Generic versus disorder specific cognitive behavior therapy for social anxiety disorder in youth: a randomized controlled trial using internet delivery

Spence, Susan H. and Donovan, Caroline L. and March, Sonja and Kenardy, Justin A. and Hearn, Cate S. (2017) Generic versus disorder specific cognitive behavior therapy for social anxiety disorder in youth: a randomized controlled trial using internet delivery. Behaviour Research and Therapy, 90. pp. 41-57. ISSN 0005-7967


The study examined whether the efficacy of cognitive behavioral treatment for Social Anxiety Disorder for children and adolescents is increased if intervention addresses specific cognitive and behavioral factors linked to the development and maintenance of SAD in young people, over and above the traditional generic CBT approach.
Participants were 125 youth, aged 8e17 years, with a primary diagnosis of SAD, who were randomly assigned to generic CBT (CBT-GEN), social anxiety specific CBT (CBT SAD) or a wait list control (WLC). Intervention was delivered using a therapist-supported online program. After 12-weeks, participants who received treatment (CBT SAD or CBT-GEN) showed significantly greater reduction in social anxiety and post-event processing, and greater improvement in global functioning than the WLC but there was no significant difference between CBT-SAD and CBT-GEN on any outcome variable at 12-weeks or 6-month follow-up. Despite significant reductions in anxiety, the majority in both treatment conditions continued to meet diagnostic criteria for SAD at 6-month followup. Decreases in social anxiety were associated with decreases in post-event processing. Future research should continue to investigate disorder-specific interventions for SAD in young people,
drawing on evidence regarding causal or maintaining factors, in order to enhance treatment outcomes for this debilitating condition.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Permanent restricted access to Published version, in accordance with the copyright policy of the publisher.
Faculty / Department / School: Current - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling
Date Deposited: 24 Feb 2017 03:02
Last Modified: 11 Apr 2018 02:25
Uncontrolled Keywords: social anxiety disorder; social phobia; children and adolescents; disorder-specific; post-event processing; cognitive behavior therapy
Fields of Research : 11 Medical and Health Sciences > 1103 Clinical Sciences > 110319 Psychiatry (incl. Psychotherapy)
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111714 Mental Health
17 Psychology and Cognitive Sciences > 1701 Psychology > 170106 Health, Clinical and Counselling Psychology
Socio-Economic Objective: C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920410 Mental Health
Funding Details:
Identification Number or DOI: 10.1016/j.brat.2016.12.003

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