Abstract：
:Internet-based self-help with therapist guidance has shown promise as an effective treatment and may increase access to evidence-based psychological treatment for social anxiety disorder (SAD). Although unguided self-help has been suggested primarily as a population-based preventive intervention, some studies indicate that patients with SAD may profit from unguided self-help. Gaining knowledge about predictors of outcome in guided and unguided self-help for SAD is important to ensure that these interventions can be offered to those who are most likely to respond. Utilizing a sample of 245 patients who received either guided or unguided self-help for SAD, the present study examined pre-treatment symptoms and program factors as predictors of treatment adherence and outcome. The results were in line with previous findings from the face-to-face treatment literature: namely, the intensity of baseline SAD symptoms, but not depressive symptoms, predicted treatment outcomes in both unguided and guided self-help groups. Outcomes were unrelated to whether a participant has generalized versus specific SAD. Furthermore, for the unguided self-help group, higher credibility ratings of the treatment program were associated with increased treatment adherence. The findings suggest that guided and unguided self-help may increase access to SAD treatment in a population that is more heterogeneous than previously assumed.
journal_name
Behav Res Therjournal_title
Behaviour research and therapyauthors
Nordgreen T,Havik OE,Ost LG,Furmark T,Carlbring P,Andersson Gdoi
10.1016/j.brat.2011.10.009subject
Has Abstractpub_date
2012-01-01 00:00:00pages
13-21issue
1eissn
0005-7967issn
1873-622Xpii
S0005-7967(11)00245-2journal_volume
50pub_type
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