Investigating the Impact of Negative Effects during a Smartphone-Based Treatment for Social Anxiety Disorder: A Correlational Study
2015 (English)Conference paper, Poster (Other academic)
Negative effects of psychological treatments constitute an important but largely unexplored area of research. Prior investigations have indicated that approximately 5-10% of all patients receiving face-to-face treatments deteriorate. In addition, other types of negative effects could exist as well, for instance, novel symptoms, social stigma, and interpersonal difficulties, but have been studied to a lesser extent. Meanwhile, negative effects are also assumed to occur in psychological treatments delivered online, but their incidence and impact is still unknown. In the current study, data collected from a smartphone-based treatment for social anxiety disorder (total N =189) was assessed in order to determine the influence of negative effects on treatment outcome. A new self-report measure for reporting negative effects was developed through a comprehensive literature search and a review of similar instruments for face-to-face treatments, consisting of sixty items scored on a five-point Likert-scale. Change from pre- to post-treatment assessment on the Liebowitz Social Anxiety Scale was correlated with the frequency and impact of negative effects, indicating that the number of incidents, r = .175, and the degree to which the patient was affected by the negative effects, r = .192, were related to less change in symptom severity. However, no sociodemographic variables or degree of social anxiety at baseline had a relationship with negative effects during treatment. In terms of the most recurring types of negative effects, patients reported that they had a bad conscience about not conducting their assignments (Item 16), being stressed by the treatment schedule (Item 2), and feeling left out during treatment (Item 55).
Place, publisher, year, edition, pages
smartphone-based treatment, social anxiety disorder, SAD
Research subject Psychology
IdentifiersURN: urn:nbn:se:su:diva-121069OAI: oai:DiVA.org:su-121069DiVA: diva2:855890
The 45th Annual European Association for Behavioural Cognitive Therapies Congress, Jerusalem, Israel, 31 August-03 September 2015.