Self-guided interventions for Social Anxiety Disorder

a systematic review

Autores/as

Palabras clave:

Cognitive behavioral therapy, Internet-based intervention, Social phobia

Resumen

Objective
Despite the availability of effective treatments for social anxiety disorder, help-seeking is
restricted. Internet-based treatments reduce access barriers. The main purpose of this literature
review is to identify and describe self- and minimally guided online interventions for the
treatment of Social Anxiety Disorder.
Method
A search with the descriptors “social phobia”; “social anxiety”; “treatment”; “intervention”;
“self-help”; “therapy”; “internet”; “online”; “web”; and “e-health” in the Dialnet, PsycINFO,
Redalyc, SciELO, and Web of Science databases was carried out, without time delimitation.
Results
A total of 1.359 articles were found and 30 were analyzed. Ten online interventions were
identified and described. The publications were predominantly from 2009 onwards.
Conclusion
Overall, the studies point to a significant improvement in social anxiety disorder symptomatology
and maintenance of gains in follow-up studies. No study was found in the Brazilian context.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Andersson, G., Carlbring, P., & Furmark, T. (2012). Therapist experience and knowledge acquisition in internetdelivered CBT for social anxiety disorder: a randomized controlled trial. PLos One, 7(5). https://doi.org/10.1371/journal.pone.0037411

Andersson, G., Carlbring, P., Holmström, A., Sparthan, E., Furmark, T., Nilsson-Ihrfelt, E., Buhrman, M., & Ekselius, L. (2006). Internet-Based Self-Help with Therapist Feedback and In Vivo Group Exposure for Social Phobia: A Randomized Controlled Trial. Journal of Consulting and Clinical Psychology, 74(4), 677-686. https://doi.org/10.1037/0022-006X.74.4.677

Aydos, L., Titov, N., & Andrews, G. (2009). Shyness 5: the clinical effectiveness of Internet-based clinician-assisted treatment of social phobia. Australasian Psychiatry, 17(6), 488-492. https://doi.org/10.1080/10398560903284943.

Berger, T., Caspar, F., Richardson, R., Kneubühler, B., Sutter, D., & Andersson, G. (2011). Internet-based treatment of social phobia: a randomized controlled trial comparing unguided with two types of guided self-help. Behaviour Research and Therapy, 49(3), 158–169. https://doi.org/10.1016/j.brat.2010.12.007

Berger, T., Hohl, E., & Caspar, F. (2009). Internet-based treatment for social phobia: a randomized controlled trial. Journal of Clinical Psychology, 65(10), 1021–1035. https://doi.org/10.1002/jclp.20603

Bieling, P. J., McCabe, R. E., Antony, M. M., & cols. (2008). Terapia Cognitivo-Comportamental em Grupos. (I. H., Oliveira, Trad.). Artmed. (Obra original publicada em 2006).

Boettcher, J., Carlbring, P., Renneberg, B., & Berger, T. (2013). Internet-Based Interventions for Social Anxiety Disorder - an Overview. Verhaltenstherapie, 23, 160–168. https://doi.org/10.1159/000354747

Boettcher, J., Hasselrot, J., Sund, E., Andersson, G., & Carlbring, P. (2014). Combining Attention Training with Internet-Based Cognitive-Behavioural Self-Help for Social Anxiety: A Randomised Controlled Trial. Cognitive Behaviour Therapy, 43(1), 34-48. https://doi.org/10.1080/16506073.2013.809141

Boettcher, J., Magnusson, K., Marklund, A., Berglund, E., Blomdahl, R., Braun, U., Delin, L., Lundén, C., Sjöblom, K., Sommer, D., Weber, K., Andersson, G., & Carlbring, P. (2018). Adding a smartphone app to internetbased self-help for social anxiety: A randomized controlled trial. Computers in Human Behavior, 87, 98-108. https://doi.org/10.1016 / j.chb.2018.04.052

Botella, C., Gallego, M. J., Garcia-Palacios, A., Guillen, V., Banos, R. M., Quero, S., Alcaniz, M. (2010). An internetbased self-help treatment for fear of public speaking: a controlled trial. Cyberpsychology, Behavior, and Social Networking, 13(4), 407–421. https://doi.org/10.1089/cyber.2009.0224

Butler, E., Mobini, S., Rapee, R. M., Mackintosh, B., & Reynolds, S. A. (2015). Enhanced effects of combined cognitive bias modification and computerised cognitive behaviour therapy on social anxiety. Cogent Psychology, 2(1), 1-13. https://doi.org/10.1080/23311908.2015.1011905

Carlbring, P., Gunnarsdóttir, M., Hedensjö, L., & Andersson, G. (2007). Treatment of social phobia: randomised trial of internet-delivered cognitive-behavioural therapy with telephone support. British Journal of Psychiatry, 190(2), 123-128. https://doi.org/10.1192/bjp.bp.105.020107

Clark, D. A., & Beck, A. T. (2012). Terapia cognitiva para os transtornos de ansiedade. (M.C. Monteiro, Trad.). Artmed.

Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. R. Liebowitz, D. Hope, & F. Schneider (Eds.), Social Phobia: Diagnosis, Assessment, and Treatment (pp. 69-93). Guilford Press.

Collins, L. M., Dziak, J. J., Kugler, K. C., & Trail, J. B. (2014). Factorial experiments: Efficient tools for evaluation of intervention components. American Journal of Preventive Medicine, 47(4), 498-504. https://doi.org/10.1016/j.amepre.2014.06.021

Dryman, M. T., McTeague, L. M., Olino, T. M., & Heimberg, R. G. (2017). Evaluation of an Open-Access CBTBased Internet Program for Social Anxiety: Patterns of Use, Retention, and Outcomes. Journal of Consulting and Clinical Psychology, 85(10), 988-999. https://doi.org/10.1037/ccp0000232

El Alaoui, S., Hedman, E., Kaldo, V., Hesser, H., Kraepelien, M., Andersson, E., Rück, C., Andersson, G., Ljótsson, B., & Lindefors, N. (2015). Effectiveness of Internet-based cognitive-behavior therapy for social anxiety disorder in clinical psychiatry. Journal of Consulting and Clinical Psychology, 83(5), 902-914. https://doi.org/10.1037/a0039198

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., Eriksson, A., & Andersson, G. (2009). Guided and unguided self-help for social anxiety disorder: randomised controlled trial. The British Journal of Psychiatry, 195(5), 440–447. https://doi.org/10.1192/bjp.bp.108.060996

Gershkovich, M., Herbert, J. D., Forman, E. M., & Glassman, L. (2016). Guided Internet-Based Self-Help Intervention for Social Anxiety Disorder with Videoconferenced Therapist Support. Cognitive and Behavioral Practice, 23(2), 239-255. https://doi.org/10.1016/j.cbpra.2015.08.005

Gershkovich, M., Herbert, J. D., Forman, E. M., Schumacher, L. M., & Fischer, L. E. (2017). Internet-Delivered Acceptance-Based Cognitive-Behavioral Intervention for Social Anxiety Disorder with and Without Therapist Support: A Randomized Trial. Behavior Modification, 41(5), 583–608. https://doi.org/10.1177/ 0145445517694457

Kählke, F., Berger, T., Schulz, A., Baumeister, H., Berking, M., Auerbach, R. P., Bruffaerts, R., Cuijpers, P., Kessler, R. C., & Ebert, D. D. (2019). Efficacy of an unguided internet‐based self‐help intervention for social anxiety disorder in university students: A randomized controlled trial. International Journal of Methods in Psychiatric Research, 28(2), e1766. https://doi.org/10.1002 / mpr.1766

Lin, L.-Y., Wang, K., Kishimoto, T., Rodriguez, M., Qian, M., Yang, Y., Zhao, Q., Berger, T., & Tian, C. (2020). An Internet-Based Intervention for Individuals With Social Anxiety and Different Levels of Taijin Kyofusho in China. Journal of Cross-Cultural Psychology, 51(5), 387–402. https://doi.org/10.1177/0022022120920720

Lopes, R. C. T., Šipka, D., Krieger, T., Klein, J. P., & Berger, T. (2021). Optimizing cognitive-behavioral therapy for social anxiety disorder and understanding the mechanisms of change: Study protocol for a randomized factorial trial. Internet Interventions, 26, 100480. https://doi.org/10.1016/j.invent.2021.100480

Mall, A. K., Mehl, A., Kiko, S., Kleindienst, N., Salize, H. J., Hermann, C., Hoffmann, T., Bohus, M., & Steil, R. (2011). Evaluation of a DVD-based self-help program in highly socially anxious individuals - pilot study. Behavior therapy, 42(3), 439-448. https://doi.org/10.1016/j.beth.2010.11.007

McCall, H. C., Helgadottir, F. D., Menzies, R. G., Hadjistavropoulos, H. D., & Chen, F. S. (2019). Evaluating a Web-Based Social Anxiety Intervention Among Community Users: Analysis of Real-World Data. Journal of Medical Internet Research, 21(1), e11566. https://doi.org/10.2196/11566

McCall, H. C., Richardson, C. G., Helgadottir, F. D., & Chen, F. S. (2018). Evaluating a Web-Based Social Anxiety Intervention Among University Students: Randomized Controlled Trial. Journal of Medical Internet Research, 20(3), e91. https://doi.org/10.2196/jmir.8630

Mobini, S., Mackintosh B., Illingwirth, J., Gega, L., Langdon, P., & Hoppitt, L. (2014). Effects of standard and explicit cognitive bias modification and computer-aided cognitive behaviour therapy on cognitive biases and social anxiety. Journal of Behavior Therapy & Experimental Psychiatry, 45(2), 272-279. https:// doi.org/10.1016/j.jbtep.2013.12.002.

Nordgreen, T., Gjestad, R., Andersson, G., Carlbring, P., & Havik, O. E. (2018). The effectiveness of guided internet-based cognitive behavioral therapy for social anxiety disorder in a routine care setting. Internet Interventions, 13, 24-29. https://doi.org/ 10.1016/j.invent.2018.05.003

Pieta, M. A. M., & Gomes, W. B. (2014). Psicoterapia Pela Internet: Viável ou Inviável?. Psicologia: Ciência E Profissão, 34(1), 18-31. http://doi.org/10.1590/S1414-98932014000100003

Powell, J., Williams, V., Atherton, H., Bennett, K., Yang, Y., Davoudianfar, M., Hellsing, A., Martin, A., Mollison, J., Shanyinde, M., Yu, L., & Griffiths, K. M. (2020). Effectiveness and Cost-Effectiveness of a Self-Guided Internet Intervention for Social Anxiety Symptoms in a General Population Sample: Randomized Controlled Trial. Journal of Medical Internet Research, 22(1), e16804. https://doi.org/10.2196/16804

Schlam, T. R., Fiore, M. C., Smith, S. S., Fraser, D., Bolt, D. M., Collins, L. M., Mermelstein, R., Piper, M. E., Cook, J. W., Jorenby, D. E., Loh, W.-Y., & Baker, T. B. (2016). Comparative Effectiveness of Intervention Components for Producing Long-Term Abstinence from Smoking: A Factorial Screening Experiment. Addiction (Abingdon, England), 111(1), 142–155. https://doi.org/10.1111/add.13153

Schulz, A., Stolz, T., Vicent, A., Krieger, T., Andersson, G., & Berger, T. (2016). A sorrow shared is a sorrow halved? A three-arm randomized controlled trial comparing internet-based clinician-guided individual versus group treatment for social anxiety disorder. Behaviour Research and Therapy, 84, 14–26. https://doi.org/10.1016/j.brat.2016.07.001

Stangier, U., Heidenreich, T., & Peitz, M. (2003). Soziale Phobien. Ein kognitiv-ver-haltenstherapeutisches Behandlungsmanual. Beltz.

Stolz, T., Schulz, A., Krieger, T., Vincent, A., Urech, A., Moser, C., Westermann, S., & Berger, T. (2018). A mobile app for social anxiety disorder: A three-arm randomized controlled trial comparing mobile and PCbased guided self-help interventions. Journal of Consulting and Clinical Psychology, 86(6), 493–504. https://doi.org/10.1037/ccp0000301

Stott, R., Wild, J., Grey, N., Liness, S., Warnock-Parkes, E., Commins, S., Readings, J., Bremner, G., Woodward, E., Ehlers, A., & Clark, D.M. (2013). Internet-Delivered Cognitive Therapy for Social Anxiety Disorder: A Development Pilot Series. Behavioural and Cognitive Psychotherapy, 41 (4), 383–397. https://doi. org/10.1017/S1352465813000404

Titov, N., Andrews, G., & Schwencke, G. (2008b). Shyness 2: treating social phobia online: replication and extension. Australian and New Zealand Journal of Psychiatry, 42(7), 595–605. https://doi.org/10.1080/00048670802119820

Titov, N., Andrews, G., Choi, I., Schwencke, G., & Johnston, L. (2009a). Randomized controlled trial of webbased treatment of social phobia without clinician guidance. Australian and New Zealand Journal of Psychiatry, 43(10), 913–919. https://doi.org/10.1080/00048670903179160

Titov, N., Andrews, G., Choi, I., Schwencke, G., & Mahoney, A. (2008c). Shyness 3: randomized controlled trial of guided versus unguided Internet-based CBT for social phobia. Australian and New Zealand Journal of Psychiatry, 42(12), 1030-1040. https://doi.org/10.1080/00048670802512107

Titov, N., Andrews, G., Schwencke, G., Drobny, J., & Einstein, D. (2008a). Shyness 1: distance treatment of social phobia over the internet. Australian & New Zealand Journal of Psychiatry, 42(7), 585–594. https://doi.org/10.1080/00048670802119762

Titov, N., Andrews, G., Schwencke, G., Robinson, E., Peters, L., & Spence, J. (2010). Randomized Controlled Trial of Internet Cognitive Behavioural Treatment for Social Phobia with and Without Motivational Enhancement Strategies. Australian & New Zealand Journal of Psychiatry, 44(10), 938–945. https:// doi.org/ 10.3109/00048674.2010.493859

Titov, N., Andrews, G., Schwencke, G., Solley, K., Johnston, L., & Robinson, E. (2009b). An RCT Comparing Effect of Two Types of Support on Severity of Symptoms for People Completing Internet-Based Cognitive Behaviour Therapy for Social Phobia. Australian & New Zealand Journal of Psychiatry, 43(10), 920–926. https://doi.org/10.1080/00048670903179228

Tulbure, B. T., Szentagotai, A., David, O., Stefan., S., Månsson, K. N. T., David, D., & Andersson, G. (2015). InternetDelivered Cognitive-Behavioral Therapy for Social Anxiety Disorder in Romania: A Randomized Controlled Trial. PLos One, 10(5), https://doi.org/10.1371/journal.pone.0123997

Watkins, E., Newbold, A., Tester-Jones, M., Javaid, M., Cadman, J., Collins, L. M., Graham, J., & Mostazir, M. (2016). Implementing multifactorial psychotherapy research in online virtual environments (IMPROVE-2): Study protocol for a phase III trial of the MOST randomized component selection method for internet cognitive-behavioural therapy for depression. BMC Psychiatry, 16(1). https://doi.org/10.1186/s12888-016-1054-8

Yuen, E. K., Goetter, E. M., Herbert, J. D., & Forman, E. M. (2012). Challenges and opportunities in Internetmediated telemental health. Professional Psychology: Research and Practice, 43, 1–8. https://doi.org/10.1037/a0025524

Descargas

Publicado

2025-03-14

Cómo citar

Dittz, C. P., Lourenço, L. M., Santiago Swerts, L., das Chagas Coelho, L., Gouvêa Gomes, D. A., & da Cunha Teixeira Lopes, R. (2025). Self-guided interventions for Social Anxiety Disorder: a systematic review. Estudos De Psicologia, 41. Recuperado a partir de https://seer.sis.puc-campinas.edu.br/estpsi/article/view/15147

Número

Sección

PSICOLOGIA CLÍNICA E PSICOTERAPIAS

Artículos más leídos del mismo autor/a