The British journal of psychiatry : the journal of mental science · 2009
Guided and unguided self-help for social anxiety disorder: randomised controlled trial.
СтатьяРандомизированное исследованиеПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Furmark Tomas, Carlbring Per, Hedman Erik, Sonnenstein Annika, Clevberger Peder, Bohman Benjamin, Eriksson Anneli, Hållén Agneta, Frykman Mandus, Holmström Annelie, Sparthan Elisabeth, Tillfors Maria, Ihrfelt Elisabeth Nilsson, Spak Maria, Eriksson Anna, Ekselius Lisa, Andersson Gerhard
Аннотация
BACKGROUND: Internet-delivered self-help programmes with added therapist guidance have shown efficacy in social anxiety disorder, but unguided self-help has been insufficiently studied.
AIMS: To evaluate the efficacy of guided and unguided self-help for social anxiety disorder.
METHOD: Participants followed a cognitive-behavioural self-help programme in the form of either pure bibliotherapy or an internet-based treatment with therapist guidance and online group discussions. A subsequent trial was conducted to evaluate treatment specificity. Participants (n = 235) were randomised to one of three conditions in the first trial, or one of four conditions in the second.
RESULTS: Pure bibliotherapy and the internet-based treatment were better than waiting list on measures of social anxiety, general anxiety, depression and quality of life. The internet-based therapy had the highest effect sizes, but directly comparable effects were noted for bibliotherapy augmented with online group discussions. Gains were well maintained a year later.
CONCLUSIONS: Unguided self-help through bibliotherapy can produce enduring improvement for individuals with social anxiety disorder.
AIMS: To evaluate the efficacy of guided and unguided self-help for social anxiety disorder.
METHOD: Participants followed a cognitive-behavioural self-help programme in the form of either pure bibliotherapy or an internet-based treatment with therapist guidance and online group discussions. A subsequent trial was conducted to evaluate treatment specificity. Participants (n = 235) were randomised to one of three conditions in the first trial, or one of four conditions in the second.
RESULTS: Pure bibliotherapy and the internet-based treatment were better than waiting list on measures of social anxiety, general anxiety, depression and quality of life. The internet-based therapy had the highest effect sizes, but directly comparable effects were noted for bibliotherapy augmented with online group discussions. Gains were well maintained a year later.
CONCLUSIONS: Unguided self-help through bibliotherapy can produce enduring improvement for individuals with social anxiety disorder.