Social Anxiety Telehealth Therapy Study
Study Details
Study Description
Brief Summary
The COVID-19 pandemic has substantially increased the risk of adverse mental health outcomes; while physical distancing is required to reduce infection risk, it also increases loneliness and isolation and prevents access to traditional in-person therapy, which further contribute to risk of adverse mental health outcomes. These problems may be especially acute for individuals with social anxiety disorder (as many as 12% of Americans), however there is a limited evidence-base for telehealth options to directly address social anxiety. This project aims to adapt exposure therapy for social anxiety to a telehealth and physical distancing-compatible intervention, and test whether this effectively decreases loneliness in adults with elevated social anxiety.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Telehealth Therapy
|
Behavioral: Telehealth CBT
The Coordinated Anxiety Learning and Management (CALM) program is an evidence-based, computer-assisted protocol for cognitive behavioral therapy (CBT) for anxiety, depression, and/or post-traumatic stress. CALM will be implemented via secure and HIPAA compliant video-conferencing software (enterprise Zoom), following modifications to address obstacles associated with physical distancing and the tele-health medium.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Liebowitz Social Anxiety Scale (LSAS) [12 weeks]
Social anxiety severity, lower scores are better (indicating less anxiety). Minimum score is 0, maximum score is 144.
- Satisfaction with Therapy and Therapists Scale (STTS) [12 weeks]
Therapy satisfaction subscale, higher scores are better (indicating greater satisfaction). Minimum score is 6, maximum score is 30.
- UCLA Loneliness Scale version 3 [12 weeks]
Loneliness, lower scores are better (indicating less loneliness). Minimum score is 20, maximum score is 80.
Secondary Outcome Measures
- Liebowitz Social Anxiety Scale (LSAS) [24 weeks]
Social anxiety severity, lower scores are better (indicating less anxiety). Minimum score is 0, maximum score is 144.
- UCLA Loneliness Scale version 3 [24 weeks]
Loneliness, lower scores are better (indicating less loneliness). Minimum score is 20, maximum score is 80.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age 18+,
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Liebowitz Social Anxiety Scale (LSAS) total score > 50
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Fluent spoken and written English
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Access to the internet via a smartphone or computer with a camera
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Ability to provide informed consent.
Exclusion Criteria:
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History of mania or psychosis
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Moderate or severe substance use disorder within the past year
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Current psychiatric diagnosis of greater impairment than that arising from social anxiety
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High risk for suicide (>8 on the Mini International Neuropsychiatric Interview suicidality section)
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Prior exposure therapy (more than 2 sessions)
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Current psychotropic medication use
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Current psychotherapy other than couples counseling.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Stanford University | Stanford | California | United States | 94304 |
Sponsors and Collaborators
- Stanford University
Investigators
- Principal Investigator: Tali Ball, PhD, Stanford University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 56697