring P, Gunnarsdottir M, Hedensjo L., et al. Treatment of social phobia: randomised trial of internet-delivered cognitive-behavioural therapy with telephone support. Br J Psychiatry 2007; 190:123-8.