{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T21:00:19Z","timestamp":1785445219901,"version":"3.56.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2008,1,1]],"date-time":"2008-01-01T00:00:00Z","timestamp":1199145600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[2008,12]]},"abstract":"<jats:p>Objective: In two previous randomized controlled trials Titov et al. demonstrated significant benefit from an Internet- and email-based treatment programme for social phobia. The present study (Shyness 3) explores whether participants are able to complete this programme independently.<\/jats:p>\n                  <jats:p>Method: A total of 98 individuals with social phobia were randomly assigned to a clinician-assisted computerized cognitive behavioural treatment (CaCCBT) group, a self-guided computerized CBT (CCBT) group, or to a waitlist control group. CaCCBT group participants completed the usual Shyness programme consisting of six online lessons, cognitive behavioural homework assignments, email contact with a therapist, and participation in an online discussion forum. CCBT group participants accessed the same resources except for therapist emails. An intention-to-treat model was used for data analyses.<\/jats:p>\n                  <jats:p>Results: A total of 77% of CaCCBT and 33% of CCBT group participants completed all lessons. Significant differences were found after treatment between CaCCBT and control groups (mean between-groups effect size (ES) for the social phobia measures = 1.04), and between the CaCCBT and CCBT groups (mean between-groups ES for the social phobia measures = 0.66). No significant differences were found after treatment between the CCBT and control groups (mean between-groups ES for the social phobia measures = 0.38). CCBT participants, however, who completed the six lessons made good progress (mean within-group ES for the social phobia measures = 0.62). Quantitative and qualitative data indicate that both the CaCCBT and CCBT procedures were acceptable to participants.<\/jats:p>\n                  <jats:p>Conclusions: The reliability of this Internet-based treatment programme for social phobia has been confirmed. The therapist-guided condition was superior to the self-guided condition, but a subgroup of participants still benefited considerably from the latter. These data confirm that self-guided education or treatment programmes for common anxiety disorders can result in significant improvements.<\/jats:p>","DOI":"10.1080\/00048670802512107","type":"journal-article","created":{"date-parts":[[2009,12,7]],"date-time":"2009-12-07T18:34:28Z","timestamp":1260210868000},"page":"1030-1040","source":"Crossref","is-referenced-by-count":184,"title":["Shyness 3: Randomized Controlled Trial of Guided Versus Unguided Internet-Based CBT for Social Phobia"],"prefix":"10.1177","volume":"42","author":[{"given":"Nickolai","family":"Titov","sequence":"first","affiliation":[{"name":"School of Psychiatry, University of New South, Wales, Sydney, New South Wales, Australia"},{"name":"CRUFAD at St Vincent's Hospital, 299 Forbes Street, Darlinghurst, NSW, 2010, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gavin","family":"Andrews","sequence":"additional","affiliation":[{"name":"School of Psychiatry, University of New South, Wales, Sydney, New South Wales, Australia"},{"name":"CRUFAD at St Vincent's Hospital, 299 Forbes Street, Darlinghurst, NSW, 2010, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella","family":"Choi","sequence":"additional","affiliation":[{"name":"School of Psychiatry, University of New South, Wales, Sydney, New South Wales, Australia"},{"name":"CRUFAD at St Vincent's Hospital, 299 Forbes Street, Darlinghurst, NSW, 2010, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Genevieve","family":"Schwencke","sequence":"additional","affiliation":[{"name":"St Vincent's Hospital, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Mahoney","sequence":"additional","affiliation":[{"name":"St Vincent's Hospital, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2008,1,1]]},"reference":[{"key":"bibr1-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.178.2.145"},{"key":"bibr2-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1071\/AH07S122"},{"key":"bibr3-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2005.00499.x"},{"key":"bibr4-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2005.07.003"},{"issue":"5","key":"bibr5-00048670802512107","first-page":"34","volume":"65","author":"Otto MW","year":"2004","journal-title":"J Clin Psychiatry"},{"key":"bibr6-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1080\/00048670802119762"},{"key":"bibr7-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1080\/00048670802119820"},{"key":"bibr8-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.74.4.677"},{"key":"bibr9-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.105.020107"},{"key":"bibr10-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.187.5.456"},{"key":"bibr11-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7916(03)00026-0"},{"key":"bibr12-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2004.10.002"},{"key":"bibr13-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1080\/13284200500378795"},{"key":"bibr14-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2005.07.001"},{"key":"bibr15-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2008.01.008"},{"key":"bibr16-00048670802512107","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1033"},{"key":"bibr17-00048670802512107","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7.1.e7"},{"key":"bibr18-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291706008944"},{"key":"bibr19-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1080\/00048670601109873"},{"key":"bibr20-00048670802512107","doi-asserted-by":"publisher","DOI":"10.4324\/9780203962152"},{"key":"bibr21-00048670802512107","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.4.3.e14"},{"key":"bibr22-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.54.3.396"},{"key":"bibr23-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.37945.566632.EE"},{"key":"bibr24-00048670802512107","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7.2.e16"},{"key":"bibr25-00048670802512107","volume-title":"World Health Organization Disability Assessment Schedule","author":"World Health Organization"},{"key":"bibr26-00048670802512107","volume-title":"The anxiety disease","author":"Sheehan DV","year":"1983"},{"key":"bibr27-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(97)10031-6"},{"key":"bibr28-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"bibr29-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291702006074"},{"key":"bibr30-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2004.12.001"},{"key":"bibr31-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7916(00)00012-4"},{"issue":"20","key":"bibr32-00048670802512107","first-page":"22","volume":"59","author":"Sheehan DV","year":"1998","journal-title":"J Clin Psychiatry"},{"key":"bibr33-00048670802512107","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"2000"},{"key":"bibr34-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7916(72)90045-6"},{"key":"bibr35-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-5-35"},{"key":"bibr36-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000172624.52957.a8"},{"key":"bibr37-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2007.08.002"},{"key":"bibr38-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1348\/014466505X35146"},{"key":"bibr39-00048670802512107","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.106.032078"}],"container-title":["Australian &amp; New Zealand Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1080\/00048670802512107","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1080\/00048670802512107","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1080\/00048670802512107","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T10:51:36Z","timestamp":1777373496000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1080\/00048670802512107"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,1,1]]},"references-count":39,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2008,12]]}},"alternative-id":["10.1080\/00048670802512107"],"URL":"https:\/\/doi.org\/10.1080\/00048670802512107","relation":{},"ISSN":["0004-8674","1440-1614"],"issn-type":[{"value":"0004-8674","type":"print"},{"value":"1440-1614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,1,1]]}}}