RCT of Bibliotherapy for Social Anxiety Disorder as a Prelude to CBT in IAPT

Launched by SOLENT NHS TRUST · Dec 3, 2014

Keywords

ClinConnect Summary

P A R T I C I P A N T S

Patients will be recruited within an Improving Access to Psychological Therapies (IAPT) service: 'Talking Change' (Portsmouth). Advertisement for the study will be distributed locally, through social media and via the 'Talking Change' Internet website.

It is generally accepted that social anxiety disorder is a chronic condition and significant change in the wait-list does not occur. Hence, because the study aims to explore predicators of treatment response, a priori power analyses determined that approximately 114 patients randomly assigned for twelve-weeks at a ra...

Gender

ALL

Eligibility criteria

• Inclusion criteria:
• • ≥ 18 years of age;
• • ≥ 19 points on the Social Phobia Inventory (SPIN; Connor, 2000);
• • Meets full Diagnostic and Statistical Manual of Mental Disorders (5th ed.;
• • DSM-5; American Psychiatric Association, 2013) criteria for social anxiety disorder;
• • Social anxiety is the primary disorder requiring treatment;
• • Sufficient reading and writing ability (cut-off to be decided);
• • English is first language;
• • Stable dose of antidepressant medication for at least two months.
• • Patients who do not meet the inclusion criteria will be offered alternative treatment within the service or referred elsewhere as required.
• Exclusion criteria:
• • If co-morbidity present, social anxiety disorder is not the primary problem;
• • Another disorder (e.g., depression) requires urgent treatment in it's own right;
• • Past or present history of psychosis, borderline personality disorder, or bipolar disorder;
• • Risk to themselves or others; Drug and alcohol misuse;
• • Previous high-intensity Cognitive-Behavioural Therapy (CBT) for social anxiety disorder;
• • On-going psychological therapy;
• • Engaging in another research trial;
• • Psychotropic medication.
• • Patients who meet the exclusion criteria will be offered alternative treatment within the service or referred elsewhere as required.