CBT for Social Anxiety Disorder Delivered by School Counselors
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 126
- 试验地点
- 1
- 主要终点
- Change in Diagnostic severity of social anxiety disorder (ADIS CSR score)
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Care Provider, Investigator)
入排标准
- 年龄范围
- 14 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis. DSM-IV primary diagnosis (most severe) of social anxiety disorder (as determined by the ADIS-PC)
- •Age and Sex. Boys and Girls, 14 through 19 years
- •Grade. 9th, 10th, 11th, or 12th
- •English speaking. Adolescent
排除标准
- •Current diagnosis of substance use or conduct disorder
- •Concurrent mental disorder of greater severity than social anxiety disorder
- •Current psychotic symptoms
- •Current suicidal ideation
- •Pervasive developmental disorder, or a significant medical disorder (e.g., substantially impairs functioning, school attendance, or the ability to engage in treatment)
- •Current psychological or pharmacological treatment
结局指标
主要结局
Change in Diagnostic severity of social anxiety disorder (ADIS CSR score)
时间窗: 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)
时间窗: 2 week and 6-month follow-up
CGI-I assesses improvement from baseline immediately following treatment and at a 6-month followup assessment.
次要结局
- 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)