A Randomized Trial of Internet-Delivered Treatment for Social Anxiety Disorder in High School Students

Tillfors, Maria; Andersson, Gerhard; Ekselius, Lisa; Furmark, Tomas; Lewenhaupt, Susanne; Karlsson, Anders; Carlbring, Per

doi:10.1080/16506073.2011.555486

Cited by 89 publications

(100 citation statements)

References 33 publications

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“…There were 4 exceptions of which in one the researchers recruited adolescents (range 12-18 years) [69]. In another study high school students (range 15-21 years) were recruited [70]. University students (range 19-53 years) were recruited in the study by [71].…”

Section: Characteristics Of Selected Studiesmentioning

confidence: 98%

The relationship between persuasive technology principles, adherence and effect of web-Based interventions for mental health: A meta-analysis

Wildeboer

Kelders

Gemert-Pijnen

2016

International Journal of Medical Informatics

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Section: Characteristics Of Selected Studiesmentioning

confidence: 98%

The relationship between persuasive technology principles, adherence and effect of web-Based interventions for mental health: A meta-analysis

Wildeboer

Kelders

Gemert-Pijnen

2016

International Journal of Medical Informatics

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“…7 trials focused on the comparison of internet-based self-help with a waitlist control group [Andersson et al, 2006;Berger et al, 2009Berger et al, , 2010Carlbring et al, 2007;Gallego et al, 2011;Tillfors et al, 2011;Titov et al 2008a,b] whereas 1 study compared ICBT to an online discussion group condition [Andersson et al, 2012a]. 8 studies compared different forms of ICBT, 7 of them focusing on different degrees of clinician guidance [Berger et al, 2011;Boettcher et al, 2012a;Furmark et al, 2009;Tillfors et al, 2008;Titov et al, 2008cTitov et al, , 2009a.…”

Section: Efficacymentioning

confidence: 99%

Internet-Based Interventions for Social Anxiety Disorder - an Overview

et al. 2013

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Internet-based interventions hold specific advantages and disadvantages in the treatment of social anxiety disorder (SAD). The present review examines different approaches in the internet-based treatment of SAD and reviews their efficacy and effectiveness. 21 studies investigated the potential of guided and unguided internet-based cognitive-behavioral treatments (ICBT) for SAD, comprising a total of N = 1,801 socially anxious individuals. The large majority of these trials reported substantial reductions of social anxiety symptoms through ICBT programs. Within effect sizes were mostly large and comparisons to waitlist and more active control groups were positive. Treatment gains were stable from 3 months to 5 years after treatment termination. In conclusion, ICBT is effective in the reduction of social anxiety symptoms. At the same time, not all participants benefit from these treatments to a sufficient degree. Future research should focus on what makes these interventions work in which patient populations, and at the same time, examine ways to implement internet-based treatment in the routine care for socially anxious patients.

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“…The significant effects that were found on all dependent measures immediately following treatment and adherence rates for the 8 adolescents are consistent with previous trials on CBT and ICBT for adolescents (Spence et al, 2011;Tillfors et al, 2011;Lenhard et al, 2014), and with previous trials on tailored ICBT for young adults and adults Paper II). Overall, the results found in this study suggest that tailored ICBT may be a suitable treatment for adolescents with anxiety.…”

Section: Resultssupporting

confidence: 75%

“…These groups are more heterogeneous than adults why there is a need to develop different kinds of treatment and ways to convey them becomes larger. For adolescents and young adults, ICBT has been proven effective for students with social phobia (Tillfors et al, 2011), for students with anxiety, depression and stress (Day, Wojtowicz & McGrath, 2013), for young adults with anxiety and depression (Sethi, Campbell & Ellis, 2010), for adolescents with anxiety (Spence et al, 2011) and for adolescents with obsessive-compulsive disorder (Lenhard et al, 2014).…”

Section: Internet-based Cognitive Behavioural Therapymentioning

confidence: 99%

Individually tailored internet-based cognitive behavioural therapy for adolescents, young adults and older adults with anxiety

Silfvernagel¹

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-For those who remain, death should never take precedence over life. AbstractAnxiety disorders share the feature of excessive fear, anxiety and related behavioural disturbances. Fear is defined as the emotional response to a real or a perceived imminent threat and anxiety is the anticipation of a future threat. The anxiety disorders covered in this thesis are panic disorder with or without agoraphobia, social phobia, post-traumatic stress disorder, generalized anxiety disorder and anxiety disorder not otherwise specified.Cognitive behavioural treatment protocols are typically designed to target one specific disorder and falls under the definition of disorder-specific cognitive behavioural therapy. It is however unclear if this is the most optimal approach in regards to the high comorbidity between anxiety disorders and depressive disorders. Internet-based cognitive behavioural therapy has in the past generally been disorder-specific and from above mentioned predicament two alternative treatment approaches emerged, the tailored and the transdiagnostic approach that aims to simultaneously treat both principal and comorbid disorders. Previous trials on internet-based cognitive behavioural therapy have targeted adults in general and relatively few target adolescents, young adults and older adults. The aims of this thesis were to further develop and test the effects of tailored internet-based cognitive behavioural therapy on the basis of age, for adolescents, young adults and older adults. Specifically by developing and testing the effects of individually tailored internet-based cognitive behavioural therapy for adolescents with anxiety and comorbid depressive symptoms and by adapting and testing the effects of individually tailored internet-based cognitive behavioural therapy for young adults and older adults with anxiety and comorbid depressive symptoms. These aims were tested in two pilot effectiveness studies (Paper I and III) and two efficacy randomised controlled trials (Paper II and IV). The results from these four trials showed significant results across all outcome measures with overall moderate to large effect sizes. The tentative conclusion based on these results is that tailoring internet-based cognitive behavioural therapy can be a feasible approach in the treatment of anxiety symptoms and comorbid depressive symptoms for adolescents, young adults and older adults. Despite the positive findings of the studies in this thesis, there is a need for more research examining the acceptability and effectiveness of internet-based cognitive behavioural therapy for adolescents, young adults and older adults with anxiety and depression before implementation on a larger scale.

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A Randomized Trial of Internet-Delivered Treatment for Social Anxiety Disorder in High School Students

Cited by 89 publications

References 33 publications

The relationship between persuasive technology principles, adherence and effect of web-Based interventions for mental health: A meta-analysis

The relationship between persuasive technology principles, adherence and effect of web-Based interventions for mental health: A meta-analysis

Internet-Based Interventions for Social Anxiety Disorder - an Overview

Individually tailored internet-based cognitive behavioural therapy for adolescents, young adults and older adults with anxiety

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