A mobile app for social anxiety disorder: A three-arm randomized controlled trial comparing mobile and PC-based guided self-help interventions.

Stolz, Timo; Schulz, Ava; Krieger, Tobias; Vincent, Alessia; Urech, Antoine; Moser, Christian; Westermann, Stefan; Berger, Thomas

doi:10.1037/ccp0000301

Cited by 82 publications

(96 citation statements)

References 63 publications

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“…This model has been shown to be efficacious in previous studies in general population samples (Berger et al, 2011;Berger, Hohl, & Caspar, 2009, 2010Boettcher, Berger, & Renneberg, 2012;A. Schulz et al, 2016;Stolz et al, 2018). The original intervention was specifically adapted to the university setting, for example, by providing case examples of socially anxious students.…”

Section: Interventionmentioning

confidence: 99%

Efficacy of an unguided internet‐based self‐help intervention for social anxiety disorder in university students: A randomized controlled trial

Kählke

Berger

Schulz

et al. 2019

Int J Methods Psych Res

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Objectives Internet‐ and mobile‐based interventions (IMIs) offer the opportunity to deliver mental health treatments on a large scale. This randomized controlled trial evaluated the efficacy of an unguided IMI (StudiCare SAD) for university students with social anxiety disorder (SAD). Methods University students (N = 200) diagnosed with SAD were randomly assigned to an IMI or a waitlist control group (WLC) with full access to treatment as usual. StudiCare SAD consists of nine sessions. The primary outcome was SAD symptoms at posttreatment (10 weeks), assessed via the Social Phobia Scale (SPS) and the Social Interaction Anxiety Scale (SIAS). Secondary outcomes included depression, quality of life, fear of positive evaluation, general psychopathology, and interpersonal problems. Results Results indicated moderate to large effect sizes in favor of StudiCare SAD compared with WLC for SAD at posttest for the primary outcomes (SPS: d = 0.76; SIAS: d = 0.55, p < 0.001). Effects on all secondary outcomes were significant and in favor of the intervention group. Conclusion StudiCare SAD has proven effective in reducing SAD symptoms in university students. Providing IMIs may be a promising way to reach university students with SAD at an early stage with an effective treatment.

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Section: Interventionmentioning

confidence: 99%

Efficacy of an unguided internet‐based self‐help intervention for social anxiety disorder in university students: A randomized controlled trial

Kählke

Berger

Schulz

et al. 2019

Int J Methods Psych Res

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“…El estudio con menor muestra cuenta con 5 sujetos (Benta et al, 2015), mientras que el estudio con mayor número de sujetos tiene 720 (Proudfoot et al, 2013). Las personas que han participado en los estudios analizados presentaban los siguiente trastornos de ansiedad: Trastorno de Ansiedad Generalizada (Christensen et al, 2014;Ekberg et al, 2011;Gary y Amresh, 2017;Grassi et al, 2009;Hedman et al, 2013;Ly et al, 2012;Mohr et al, 2017;Pallavicini et al, 2009;Pramana et al, 2014;Proudfoot et al, 2013;Spence et al, 2011;Villani et al, 2013;Wozney et al, 2015), Ansiedad social, Ansiedad por separación (Hedman et al, 2011;Linder et al, 2013;Per Carlbring et al, 2007;Pramana et al, 2014;Spence et al, 2011;Stolz et al, 2018) Fobia específica (Campos et al, 2016;Spence et al, 2011), Agorafobia (Christoforou et al, 2017) Trastorno de pánico (Linder et al, 2013;Pham et al, 2016).…”

Section: Resultsunclassified

“…En los estudios analizados se han obtenido diferentes resultados de eficacia de las intervenciones según el tipo de trastorno que padecía la muestra de sujetos. Los sujetos con Trastorno por ansiedad social en los estudios de Benta et al (2015), Hedman et al (2011), Per Carlbring et al (2007 y Stolz et al (2018) mostraron mejoras significativas en ansiedad social, miedo y evitación haciendo uso de las TIC. Estas personas mostraban un alto bienestar y al final de la intervención no cumplían con el diagnóstico de ansiedad social.…”

Section: Resultsunclassified

“…Teniendo en cuenta las limitaciones de los estudios antes descritas, se puede concluir que los resultados obtenidos en la presente revisión indica que el uso de las TIC en terapia, como herramienta terapéutica, puede ser un componente eficaz para reducir la sintomatología ansiosa. En este sentido, los resultados de los estudios revisados apuntan a mejoras en los síntomas de ansiedad empleando intervenciones basadas en las TIC (Campos et al, 2016;Christensen et al, 2014;Christoforou et al, 2017;Ekberg et al, 2011;Gary y Amresh, 2017;Grassi et al, 2009;Hedman et al, 2011;Linder et al, 2013;Ly et al, 2012;Mohr et al, 2017;Pallavicini et al, 2009;Pham et al, 2016;Per Carlbring et al, 2007;Pramana et al, 2014;Proudfoot et al, 2013;Spence et al, 2011;Stolz et al, 2018;Villani et al, 2013;Wozney et al, 2015). Por otro lado, la mayoría de los estudios muestran que las aplicaciones de prevención e intervención en los problemas de ansiedad son valoradas positivamente por los usuarios.…”

Section: Discusión Y Conclusionesunclassified

“…Mobile app Stolz et al (2018) Todos los participantes fueron guiados por entrenadores individuales durante su período activo. El tratamiento se dirige tanto a factores conductuales como cognitivos, como atención autocentrada, pensamientos automáticos negativos, evitación experiencial, y síntomas de ansiedad cognitiva.…”

Section: Tcc Y App Móvil Proyecto Smarcatunclassified

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Tecnologías de información y comunicación (TIC) aplicadas al tratamiento de los problemas de ansiedad

Regidor

Ausín

2020

Clínica Contemporánea

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Baseline Severity as a Moderator of the Waiting List–Controlled Association of Cognitive Behavioral Therapy With Symptom Change in Social Anxiety Disorder

et al. 2023

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ImportanceSocial anxiety disorder (SAD) can be adequately treated with cognitive behavioral therapy (CBT). However, there is a large gap in knowledge on factors associated with prognosis, and it is unclear whether symptom severity predicts response to CBT for SAD.ObjectiveTo examine baseline SAD symptom severity as a moderator of the association between CBT and symptom change in patients with SAD.Data SourcesFor this systematic review and individual patient data meta-analysis (IPDMA), PubMed, PsycInfo, Embase, and the Cochrane Library were searched from January 1, 1990, to January 13, 2023. Primary search topics were social anxiety disorder, cognitive behavior therapy, and randomized controlled trial.Study SelectionInclusion criteria were randomized clinical trials comparing CBT with being on a waiting list and using the Liebowitz Social Anxiety Scale (LSAS) in adults with a primary clinical diagnosis of SAD.Data Extraction and SynthesisAuthors of included studies were approached to provide individual-level data. Data were extracted by pairs of authors following the Preferred Reporting Items for Systematic Reviews and Meta-analyses reporting guideline, and risk of bias was assessed using the Cochrane tool. An IPDMA was conducted using a 2-stage approach for the association of CBT with change in LSAS scores from baseline to posttreatment and for the interaction effect of baseline LSAS score by condition using random-effects models.Main Outcomes and MeasuresThe main outcome was the baseline to posttreatment change in symptom severity measured by the LSAS.ResultsA total of 12 studies including 1246 patients with SAD (mean [SD] age, 35.3 [10.9] years; 738 [59.2%] female) were included in the meta-analysis. A waiting list–controlled association between CBT and pretreatment to posttreatment LSAS change was found (b = –20.3; 95% CI, −24.9 to −15.6; P &lt; .001; Cohen d = –0.95; 95% CI, −1.16 to −0.73). Baseline LSAS scores moderated the differences between CBT and waiting list with respect to pretreatment to posttreatment symptom reductions (b = –0.22; 95% CI, −0.39 to −0.06; P = .009), indicating that individuals with severe symptoms had larger waiting list–controlled symptom reductions after CBT (Cohen d = –1.13 [95% CI, −1.39 to −0.88] for patients with very severe SAD; Cohen d = –0.54 [95% CI, −0.80 to −0.29] for patients with mild SAD).Conclusions and RelevanceIn this systematic review and IPDMA, higher baseline SAD symptom severity was associated with greater (absolute but not relative) symptom reductions after CBT in patients with SAD. The findings contribute to personalized care by suggesting that clinicians can confidently offer CBT to individuals with severe SAD symptoms.

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A mobile app for social anxiety disorder: A three-arm randomized controlled trial comparing mobile and PC-based guided self-help interventions.

Abstract: ICBT can be delivered effectively using smartphones. (PsycINFO Database Record

Cited by 82 publications

References 63 publications

Efficacy of an unguided internet‐based self‐help intervention for social anxiety disorder in university students: A randomized controlled trial

Efficacy of an unguided internet‐based self‐help intervention for social anxiety disorder in university students: A randomized controlled trial

Tecnologías de información y comunicación (TIC) aplicadas al tratamiento de los problemas de ansiedad

Baseline Severity as a Moderator of the Waiting List–Controlled Association of Cognitive Behavioral Therapy With Symptom Change in Social Anxiety Disorder

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