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Guided and unguided self-help for social anxiety disorder: randomised controlled trial
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
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2009 (English)In: British Journal of Psychiatry, ISSN 0007-1250, E-ISSN 1472-1465, Vol. 195, no 5, 440-447 p.Article 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, 440-447 p.
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Psychology
Identifiers
URN: urn:nbn:se:uu:diva-122828DOI: 10.1192/bjp.bp.108.060996ISI: 000272274100011PubMedID: 19880935OAI: oai:DiVA.org:uu-122828DiVA: diva2:311125
Available from: 2010-04-20 Created: 2010-04-20 Last updated: 2010-12-27Bibliographically approved

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