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Combining attention training with cognitive-behavior therapy in Internet-based self-help for social anxiety: study
Johanna Boettcher1, Gerhard Andersson, Per Carlbring
1Department of Psychology, Stockholm University, Stockholm, Sweden.
Trials
|March 19, 2013
Summary
This study investigates combining cognitive bias modification (CBM) with guided Internet-based cognitive-behavioral therapy (ICBT) for social anxiety disorder (SAD). The combination aims to improve treatment outcomes beyond ICBT alone.
Area of Science:
- Psychiatry
- Psychology
- Digital Health
Background:
- Guided Internet-based cognitive-behavioral therapy (ICBT) is effective for social anxiety disorder (SAD).
- Current ICBT for SAD shows room for improvement in clinically significant change.
- Cognitive bias modification (CBM) is a novel, effective treatment approach.
Purpose of the Study:
- To evaluate the efficacy of combining CBM with ICBT for SAD.
- To compare a group receiving ICBT and CBM (threat cue focus) against ICBT with control training.
- To test the hypothesis that ICBT plus CBM yields superior treatment outcomes.
Main Methods:
- 128 participants with SAD recruited from the general population.
- Primary outcome: composite score from three social anxiety questionnaires.
- Secondary outcomes: self-reported depression and quality of life; assessments via the Internet at baseline, Week 2, post-treatment, and 4-month follow-up.
Main Results:
- Primary outcome measure: composite score from three social anxiety questionnaires.
- Secondary outcome measures: self-reported depression and quality of life.
- All treatments and assessments conducted online; measurement points at baseline, Week 2, post-treatment, and 4 months post-treatment.
Conclusions:
- No direct evidence currently exists for combining CBM and ICBT in SAD treatment.
- Adding CBM (attention-training) to ICBT may enhance treatment effectiveness.
- This approach could increase recovery rates in individuals using Internet-based self-help for SAD.
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