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Guided and unguided self-help for social anxiety disorder: randomised controlled trial
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2009 (English)In: British Journal of Psychiatry, ISSN 0007-1250, E-ISSN 1472-1465, Vol. 195, no 5, p. 440-447Article in journal (Refereed) Published
Abstract [en]

Background Internet-delivered self-help programmes with added guidance have shown efficacy in social anxiety disorder, unguided self-help has been insufficiently studied. Aims To evaluate the efficacy of guided and unguided self-help 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.

Place, publisher, year, edition, pages
2009. Vol. 195, no 5, p. 440-447
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:oru:diva-13176DOI: 10.1192/bjp.bp.108.060996ISI: 000272274100011OAI: oai:DiVA.org:oru-13176DiVA, id: diva2:386002
Available from: 2011-01-12 Created: 2011-01-11 Last updated: 2017-12-11Bibliographically approved

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Tillfors, Maria

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