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Internet‐delivered therapist‐assisted cognitive therapy for adolescent social anxiety disorder (OSCA): a randomised controlled trial addressing preliminary efficacy and mechanisms of action.

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Title: Internet‐delivered therapist‐assisted cognitive therapy for adolescent social anxiety disorder (OSCA): a randomised controlled trial addressing preliminary efficacy and mechanisms of action.
Authors: Leigh, Eleanor, Clark, David M.
Source: Journal of Child Psychology & Psychiatry. Jan2023, Vol. 64 Issue 1, p145-155. 11p. 2 Diagrams, 4 Charts, 2 Graphs.
Subjects: Therapeutics, Computers in medicine, Internet, Social anxiety, Randomized controlled trials, Patient-professional relations, Statistical sampling, Cognitive therapy, Telemedicine, Adolescence
Abstract: Background: Cognitive therapy for SAD (CT‐SAD) is a first‐line recommended treatment for adult social anxiety disorder (SAD) and shows considerable promise for youth. However, the high prevalence of adolescent SAD and limited number of therapists presents an implementation challenge. Delivery of CT‐SAD via the Internet may offer part of the solution. Method: Forty‐three youth (14–18 years) with SAD recruited through schools were randomly allocated to therapist‐assisted Internet‐delivered CT‐SAD (called OSCA) or waitlist for 14 weeks (ISRCTN15079139). Results: OSCA outperformed waitlist on all measures and was associated with large effects that were maintained at 6‐month follow‐up. In the OSCA arm, 77% of adolescents lost their SAD diagnosis at post (vs. 14% in the waitlist arm), increasing to 91% at 6‐months. Beneficial effects of OSCA were mediated through changes in cognitions and safety behaviours as predicted by cognitive models of SAD. OSCA was associated with high credibility and therapeutic alliance. Conclusions: This preliminary trial suggests OSCA holds promise as an effective, accessible treatment for adolescent SAD. Future definitive trials could compare OSCA to active comparators to examine specificity of effects. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Child Psychology & Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Internet‐delivered therapist‐assisted cognitive therapy for adolescent social anxiety disorder (OSCA): a randomised controlled trial addressing preliminary efficacy and mechanisms of action.
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  Data: <searchLink fieldCode="AR" term="%22Leigh%2C+Eleanor%22">Leigh, Eleanor</searchLink><br /><searchLink fieldCode="AR" term="%22Clark%2C+David+M%2E%22">Clark, David M.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Child+Psychology+%26+Psychiatry%22">Journal of Child Psychology & Psychiatry</searchLink>. Jan2023, Vol. 64 Issue 1, p145-155. 11p. 2 Diagrams, 4 Charts, 2 Graphs.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink><br /><searchLink fieldCode="DE" term="%22Computers+in+medicine%22">Computers in medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Internet%22">Internet</searchLink><br /><searchLink fieldCode="DE" term="%22Social+anxiety%22">Social anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-professional+relations%22">Patient-professional relations</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Telemedicine%22">Telemedicine</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Background: Cognitive therapy for SAD (CT‐SAD) is a first‐line recommended treatment for adult social anxiety disorder (SAD) and shows considerable promise for youth. However, the high prevalence of adolescent SAD and limited number of therapists presents an implementation challenge. Delivery of CT‐SAD via the Internet may offer part of the solution. Method: Forty‐three youth (14–18 years) with SAD recruited through schools were randomly allocated to therapist‐assisted Internet‐delivered CT‐SAD (called OSCA) or waitlist for 14 weeks (ISRCTN15079139). Results: OSCA outperformed waitlist on all measures and was associated with large effects that were maintained at 6‐month follow‐up. In the OSCA arm, 77% of adolescents lost their SAD diagnosis at post (vs. 14% in the waitlist arm), increasing to 91% at 6‐months. Beneficial effects of OSCA were mediated through changes in cognitions and safety behaviours as predicted by cognitive models of SAD. OSCA was associated with high credibility and therapeutic alliance. Conclusions: This preliminary trial suggests OSCA holds promise as an effective, accessible treatment for adolescent SAD. Future definitive trials could compare OSCA to active comparators to examine specificity of effects. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Child Psychology & Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=160812604
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1111/jcpp.13680
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      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 145
    Subjects:
      – SubjectFull: Therapeutics
        Type: general
      – SubjectFull: Computers in medicine
        Type: general
      – SubjectFull: Internet
        Type: general
      – SubjectFull: Social anxiety
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Patient-professional relations
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Cognitive therapy
        Type: general
      – SubjectFull: Telemedicine
        Type: general
      – SubjectFull: Adolescence
        Type: general
    Titles:
      – TitleFull: Internet‐delivered therapist‐assisted cognitive therapy for adolescent social anxiety disorder (OSCA): a randomised controlled trial addressing preliminary efficacy and mechanisms of action.
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          Name:
            NameFull: Leigh, Eleanor
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            NameFull: Clark, David M.
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            – D: 01
              M: 01
              Text: Jan2023
              Type: published
              Y: 2023
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