دورية أكاديمية

Internet-delivered cognitive therapy for social anxiety disorder in Hong Kong: A randomized controlled trial.

التفاصيل البيبلوغرافية
العنوان: Internet-delivered cognitive therapy for social anxiety disorder in Hong Kong: A randomized controlled trial.
المؤلفون: Thew GR; Department of Experimental Psychology, University of Oxford, UK.; Oxford University Hospitals NHS Foundation Trust, UK.; Oxford Health NHS Foundation Trust, UK., Kwok APL; Hong Kong East Cluster, Hospital Authority, Hong Kong, China., Lissillour Chan MH; Hong Kong East Cluster, Hospital Authority, Hong Kong, China., Powell CLYM; New Life Psychiatric Rehabilitation Association, Hong Kong, China., Wild J; Department of Experimental Psychology, University of Oxford, UK., Leung PWL; Department of Psychology, The Chinese University of Hong Kong, Hong Kong, China., Clark DM; Department of Experimental Psychology, University of Oxford, UK.
المصدر: Internet interventions [Internet Interv] 2022 Apr 18; Vol. 28, pp. 100539. Date of Electronic Publication: 2022 Apr 18 (Print Publication: 2022).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 101631612 Publication Model: eCollection Cited Medium: Internet ISSN: 2214-7829 (Electronic) Linking ISSN: 22147829 NLM ISO Abbreviation: Internet Interv Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Amsterdam] : Elsevier B.V., [2014]-
مستخلص: Background: Research is needed to determine the extent to which internet-delivered psychological therapies are effective when delivered in countries and cultures outside of where they were developed.
Objective: This waitlist-controlled study evaluated the efficacy of a UK-developed, therapist-guided internet Cognitive Therapy programme for Social Anxiety Disorder (iCT-SAD) when delivered in Hong Kong by local therapists.
Methods: Patients were randomized to iCT-SAD (n = 22) or a waitlist control group (n = 22). Assessments took place at weeks 0, 8, and 15 (posttreatment/postwait), with a further 3-month follow-up assessment for the iCT-SAD group. The primary outcome measure was the Liebowitz Social Anxiety Scale (self-report), and posttreatment/postwait diagnostic assessments were completed by independent assessors blind to condition. Trial Registration: ISRCTN11357117.
Results: Compared with the waitlist group, iCT-SAD significantly reduced social anxiety symptoms (adjusted difference at posttreatment 55.36, 95%CI 44.32 to 66.39, p  < 0.001; d Cohen 2.41). The treatment was also superior to waitlist on all secondary outcome measures. 86% of the iCT-SAD group demonstrated remission from SAD based on the LSAS, compared to 5% of the waitlist group. 73% no longer met diagnostic criteria at posttreatment, compared to 9% of the waitlist group. The gains made by the iCT-SAD group were maintained at three-month follow-up.
Conclusions: iCT-SAD showed strong efficacy for the treatment of SAD in Hong Kong. As the clinical outcomes were similar to UK studies, this suggests the dissemination of the treatment into a different cultural setting did not result in a substantial loss of efficacy.
Competing Interests: The authors have no conflicts to declare.
(© 2022 The Authors. Published by Elsevier B.V.)
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معلومات مُعتمدة: 102176 United Kingdom WT_ Wellcome Trust; 200796/Z/16/Z United Kingdom WT_ Wellcome Trust
فهرسة مساهمة: Keywords: Cognitive behavioural therapy; Cross-cultural; Dissemination; Internet interventions; Social anxiety
تواريخ الأحداث: Date Created: 20220502 Latest Revision: 20230208
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9046639
DOI: 10.1016/j.invent.2022.100539
PMID: 35493437
قاعدة البيانات: MEDLINE
الوصف
تدمد:2214-7829
DOI:10.1016/j.invent.2022.100539