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Cited by 59Digital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesBody Image and Dysmorphia Studies

Starting to develop self-help for social anxiety associated with vitiligo: using clinical significance to measure the potential effectiveness of enhanced psychological self-help

Shah, R., Hunt, J., Webb, T.L., Thompson, A.R.·2014·British Journal of Dermatology
DOI 10.1111/bjd.12990
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Abstract

BACKGROUND: Vitiligo can be associated with high levels of distress, yet there are currently no self-help interventions available. OBJECTIVES: To describe the initial development of a psychosocial self-help intervention designed to reduce social anxiety associated with vitiligo. Also to examine whether including a planning exercise, aimed at increasing use of the intervention (termed implementation intentions), has the potential to achieve a clinically significant reduction in distress. METHODS: Participants (n = 75) were randomized to one of three groups: cognitive behavioural self-help (CBSH), CBSH augmented with implementation intentions (CBSH+), or no intervention. Participants were assessed at baseline and after 8 weeks on measures of social anxiety, anxiety and depression, and appearance-related concern. The two intervention groups also completed a questionnaire evaluating their use of, and satisfaction with, the intervention. RESULTS: High levels of social anxiety and concern over appearance were reported. Twenty-four per cent of participants in the CBSH+ group experienced clinically significant change on the measure of social anxiety compared with 8% in the CBSH group and 0% in the control group. In addition, 58% of the control group deteriorated during the study period. There were no significant differences between the conditions on the other outcome measures. Participants reported that the self-help leaflets were helpful. CONCLUSIONS: The findings demonstrate that augmented CBSH provides a relatively simple and accessible intervention that can result in a clinically significant reduction in social anxiety. The augmented intervention has potential and might be further developed and evaluated in subsequent trials.

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  • The availability of high-quality studies exploring the effectiveness of cognitive-behavioural interventions for appearance anxiety is limited.

    “However, the availability of high-quality studies exploring effectiveness is limited [21,27-28].”

    From The role of psychological flexibility in appearance anxiety in people who have experienced a visible burn injury. (2019) · cites this paper as [28]

    The Introduction says that only two studies had assessed psychological interventions for vitiligo and that both had significant methodological limitations. It describes CBT components in those studies, but its evidence gap concerns vitiligo specifically, not cognitive-behavioural interventions for appearance anxiety generally. (LLM, conf=0.84)

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1 of the 39 references couldn’t be matched to a known paper.

Research works printed but not linked: 4

  1. [5]5. Porter JR, Beuf AH, Nordlund JJ, Lerner AB. Personal responses to vitiligo. Arch Dermatol 1978; 114 : 1348-1385
  2. [12]12. Thompson AR, Clarke SA, Newell R, et al. Vitiligo linked to stigmatisation in British South Asian women: A qualitative study of the experiences of living with vitiligo. Brit J Dermatol 2010; 163 : 481-486.
  3. [23]23. Bogels SM, Mulkens S, De Jong PJ. Task concentration training and fear of blushing. Clin Psychol Psychother 1997 ; 4 : 251-258.
  4. [33]33. Thompson A. Psychosocial impact of skin conditions. Dermatol Nurs, 2009 ; 8 : 43-48.

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Authors
Shah, R., Hunt, J., Webb, T. L., & Thompson, A. R.
Affiliations
  • Whipps Cross University Hospital (GB)
  • Morriston Hospital (GB)
  • University of Sheffield (GB)
Corresponding author
Thompson, A.R.
ORCID
Venue
British Journal of Dermatology
Publisher
Oxford University Press (OUP)
Published
2014-08
Volume
171
Issue
2
Pages
332-337
ISSN
0007-0963 (ISSN-L)
DOI
10.1111/bjd.12990
OpenAlex
W2120744727
Cited by
59
References
39
Citations by year
2026: 2 · 2025: 1 · 2024: 3 · 2023: 10 · 2022: 5 · 2021: 5 · 2020: 6 · 2019: 5 · 2018: 9 · 2017: 3 · 2016: 3 · 2015: 4 · 2014: 3
FWCI
6.67
Type
journal article
Language
en
Open access
closed
Licence
doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 396 d)
Locations
  • British Journal of Dermatology (publishedVersion)
  • PubMed (publishedVersion)
  • White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
  • ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
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 › Body Image and Dysmorphia Studies
Keywords
vitiligo, social anxiety, self-help intervention, implementation intentions, appearance concerns, clinical significance, intervention development, psychological distress
MeSH terms
Adolescent, Adult, Aged, Anxiety Disorders, Humans, Middle Aged, Self-Help Groups, Vitiligo, Cognitive Behavioral Therapy, Treatment Outcome, Patient Satisfaction, Young Adult

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