A Randomized Trial of Internet-Delivered Treatment for Social Anxiety Disorder in High School Students
Abstract
Internet-based cognitive behavior therapy (CBT) has been shown effective for university students with social anxiety disorder (SAD) and public speaking fears. The aim of this study was to investigate whether the promising results can be transferred to high school students suffering from this condition. A total of 19 speech-anxious high school students with SAD were randomized either into 9 weeks of Internet-delivered CBT or to a wait-list control group. Significant improvements were found on measures of social anxiety, general anxiety, and depression. Effects were maintained at 1-year follow-up. The average within- and between-group effect sizes (Cohen's d) for the primary social anxiety scales at posttest were 0.98 and 1.38, respectively. However, the average number of completed modules in the CBT program was low. Although compliance can be improved, the results suggest that Internet-based guided self-help is effective in the treatment of high school students with SAD.
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When looking specifically at ICBT with adolescents, studies are sparse.
“When looking specifically at ICBT with adolescents, studies are sparse (Tillfors et al., 2011; Spence et al., 2008; Spence et al., 2011; Lenhard et al., 2014; Lenhard et al., 2017).”
From Internet-based cognitive behavioral therapy for adolescents with anxiety disorders: A feasibility study (2018) · cites this paper as Tillfors et al., 2011
A few previous trials have been conducted on iCBT for younger persons with anxiety disorders.
“A few previous trials have been conducted on iCBT for younger persons with anxiety disorders.”
From Individually Tailored Internet-Based Treatment for Young Adults and Adults With Panic Attacks: Randomized Controlled Trial (2012) · cites this paper as [20]
Two studies found effects of iCBT for social anxiety disorder in high school students and university students, but adherence to treatment was poor.
“While these two studies found effects, adherence to treatment was poor.”
From Individually Tailored Internet-Based Treatment for Young Adults and Adults With Panic Attacks: Randomized Controlled Trial (2012) · cites this paper as [20]
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- Authors
- Tillfors, M., Andersson, G., Ekselius, L., Furmark, T., Lewenhaupt, S., Karlsson, A., & Carlbring, P.
- Affiliations
- Örebro University (SE)
- Linköping University (SE)
- Uppsala University (SE)
- Umeå University (SE)
- Corresponding author
- Tillfors, Maria
- Venue
- Cognitive Behaviour Therapy
- Publisher
- Informa UK Limited
- Published
- 2011-06
- Volume
- 40
- Issue
- 2
- Pages
- 147-157
- ISSN
- 1650-6073 (ISSN-L)
- 1651-2316
- OpenAlex
- W1987974754
- Semantic Scholar
- 83c38ebe16f47a2a7357b0c2df0f2ea4b5b38fac
- Cited by
- 101
- References
- 41
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 4 · 2023: 3 · 2022: 12 · 2021: 7 · 2020: 11 · 2019: 7 · 2018: 7 · 2017: 10 · 2016: 8 · 2015: 9 · 2014: 3 · 2013: 6 · 2012: 6
- FWCI
- 6.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cognitive Behaviour Therapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Forskningsrådet för Arbetsliv och Socialvetenskap
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- social anxiety disorder, internet-based cognitive behavioral therapy, high school students, speaking anxiety, guided self-help, medication adherence, general anxiety, depression, maintenance therapy, adolescents
- MeSH terms
- Adolescent, Anxiety, Female, Humans, Male, Phobic Disorders, Students, Cognitive Behavioral Therapy, Treatment Outcome, Remote Consultation, Internet, Young Adult
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