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Investigating the Impact of Negative Effects during a Smartphone-Based Treatment for Social Anxiety Disorder: A Correlational Study
Stockholm University, Faculty of Social Sciences, Department of Psychology.
Stockholm University, Faculty of Social Sciences, Department of Psychology.
Freie Universität Berlin.
Linköping University and Karolinska Institutet.
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2015 (English)Conference paper, Poster (Other academic)
Abstract [en]

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).

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Keyword [en]
smartphone-based treatment, social anxiety disorder, SAD
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Research subject
URN: urn:nbn:se:su:diva-121069OAI: diva2:855890
The 45th Annual European Association for Behavioural Cognitive Therapies Congress, Jerusalem, Israel, 31 August-03 September 2015.
Available from: 2015-09-22 Created: 2015-09-22 Last updated: 2015-09-22

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Rozental, AlexanderAlhashwa, PeterCarlbring, Per
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Department of Psychology

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