Efficacy of an unguided internet-based self-help intervention for social anxiety disorder in university students: A randomized controlled trial.
Identifieur interne : 000592 ( Main/Exploration ); précédent : 000591; suivant : 000593Efficacy of an unguided internet-based self-help intervention for social anxiety disorder in university students: A randomized controlled trial.
Auteurs : Fanny K Hlke [Allemagne] ; Thomas Berger [Suisse] ; Ava Schulz [Suisse] ; Harald Baumeister [Allemagne] ; Matthias Berking [Allemagne] ; Randy P. Auerbach [États-Unis] ; Ronny Bruffaerts [Belgique] ; Pim Cuijpers [Pays-Bas] ; Ronald C. Kessler [États-Unis] ; David Daniel Ebert [Allemagne]Source :
- International journal of methods in psychiatric research [ 1557-0657 ] ; 2019.
Descripteurs français
- KwdFr :
- MESH :
- méthodes : Thérapie assistée par ordinateur.
- psychologie : Étudiants.
- thérapie : Phobie sociale.
- Adulte, Autosoins, Femelle, Humains, Mâle, Résultat thérapeutique.
English descriptors
- KwdEn :
- MESH :
- methods : Therapy, Computer-Assisted.
- psychology : Students.
- therapy : Phobia, Social.
- Adult, Female, Humans, Male, Self Care, Treatment Outcome.
Abstract
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.
DOI: 10.1002/mpr.1766
PubMed: 30687986
PubMed Central: PMC6877166
Affiliations:
- Allemagne, Belgique, Pays-Bas, Suisse, États-Unis
- Bade-Wurtemberg, Bavière, Canton de Berne, Canton de Zurich, District de Moyenne-Franconie, District de Tübingen, Hollande-Septentrionale, Massachusetts, État de New York
- Amsterdam, Berne, Erlangen, New York, Ulm, Zurich
- Université Columbia, Université d'Ulm, Université de Berne, Université de Zurich
Links toward previous steps (curation, corpus...)
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Kessler</name><affiliation wicri:level="2"><nlm:affiliation>Department for Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department for Health Care Policy, Harvard Medical School, Boston, Massachusetts</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Ebert, David Daniel" sort="Ebert, David Daniel" uniqKey="Ebert D" first="David Daniel" last="Ebert">David Daniel Ebert</name><affiliation wicri:level="3"><nlm:affiliation>Department of Clinical Psychology and Psychotherapy, University of Erlangen-Nuremberg, Erlangen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Clinical Psychology and Psychotherapy, University of Erlangen-Nuremberg, Erlangen</wicri:regionArea><placeName><settlement type="city">Erlangen</settlement><region type="land" 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uniqKey="K Hlke F" first="Fanny" last="K Hlke">Fanny K Hlke</name><affiliation wicri:level="3"><nlm:affiliation>Department of Clinical Psychology and Psychotherapy, University of Erlangen-Nuremberg, Erlangen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Clinical Psychology and Psychotherapy, University of Erlangen-Nuremberg, Erlangen</wicri:regionArea><placeName><settlement type="city">Erlangen</settlement><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Moyenne-Franconie</region></placeName></affiliation></author><author><name sortKey="Berger, Thomas" sort="Berger, Thomas" uniqKey="Berger T" first="Thomas" last="Berger">Thomas Berger</name><affiliation wicri:level="4"><nlm:affiliation>Department of Clinical Psychology and Psychotherapy, University of Bern, Bern, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Department of Clinical Psychology and Psychotherapy, University of Bern, Bern</wicri:regionArea><placeName><settlement type="city">Berne</settlement><region type="région" nuts="3">Canton de Berne</region></placeName><orgName type="university">Université de Berne</orgName></affiliation></author><author><name sortKey="Schulz, Ava" sort="Schulz, Ava" uniqKey="Schulz A" first="Ava" last="Schulz">Ava Schulz</name><affiliation wicri:level="4"><nlm:affiliation>Department of Experimental Psychopathology and Psychotherapy, University of Zürich, Psychiatric University Hospital, Zürich, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Department of Experimental Psychopathology and Psychotherapy, University of Zürich, Psychiatric University Hospital, Zürich</wicri:regionArea><placeName><settlement type="city">Zurich</settlement><region nuts="3" type="region">Canton de Zurich</region></placeName><orgName type="university">Université de Zurich</orgName></affiliation></author><author><name sortKey="Baumeister, Harald" sort="Baumeister, Harald" uniqKey="Baumeister H" first="Harald" last="Baumeister">Harald Baumeister</name><affiliation wicri:level="4"><nlm:affiliation>Department of Clinical Psychology and Psychotherapy, University of Ulm, Ulm, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Clinical Psychology and Psychotherapy, University of Ulm, Ulm</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Ulm</settlement></placeName><orgName type="university">Université d'Ulm</orgName></affiliation></author><author><name sortKey="Berking, Matthias" sort="Berking, Matthias" uniqKey="Berking M" first="Matthias" last="Berking">Matthias Berking</name><affiliation wicri:level="3"><nlm:affiliation>Department of Clinical Psychology and Psychotherapy, University of Erlangen-Nuremberg, Erlangen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Clinical Psychology and Psychotherapy, University of Erlangen-Nuremberg, Erlangen</wicri:regionArea><placeName><settlement type="city">Erlangen</settlement><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Moyenne-Franconie</region></placeName></affiliation></author><author><name sortKey="Auerbach, Randy P" sort="Auerbach, Randy P" uniqKey="Auerbach R" first="Randy P" last="Auerbach">Randy P. Auerbach</name><affiliation wicri:level="4"><nlm:affiliation>Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York City, New York, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York City, New York</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Division of Clinical Developmental Neuroscience, Sackler Institute, New York City, New York, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Clinical Developmental Neuroscience, Sackler Institute, New York City, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Bruffaerts, Ronny" sort="Bruffaerts, Ronny" uniqKey="Bruffaerts R" first="Ronny" last="Bruffaerts">Ronny Bruffaerts</name><affiliation wicri:level="1"><nlm:affiliation>Research Group Psychiatry, Department of Neurosciences, KU Leuven University, Leuven, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Research Group Psychiatry, Department of Neurosciences, KU Leuven University, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Cuijpers, Pim" sort="Cuijpers, Pim" uniqKey="Cuijpers P" first="Pim" last="Cuijpers">Pim Cuijpers</name><affiliation wicri:level="3"><nlm:affiliation>Department of Clinical, Neuro, and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Clinical, Neuro, and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Kessler, Ronald C" sort="Kessler, Ronald C" uniqKey="Kessler R" first="Ronald C" last="Kessler">Ronald C. Kessler</name><affiliation wicri:level="2"><nlm:affiliation>Department for Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department for Health Care Policy, Harvard Medical School, Boston, Massachusetts</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Ebert, David Daniel" sort="Ebert, David Daniel" uniqKey="Ebert D" first="David Daniel" last="Ebert">David Daniel Ebert</name><affiliation wicri:level="3"><nlm:affiliation>Department of Clinical Psychology and Psychotherapy, University of Erlangen-Nuremberg, Erlangen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Clinical Psychology and Psychotherapy, University of Erlangen-Nuremberg, Erlangen</wicri:regionArea><placeName><settlement type="city">Erlangen</settlement><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Moyenne-Franconie</region></placeName></affiliation></author></analytic><series><title level="j">International journal of methods in psychiatric research</title><idno type="eISSN">1557-0657</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Phobia, Social (therapy)</term><term>Self Care (MeSH)</term><term>Students (psychology)</term><term>Therapy, Computer-Assisted (methods)</term><term>Treatment Outcome (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Autosoins (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Phobie sociale (thérapie)</term><term>Résultat thérapeutique (MeSH)</term><term>Thérapie assistée par ordinateur (méthodes)</term><term>Étudiants (psychologie)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Therapy, Computer-Assisted</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Thérapie assistée par ordinateur</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Étudiants</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Students</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Phobia, Social</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Phobie sociale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Self Care</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Autosoins</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Résultat thérapeutique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>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).</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>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.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30687986</PMID><DateCompleted><Year>2020</Year><Month>01</Month><Day>28</Day></DateCompleted><DateRevised><Year>2021</Year><Month>01</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1557-0657</ISSN><JournalIssue CitedMedium="Internet"><Volume>28</Volume><Issue>2</Issue><PubDate><Year>2019</Year><Month>06</Month></PubDate></JournalIssue><Title>International journal of methods in psychiatric research</Title><ISOAbbreviation>Int J Methods Psychiatr Res</ISOAbbreviation></Journal><ArticleTitle>Efficacy of an unguided internet-based self-help intervention for social anxiety disorder in university students: A randomized controlled trial.</ArticleTitle><Pagination><MedlinePgn>e1766</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/mpr.1766</ELocationID><Abstract><AbstractText Label="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).</AbstractText><AbstractText Label="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.</AbstractText><AbstractText Label="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.</AbstractText><AbstractText Label="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.</AbstractText><CopyrightInformation>© 2019 John Wiley & Sons, Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kählke</LastName><ForeName>Fanny</ForeName><Initials>F</Initials><Identifier Source="ORCID">0000-0002-8189-301X</Identifier><AffiliationInfo><Affiliation>Department of Clinical Psychology and Psychotherapy, University of Erlangen-Nuremberg, Erlangen, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Berger</LastName><ForeName>Thomas</ForeName><Initials>T</Initials><Identifier Source="ORCID">0000-0002-2432-7791</Identifier><AffiliationInfo><Affiliation>Department of Clinical Psychology and Psychotherapy, University of Bern, Bern, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schulz</LastName><ForeName>Ava</ForeName><Initials>A</Initials><Identifier Source="ORCID">0000-0003-2295-9418</Identifier><AffiliationInfo><Affiliation>Department of Experimental Psychopathology and Psychotherapy, University of Zürich, Psychiatric University Hospital, Zürich, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Baumeister</LastName><ForeName>Harald</ForeName><Initials>H</Initials><Identifier Source="ORCID">0000-0002-2040-661X</Identifier><AffiliationInfo><Affiliation>Department of Clinical Psychology and Psychotherapy, University of Ulm, Ulm, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Berking</LastName><ForeName>Matthias</ForeName><Initials>M</Initials><Identifier Source="ORCID">0000-0001-5903-4748</Identifier><AffiliationInfo><Affiliation>Department of Clinical Psychology and Psychotherapy, University of Erlangen-Nuremberg, Erlangen, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Auerbach</LastName><ForeName>Randy P</ForeName><Initials>RP</Initials><Identifier Source="ORCID">0000-0003-2319-4744</Identifier><AffiliationInfo><Affiliation>Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York City, New York, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Division of Clinical Developmental Neuroscience, Sackler Institute, New York City, New York, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bruffaerts</LastName><ForeName>Ronny</ForeName><Initials>R</Initials><Identifier Source="ORCID">0000-0002-0330-3694</Identifier><AffiliationInfo><Affiliation>Research Group Psychiatry, Department of Neurosciences, KU Leuven University, Leuven, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cuijpers</LastName><ForeName>Pim</ForeName><Initials>P</Initials><Identifier Source="ORCID">0000-0001-5497-2743</Identifier><AffiliationInfo><Affiliation>Department of Clinical, Neuro, and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kessler</LastName><ForeName>Ronald C</ForeName><Initials>RC</Initials><Identifier Source="ORCID">0000-0003-4831-2305</Identifier><AffiliationInfo><Affiliation>Department for Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ebert</LastName><ForeName>David Daniel</ForeName><Initials>DD</Initials><Identifier Source="ORCID">0000-0001-6820-0146</Identifier><AffiliationInfo><Affiliation>Department of Clinical Psychology and Psychotherapy, University of Erlangen-Nuremberg, Erlangen, Germany.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>01</Month><Day>27</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Int J Methods Psychiatr Res</MedlineTA><NlmUniqueID>9111433</NlmUniqueID><ISSNLinking>1049-8931</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000072861" 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