Cited by 101Digital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and Assessments

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A Randomized Trial of Internet-Delivered Treatment for Social Anxiety Disorder in High School Students

Tillfors, Maria, Andersson, Gerhard, Ekselius, Lisa, Furmark, Tomas, Lewenhaupt, Susanne, Karlsson, Anders, Carlbring, Per·2011·Cognitive Behaviour Therapy

DOI 10.1080/16506073.2011.555486

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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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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
ORCID: Tillfors, Maria
Andersson, Gerhard
Ekselius, Lisa
Furmark, Tomas
Carlbring, Per
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
DOI: 10.1080/16506073.2011.555486
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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A Randomized Trial of Internet-Delivered Treatment for Social Anxiety Disorder in High School Students

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