Treatment of social phobia: randomised trial of internet-delivered cognitive-behavioural therapy with telephone support

Br J Psychiatry. 2007 Feb:190:123-8. doi: 10.1192/bjp.bp.105.020107.

Abstract

Background: Although effective therapies for social phobia exist, many individuals refrain from seeking treatment owing to the embarrassment associated with help-seeking. Internet-based cognitive-behavioural self-help can be an alternative, but adherence is a problem.

Aims: To evaluate a 9-week programme of internet-based therapy designed to increase treatment adherence by the addition of short weekly telephone calls, nine in all, with a total duration of 95 min.

Method: In a randomised controlled trial the effects of internet-based cognitive-behavioural therapy in the treatment group (n=29) were compared with a waiting-list control group (n=28).

Results: Compared with the control group the treated participants experienced greater reductions on measures of general and social anxiety, avoidance and depression. Adherence to treatment was high, with 93% finishing the complete treatment package. One year later all improvements were maintained.

Conclusions: This study provides evidence to support the use of internet-based treatment supplemented by short, weekly telephone calls.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cognitive Behavioral Therapy / methods*
  • Control Groups
  • Female
  • Follow-Up Studies
  • Humans
  • Internet
  • Male
  • Middle Aged
  • Patient Compliance / psychology*
  • Phobic Disorders / therapy*
  • Program Evaluation
  • Psychiatric Status Rating Scales
  • Self Efficacy
  • Telemedicine / methods*