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  • Rozental, AlexanderStockholms universitet,Psykologiska institutionen (author)

Investigating the impact of negative effects during a smartphone-based treatment for social anxiety disorder : A correlational study

  • Article/chapterEnglish2015

Publisher, publication year, extent ...

  • 2015
  • printrdacarrier

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  • LIBRIS-ID:oai:DiVA.org:su-121069
  • https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-121069URI

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  • Language:English
  • Summary in:English

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  • Subject category:vet swepub-contenttype
  • Subject category:kon swepub-publicationtype

Notes

  • 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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  • Alhashwa, PeterStockholms universitet,Psykologiska institutionen(Swepub:su)peal5873 (author)
  • Boettcher, Johanna (author)
  • Andersson, Gerhard (author)
  • Carlbring, PerStockholms universitet,Psykologiska institutionen(Swepub:su)pecar (author)
  • Stockholms universitetPsykologiska institutionen (creator_code:org_t)

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