The DOI matches its Crossref record; 36 of the 37 references it cites were found in a registry or an index.
Guided and unguided self-help for social anxiety disorder: randomised controlled trial
Open accessAbstract
Background: Internet-delivered self-help programmes with added therapist guidance have shown efficacy in social anxiety disorder, but unguided self-help has been insufficiently studied. Aims: To evaluate the efficacy of guided and unguided self-help for social anxiety disorder. Method: Participants followed a cognitive–behavioural self-help programme in the form of either pure bibliotherapy or an internet-based treatment with therapist guidance and online group discussions. A subsequent trial was conducted to evaluate treatment specificity. Participants (n = 235) were randomised to one of three conditions in the first trial, or one of four conditions in the second. Results: Pure bibliotherapy and the internet-based treatment were better than waiting list on measures of social anxiety, general anxiety, depression and quality of life. The internet-based therapy had the highest effect sizes, but directly comparable effects were noted for bibliotherapy augmented with online group discussions. Gains were well maintained a year later. Conclusions: Unguided self-help through bibliotherapy can produce enduring improvement for individuals with social anxiety disorder.
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“Guided iCBT has been found to be effective for numerous specific disorders such as panic disorder [4,5], generalized anxiety disorder [6,7], social anxiety disorder [8-10], posttraumatic stress disorder [11], specific phobia [12], major depression [3], stress [13], and somatic health problems such as irritable bowel syndrome [14].”
From Individually Tailored Internet-Based Treatment for Young Adults and Adults With Panic Attacks: Randomized Controlled Trial (2012) · cites this paper as [8]
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“Internet-delivered treatments for anxiety disorders have included interventions for panic disorder, SAD, SP, and posttraumatic stress and they have established findings that support their potential effectiveness and efficacy [43-47].”
From Low-intensity internet-delivered treatment for generalized anxiety symptoms in routine care: protocol for a randomized controlled trial (2014) · cites this paper as [45]
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Metadata
- Authors
- Furmark, T., Carlbring, P., Hedman, E., Sonnenstein, A., Clevberger, P., Bohman, B., Eriksson, A., Hållén, A., Frykman, M., Holmström, A., Sparthan, E., Tillfors, M., Ihrfelt, E. N., Spak, M., Eriksson, A., Ekselius, L., & Andersson, G.
- Affiliations
- Uppsala University (SE)
- Linköping University (SE)
- Örebro University (SE)
- Corresponding author
- Furmark, Tomas
- ORCID
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2009-11
- Volume
- 195
- Issue
- 5
- Pages
- 440-447
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2026629696
- Cited by
- 256
- References
- 37
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 10 · 2023: 13 · 2022: 14 · 2021: 17 · 2020: 13 · 2019: 12 · 2018: 13 · 2017: 14 · 2016: 24 · 2015: 19 · 2014: 18 · 2013: 20 · 2012: 22
- FWCI
- 20.38
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- The British Journal of Psychiatry (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Funders
- Vetenskapsrådet
- 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, self-help, online therapy, bibliotherapy, online group discussion, therapist guidance, cognitive behavioral therapy, treatment specificity, maintenance of treatment effects, general anxiety, depression, quality of life
- MeSH terms
- Adult, Aged, Bibliotherapy, Female, Humans, Male, Middle Aged, Phobic Disorders, Psychiatric Status Rating Scales, Self Care, Shyness, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Treatment Outcome, Telemedicine, Internet, Young Adult
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