CBT for Social Anxiety Disorder Delivered by School Counselors

Phase 2

Completed

• Conditions: Social Anxiety Disorder
• Interventions: Behavioral: Skills for Academic and Social Success; Behavioral: Skills for Life

• Registration Number: NCT01320800
• Lead Sponsor: NYU Langone Health

Brief Summary

This 5-year study addresses the unmet needs of adolescents with social phobia through the testing of a 12-week cognitive-behavioral, school-based group intervention delivered by trained school counselors compared to a nonspecific school counseling program. A secondary goal is to provide further examination of the efficacy of the CBT program delivered by school counselors as compared to the same program delivered by psychologists.

Detailed Description

The investigators have tested SASS, a school-based group CBT intervention for social phobia, and found it to be effective when delivered by psychologists (Masia Warner et al., 2005; Masia Warner et al., 2007). The proposed dissemination study extends this work through a controlled trial of SASS delivered by school counselors. The investigators will randomize 126 adolescents with social anxiety disorder, ages 14 through 17, to one of 3 treatments: 1) SASS delivered by school counselors (SC-SASS), 2) SASS delivered by psychologists (Expert-SASS), or 3) a manualized adolescent group counseling program specifically designed for school counselors, called Skills for Living (SFL). A comprehensive evaluation will include diagnosis, illness severity, scale ratings of social anxiety and depression, clinical global improvement, overall functioning, and school-relevant indices of function. Outcomes will be assessed at baseline, mid-point (after 6 weeks of intervention), post-treatment, and 6 months following intervention completion.

Study Timeline

• Study Start: 2010-10
• Study First Submitted: 2011-03-11
• Study First Submitted QC: 2011-03-21
• Study First Posted: 2011-03-22
• Primary Completion: 2015-02
• Study Completion: 2015-02
• Status Verified: 2016-01
• Last Update Submitted: 2016-01-28
• Last Update Posted: 2016-01-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 126

Inclusion Criteria

1. Diagnosis. DSM-IV primary diagnosis (most severe) of social anxiety disorder (as determined by the ADIS-PC)
2. Age and Sex. Boys and Girls, 14 through 19 years
3. Grade. 9th, 10th, 11th, or 12th
4. English speaking. Adolescent

Exclusion Criteria

1. Current diagnosis of substance use or conduct disorder
2. Concurrent mental disorder of greater severity than social anxiety disorder
3. Current psychotic symptoms
4. Current suicidal ideation
5. Pervasive developmental disorder, or a significant medical disorder (e.g., substantially impairs functioning, school attendance, or the ability to engage in treatment)
6. Current psychological or pharmacological treatment

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
School Counselor-led CBT	Skills for Academic and Social Success	School Counselor SASS is the Skills for Academic and Social Success protocol delivered by School Counselors. Intervention: Behavioral: Skills for Social and Academic Success
Expert-led CBT	Skills for Academic and Social Success	Expert SASS is the Skills for Academic and Social Success protocol delivered by a postdoctoral fellows.
Skills for Life	Skills for Life	SFL is the Skills for Life Protocol delivered by school counselors. Intervention: Behavioral: Skills for Life

Primary Outcome Measures

Name	Time	Method
Change in Diagnostic severity of social anxiety disorder (ADIS CSR score)	2 week and 6-month follow-up	ADIS CSR Ratings are taken at baseline, immediately following treatment, and at a 6-month followup.
Change in Treatment response/non-response (a CGI-I of Improved or better, ratings of 1-3, 3 = Improved)	2 week and 6-month follow-up	CGI-I assesses improvement from baseline immediately following treatment and at a 6-month followup assessment.

Secondary Outcome Measures

Name	Time	Method
Change in Diagnostic status: presence or absence of social anxiety disorder	2 week and 6-month follow-up
Change in Adolescent and parent ratings of social anxiety scale scores (self and parent SPAI-C), and adolescent ratings of depression (BDI-II)	2 week and 6-month follow-up
Change in Overall and school functioning: spare-time, peer relations, home life, school attendance, grades, and LSAS-CA school items total score	2 week and 6-month follow-up

Trial Locations

Locations (1)

New York University School of Medicine; 🇺🇸 New York, New York, United States