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Kognitiv beteendeterapi jämförd med interpersonell terapi förmedlad via smarttelefon vid social fobi: vad har betydelse för behandlingsutfallet?

Öberg, Louise LU (2013) PSPT02 20122
Department of Psychology
Abstract (Swedish)
Smarttelefonen används alltmer som redskap i psykoterapeutisk behandling men hittills har ingen kontrollerad studie provat om behandling av social fobi kan förmedlas genom smarttelefon. Denna randomiserade och kontrollerade studie undersökte guidad självhjälpsbehandling vid social fobi förmedlad via smarttelefon med syfte att dels jämföra behandlingar och dels att studera olika patientfaktorers betydelse för behandlingsutfall. Totalt randomiserades 52 deltagare till kognitiv beteendeterapi (KBT) (n=27) eller interpersonell terapi (IPT) (n=25) i ett nio veckor långt behandlingsprogram. Det primära utfallsmåttet var Liebowitz Social Anxiety Scale- self rate (LSAS-SR) och behandlingsutfall studerades dels som grad av symptomreduktion och dels... (More)
Smarttelefonen används alltmer som redskap i psykoterapeutisk behandling men hittills har ingen kontrollerad studie provat om behandling av social fobi kan förmedlas genom smarttelefon. Denna randomiserade och kontrollerade studie undersökte guidad självhjälpsbehandling vid social fobi förmedlad via smarttelefon med syfte att dels jämföra behandlingar och dels att studera olika patientfaktorers betydelse för behandlingsutfall. Totalt randomiserades 52 deltagare till kognitiv beteendeterapi (KBT) (n=27) eller interpersonell terapi (IPT) (n=25) i ett nio veckor långt behandlingsprogram. Det primära utfallsmåttet var Liebowitz Social Anxiety Scale- self rate (LSAS-SR) och behandlingsutfall studerades dels som grad av symptomreduktion och dels som klinisk signifikant förbättring. Signifikant fler deltagare blev kliniskt signifikant förbättrade i gruppen som tilldelats behandling med KBT i jämförelse med gruppen som tilldelats IPT. Ålder, kön, utbildningsnivå, initial depressionsgrad, initial svårighetsgrad, andel datoranvändning i behandling samt initial vana vid smarttelefon, hade inte något signifikant samband med behandlingsutfall. En tendens till signifikant skillnad avseende svårighetsgrad antydde att generaliserad social fobi skulle kunna vara förknippad med en högre grad av symptomreduktion än specifik social fobi. Sammantaget framkom inga indikationer på att någon av dessa patientfaktorer hade betydelse för deltagarens möjlighet att tillgodogöra sig behandlingen i denna studie. (Less)
Abstract
The use of smartphones as a tool for administering psychological treatment is increasing, however, there is so far no controlled studies showing that social anxiety disorder (SAD) can be treated in this way. This randomized and controlled study, examines Internet based treatment administered through smartphones for social anxiety disorder. Two different types of treatment are compared, and the importance of different patient related factors for the treatment outcome was explored. In total, 52 participants were randomly selected to participate in Cognitive Behavior Therapy CBT (n=27) or Interpersonal Therapy (IPT) (n=25) targeting their SAD. The treatment lasted for nine weeks. The primary outcome measure was Liebowitz social anxiety scale-... (More)
The use of smartphones as a tool for administering psychological treatment is increasing, however, there is so far no controlled studies showing that social anxiety disorder (SAD) can be treated in this way. This randomized and controlled study, examines Internet based treatment administered through smartphones for social anxiety disorder. Two different types of treatment are compared, and the importance of different patient related factors for the treatment outcome was explored. In total, 52 participants were randomly selected to participate in Cognitive Behavior Therapy CBT (n=27) or Interpersonal Therapy (IPT) (n=25) targeting their SAD. The treatment lasted for nine weeks. The primary outcome measure was Liebowitz social anxiety scale- self rate (LSAS-SR) and treatments outcome was studied both in terms of symptom reduction, and in terms of clinical significant improvement. The result suggested that significant more patients were clinically significantly improved among those receiving CBT, as compared to the group that received IPT. Age, gender, level of education, initial level of depression, initial level of severity, amount of computer usages in treatment, as well as initial experience of smartphone usages, showed no relationship with the treatment outcome. The result showed a tendency to significant difference regarding the initial level of severity, suggesting that generalized social anxiety disorder could be associated with a higher degree of symptom reduction than specific social anxiety disorder. The conclusion drawn from this result is that none of the patient factors were related to the treatment effect. (Less)
Please use this url to cite or link to this publication:
author
Öberg, Louise LU
supervisor
organization
course
PSPT02 20122
year
type
H3 - Professional qualifications (4 Years - )
subject
keywords
Kognitiv beteendeterapi, Interpersonell terapi, Internet, Social fobi, Smarttelefon, Prediktorer, Klinisk signifikans, Cognitive Behavior Therapy, Interpersonal Therapy, Social anxiety disorder, Smartphone, Prediction, Clinical significance
language
Swedish
id
3438136
date added to LUP
2013-02-06 12:21:12
date last changed
2013-02-06 12:21:12
@misc{3438136,
  abstract     = {The use of smartphones as a tool for administering psychological treatment is increasing, however, there is so far no controlled studies showing that social anxiety disorder (SAD) can be treated in this way. This randomized and controlled study, examines Internet based treatment administered through smartphones for social anxiety disorder. Two different types of treatment are compared, and the importance of different patient related factors for the treatment outcome was explored. In total, 52 participants were randomly selected to participate in Cognitive Behavior Therapy CBT (n=27) or Interpersonal Therapy (IPT) (n=25) targeting their SAD. The treatment lasted for nine weeks. The primary outcome measure was Liebowitz social anxiety scale- self rate (LSAS-SR) and treatments outcome was studied both in terms of symptom reduction, and in terms of clinical significant improvement. The result suggested that significant more patients were clinically significantly improved among those receiving CBT, as compared to the group that received IPT. Age, gender, level of education, initial level of depression, initial level of severity, amount of computer usages in treatment, as well as initial experience of smartphone usages, showed no relationship with the treatment outcome. The result showed a tendency to significant difference regarding the initial level of severity, suggesting that generalized social anxiety disorder could be associated with a higher degree of symptom reduction than specific social anxiety disorder. The conclusion drawn from this result is that none of the patient factors were related to the treatment effect.},
  author       = {Öberg, Louise},
  keyword      = {Kognitiv beteendeterapi,Interpersonell terapi,Internet,Social fobi,Smarttelefon,Prediktorer,Klinisk signifikans,Cognitive Behavior Therapy,Interpersonal Therapy,Social anxiety disorder,Smartphone,Prediction,Clinical significance},
  language     = {swe},
  note         = {Student Paper},
  title        = {Kognitiv beteendeterapi jämförd med interpersonell terapi förmedlad via smarttelefon vid social fobi: vad har betydelse för behandlingsutfallet?},
  year         = {2013},
}