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The aim of this randomized, controlled study is to examine an internet delivered, self-help program for social anxiety based on psychodynamic therapy. The study will compare three conditions: the psychodynamic program with therapist support, without therapist support and a waitlist control.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Internet delivered self-help program with therapist support | Experimental | The intervention consists of 8 therapist-supported self-help modules delivered over 8 weeks on a secure online platform. Modules consist of texts and video followed by exercises which they send to their therapist and receive feedback within a few days. The treatment is based on principles from affect-focused psychodynamic psychotherapy. |
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| Internet delivered self-help program without therapist support | Active Comparator | The intervention consists of 8 self-help modules delivered over 8 weeks on a secure online platform. Modules consist of texts and video followed by exercises which the participants are encouraged to try. The treatment is based on principles from affect-focused psychodynamic psychotherapy. |
|
| Waitlist | No Intervention | Participants will receive no intervention for 8 weeks. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Experimental: Internet delivered self-help program with therapist support | Behavioral | During 8 weeks of treatment participants are taught how emotional conflicts may underlie and perpetuate symptoms of social anxiety. They are also taught how to observe their own anxiety and emotional avoidance (i.e. defenses) and how to gradually approach previously warded off feelings. The final part of the program contains material on how one may express previously warded off emotions to improve important relationships. The treatment program consists of text, videos and a series of experiential exercises which a therapist gives feedback on. |
| Measure | Description | Time Frame |
|---|---|---|
| Liebowitz Social Anxiety Scale, Self-Report, (LSAS-SR) | The LSAS-SR features 48 items assessing social anxiety symptoms. | Change from baseline to post-treatment (8 week) and follow up (6, 12 and 24 months after treatment) |
| Measure | Description | Time Frame |
|---|---|---|
| Generalised Anxiety Disorder 7- item scale (GAD-7) | The GAD-7 features seven items for assessing anxiety and screening for generalized anxiety disorder. | Change from baseline to post-treatment (8 week) and follow up (6, 12 and 24 months after treatment) |
| Patient Health Questionnaire 9-item scale (PHQ-9) |
| Measure | Description | Time Frame |
|---|---|---|
| The Personality Inventory for DSM Short Form (PID-5) | The PID-5 is a self-rated measure of personality-related problems featuring 25 items. | Baseline |
| The Difficulties in Emotion Regulation Scale (DERS) |
Inclusion Criteria:
Exclusion Criteria:
The following self-reported diagnoses are excluded:
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| Name | Affiliation | Role |
|---|---|---|
| Per Carlbring, PhD | Department of Psychology at Stockholm University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stockholm University | Stockholm | 10691 | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38730030 | Derived | Mechler J, Lindqvist K, Magnusson K, Ringstrom A, Krafman JD, Alvinzi P, Kassius L, Sowa J, Andersson G, Carlbring P. Guided and unguided internet-delivered psychodynamic therapy for social anxiety disorder: A randomized controlled trial. Npj Ment Health Res. 2024 May 10;3(1):21. doi: 10.1038/s44184-024-00063-0. |
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Parts will be shared in an open data repository.
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|
| Internet delivered self-help program without therapist support | Behavioral | During 8 weeks of treatment participants are taught how emotional conflicts may underlie and perpetuate symptoms of social anxiety. They are also taught how to observe their own anxiety and emotional avoidance (i.e. defenses) and how to gradually approach previously warded off feelings. The final part of the program contains material on how one may express previously warded off emotions to improve important relationships. The treatment program consists of text, videos and a series of experiential exercises. |
|
The PHQ-9 features nine items for assessing depression in a clinical context and screening of depression in the general population |
| Change from baseline to post-treatment (8 week) and follow up (6, 12 and 24 months after treatment) |
| Brunnsviken Brief Quality of Life Scale (BBQ) | The BBQ features 12 items concerning 6 areas of life rated on importance and satisfaction. | Change from baseline to post-treatment (8 week) and follow up (6, 12 and 24 months after treatment) |
Features 30 items assessing psychological strategies for handling emotional distress.
| Change from baseline to post-treatment (8 week) and follow up (6, 12 and 24 months after treatment) |
| Self-Compassion Scale short-form (SCS-SF) | The SCS-SF features 12 items to record self-compassion towards yourself in difficult life situations. | Change from baseline, week 3 and 6, to post-treatment (8 weeks) and follow up (6, 12 and 24 months after treatment) |
| Defense Mechanism Rating Scale, Self-Report-30 (DMRS-SR-30) | DMRS-SR-30 features 30 items assessing psychological factors that influence emotional distress and quality of life. | Change from baseline to post-treatment (8 week) |
| Reflective Functioning Questionnaire 8 (RFQ-8) | RFQ features 8 items assessing the ability to understand mental states of the self and others. | Change from baseline, treatment week 1-8, to post-treatment (8 weeks). |
| Internet Intervention Patient Adherence Scale | iiPAS is rated by a clinician and features 5 items assessing a particular patient's adherence to internet-delivered psychological interventions. | Change from baseline, and week 4, to post-treatment (8 weeks). |
| ID | Term |
|---|---|
| D000072861 | Phobia, Social |
| ID | Term |
|---|---|
| D010698 | Phobic Disorders |
| D001008 | Anxiety Disorders |
| D001523 | Mental Disorders |
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