Social anxiety disorder among youth is highly prevalent and causes significant impairment in the lives of the affected. In spite of cognitive behavior therapy (CBT) being an effective treatment, research suggests that many young people with this disorder do not have access to good-quality CBT. Internet-delivered CBT could be an effective method to increase availability of evidence-based treatments for youth with social anxiety disorder. The primary objective of this study is to test the efficacy of internet-delivered CBT (ICBT) for youth (10 - 17 years) with social anxiety disorder. The investigators aim to conduct a randomized controlled trial with N = 101 participants. Participants will be randomized to either the active treatment arm (guided ICBT) or to a control condition (guided internet-delivered support and counseling). Follow-ups will be conducted at 3 and 12 months after post-assessment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
103
Guided Internet-delivered CBT includes exposure training, coping techniques and cognitive components, intended to reduce social anxiety symptoms
Guided Internet-delivered support and counseling includes educative material about social anxiety and health related issues such as physical activity, nutritious diet, sleep habits etc.
BUP KFE
Stockholm, Stockholms County, Sweden
Clinician Severity Rating (CSR)
A 0-8 rating by a professional assessor, specifying the severity of social anxiety
Time frame: 6 months (14 months including follow-up)
Anxiety Disorder Interview Schedule for DSM-IV, child and parent versions (ADIS C/P) - Social anxiety disorder
Diagnostic status: Social anxiety disorder
Time frame: Measured over the course of 6 months (14 months including follow-up)
Anxiety Disorder Interview Schedule for DSM-IV, child and parent versions (ADIS C/P) - Comorbid disorders
Diagnostic status: Comorbid psychiatric disorders
Time frame: Measured over the course of 6 months (14 months including follow-up)
Clinical Global Impression - Improvement (CGI-I)
A 1-7 rating by a professional assessor, specifying the degree of improvement from treatment
Time frame: Measured over the course of 3 months (12 months including follow-up)
Children's Global Assessment Scale (CGAS)
A 0-100 rating by a professional assessor, specifying global functioning
Time frame: Measured over the course of 6 months (14 months including follow-up)
Liebowitz social anxiety scale for children and adolescents (LSAS-CA) - Child version
A self-rated measure of severity of social anxiety
Time frame: 6 months (14 months including follow-up)
Liebowitz social anxiety scale for children and adolescents (LSAS-CA) - Parent version
A parent-rated measure of severity of social anxiety
Time frame: Measured over the course of 6 months (14 months including follow-up)
Revised Children´s Anxiety and Depression Scale - (RCADS) - Parent version
A parent-rated measure of severity of anxiety and depression
Time frame: Measured over the course of 6 months (14 months including follow-up)
Revised Children´s Anxiety and Depression Scale - (RCADS) Depression sub scale - Child version
A parent-rated measure of severity of anxiety and depression
Time frame: Measured over the course of 6 months (14 months including follow-up)
Anticipatory social behaviors scale (ASBQ)
A self-rated measure of anticipatory anxiety before social situations
Time frame: Measured over the course of 6 months (14 months including follow-up)
Post-event processing questionnaire revised (PEPQ-R)
A self-rated measure of anxiety and rumination experienced after social situations
Time frame: Measured over the course of 6 months (14 months including follow-up)
Focus of attention questionnaire (FAQ)
A self-rated measure of self-focus in social situations
Time frame: Measured over the course of 6 months (14 months including follow-up)
The Subtle Avoidance Frequency Examination (SAFE)
A self-rated measure of safety behaviors in social situations
Time frame: Measured over the course of 6 months (14 months including follow-up)
The Child Health Utility 9D (CHU 9D) - Child version
A self-rated measure of quality of life
Time frame: Measured over the course of 6 months (14 months including follow-up)
Client Satisfaction Questionnaire (CSQ-) - Child version
A self-rated measure of treatment satisfaction
Time frame: Measured only at post-treatment
Client Satisfaction Questionnaire (CSQ-) - Parent version
A parent-rated measure of treatment satisfaction
Time frame: Measured only at post-treatment
Treatment credibility and expectancy - Child version
A self-rated measure of credibility and expectancy of allocated treatment condition
Time frame: Measured at one time-point, at week three in the allocated intervention.
Treatment credibility and expectancy - Parent version
A parent-rated measure of credibility and expectancy of allocated treatment condition
Time frame: Measured at one time-point, at week three in the allocated intervention.
Education, Work and Social Adjustment Scale (EWSAS) - Parent version
A parent-rated measure of functioning in everyday life
Time frame: Measured over the course of 6 months (14 months including follow-up)
Hospital Anxiety and Depression Scale (HADS)
A self-rated measure of anxiety and depression among parents
Time frame: Measured only at pre-treatments
Alcohol Disorder Identification Test (AUDIT)
A self-rated screening measure for hazardous and harmful alcohol consumption
Time frame: Measured over the course of 6 months (14 months including follow-up)
Drug Use Disorders Identification Test (DUDIT)
A self-rated screening measure for drug-related problems
Time frame: Measured over the course of 6 months (14 months including follow-up)
Family Accommodation Scale-Anxiety (FASA)
A parent-rated measure of parental accommodation to the child's anxiety
Time frame: Measured over the course of 6 months (14 months including follow-up)
Trimbos/iMTA questionnaire for Costs associated with Psychiatric Illness (TiC-P) - Child version
A parent-rated measure of direct and indirect costs related to psychiatric illness in children
Time frame: Measured over the course of 6 months (14 months including follow-up)
The Negative Effects Questionnaire (NEQ)
A self-rated measure of treatment related adverse and unwanted events
Time frame: Measured only at post-treatment
Internet intervention Patient Adherence Scale (iiPAS)
A clinician-rated measure of adherence to the allocated treatment
Time frame: Measured at mid-treatment (week 5) and at post-treatment (week 10)
School absenteeism
A parent-rated measure of the frequency of school absenteeism
Time frame: Measured over the course of 6 months (14 months including follow-up)
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