{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T05:15:17Z","timestamp":1783228517361,"version":"3.54.6"},"reference-count":49,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2013,5,16]],"date-time":"2013-05-16T00:00:00Z","timestamp":1368662400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav. Cogn. Psychother."],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> Randomized controlled trials have established that individual cognitive therapy based on the Clark and Wells (1995) model is an effective treatment for social anxiety disorder that is superior to a range of alternative psychological and pharmacological interventions. Normally the treatment involves up to 14 weekly face-to-face therapy sessions. <jats:bold>Aim:<\/jats:bold> To develop an internet based version of the treatment that requires less therapist time. <jats:bold>Method:<\/jats:bold> An internet-delivered version of cognitive therapy (iCT) for social anxiety disorder is described. The internet-version implements all key features of the face-to-face treatment; including video feedback, attention training, behavioural experiments, and memory focused techniques. Therapist support is via a built-in secure messaging system and by brief telephone calls. A cohort of 11 patients meeting DSM-IV criteria for social anxiety disorder worked through the programme and were assessed at pretreatment and posttreatment. <jats:bold>Results:<\/jats:bold> No patients dropped out. Improvements in social anxiety and related process variables were within the range of those observed in randomized controlled trials of face-to-face CT. Nine patients (82%) were classified as treatment responders and seven (64%) achieved remission status. Therapist time per patient was only 20% of that in face-to-face CT. <jats:bold>Conclusions:<\/jats:bold> iCT shows promise as a way of reducing therapist time without compromising efficacy. Further evaluation of iCT is ongoing.<\/jats:p>","DOI":"10.1017\/s1352465813000404","type":"journal-article","created":{"date-parts":[[2013,5,16]],"date-time":"2013-05-16T04:53:49Z","timestamp":1368680029000},"page":"383-397","source":"Crossref","is-referenced-by-count":56,"title":["Internet-Delivered Cognitive Therapy for Social Anxiety Disorder: A Development Pilot Series"],"prefix":"10.1017","volume":"41","author":[{"given":"Richard","family":"Stott","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Wild","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nick","family":"Grey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheena","family":"Liness","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Warnock-Parkes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siobhan","family":"Commins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Readings","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgina","family":"Bremner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Woodward","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anke","family":"Ehlers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M.","family":"Clark","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2013,5,16]]},"reference":[{"key":"S1352465813000404_ref32","volume-title":"The Social Phobia Psychotherapy Research Network (SOPHONET): structure and preliminary results","author":"Leichsenring","year":"2012"},{"key":"S1352465813000404_ref49","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2011.03.002"},{"key":"S1352465813000404_ref21","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291701004056"},{"key":"S1352465813000404_ref12","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.74.3.568"},{"key":"S1352465813000404_ref4","doi-asserted-by":"publisher","DOI":"10.3109\/00048674.2010.538840"},{"key":"S1352465813000404_ref2","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"2004"},{"key":"S1352465813000404_ref29","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.62.6.593"},{"key":"S1352465813000404_ref18","volume-title":"The IAPT Data Handbook: guidance on recording and monitoring outcomes to support local evidence-based practice","year":"2011"},{"key":"S1352465813000404_ref6","doi-asserted-by":"crossref","DOI":"10.4088\/JCP.v67n0914","volume-title":"What is the Threshold for Symptomatic Response and Remission for Major Depressive Disorder, Panic Disorder, Social Anxiety Disorder, and Generalized Anxiety Disorder?","author":"Bandelow","year":"2006"},{"key":"S1352465813000404_ref34","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2008.10.010"},{"key":"S1352465813000404_ref10","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.105.020107"},{"key":"S1352465813000404_ref22","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.108.060996"},{"key":"S1352465813000404_ref31","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2008.12.001"},{"key":"S1352465813000404_ref15","unstructured":"Clark D. M. , Wild J. , Grey N. , Stott R. , Liness S. , Deale A. , et al. (2012). Doubling the clinical benefit of each hour of psychotherapy: a randomized controlled trial of self-study assisted cognitive therapy for social anxiety disorder. Manuscript submitted for publication."},{"key":"S1352465813000404_ref14","first-page":"69","volume-title":"Social Phobia: diagnosis, assessment and treatment","author":"Clark","year":"1995"},{"key":"S1352465813000404_ref36","doi-asserted-by":"publisher","DOI":"10.1586\/14737167.7.3.291"},{"key":"S1352465813000404_ref11","volume-title":"Three questionaires for measuring central constructs in the cognitive model of social phobia","author":"Clark","year":"2005"},{"key":"S1352465813000404_ref30","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"S1352465813000404_ref42","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(02)00176-6"},{"key":"S1352465813000404_ref37","unstructured":"Pilling S. , Mayo-Wilson E. , Mavranezouli I. , Kew K. , Taylor C. and Clark D. M. (in press). Recognition, assessment and treatment of social anxiety disorder: summary of NICE guidance. 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