{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T19:20:33Z","timestamp":1791919233561,"version":"4.3.4"},"reference-count":57,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T00:00:00Z","timestamp":1747785600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Clinic Psychol"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      Current best\u2010practice treatments for social anxiety disorder do not directly address loneliness, despite its role in the maintenance of the condition. The current study targets this issue directly, using mixed methods to provide an initial test of the efficacy of an established loneliness intervention,\n                      <jats:sc>Groups 4 Health<\/jats:sc>\n                      (G4H), among 33 people with clinically elevated social anxiety symptoms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A single\u2010arm design was used and outcomes were assessed at baseline, programme completion and 5\u2010month follow\u2010up (3\u2009months after programme completion).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Loneliness, social anxiety symptoms, depression symptoms and well\u2010being were assessed at each time point. Semi\u2010structured follow\u2010up interviews were also conducted to explore the feasibility and acceptability of G4H in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Results from intention\u2010to\u2010treat analyses provide initial evidence of the programme's efficacy: participants' loneliness (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u2009\u22121.08), social anxiety symptoms (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u2009\u2212.45), and depression symptoms (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u2009\u2212.60) reduced significantly from baseline to 5\u2010month follow\u2010up while their well\u2010being (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20091.00) increased. Four themes emerged from reflexive thematic analysis: (1) the importance of challenging initial anxiety about attending group therapy, (2) the value of being vulnerable with fellow group members, (3) the role of G4H in increasing participants' social confidence, and (4) processes\u00a0which both helped and hindered participants' ability to engage with their group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Together, results suggest that G4H is a promising and innovative treatment option for people with social anxiety, and further controlled evaluation is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjc.12539","type":"journal-article","created":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T00:34:49Z","timestamp":1747874089000},"page":"979-1001","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["An intervention to build social identities improves mental health and wellbeing in people with elevated social anxiety: Evidence from a single\u2010arm clinical trial"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8752-2423","authenticated-orcid":false,"given":"Jessica L.","family":"Donaldson","sequence":"first","affiliation":[{"name":"School of Medicine and Psychology Australian National University  Canberra Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3803-2492","authenticated-orcid":false,"given":"Alysia M.","family":"Robertson","sequence":"additional","affiliation":[{"name":"School of Medicine and Psychology Australian National University  Canberra Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5296-3480","authenticated-orcid":false,"given":"Tegan","family":"Cruwys","sequence":"additional","affiliation":[{"name":"School of Medicine and Psychology Australian National University  Canberra Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3910-2648","authenticated-orcid":false,"given":"Joanne A.","family":"Rathbone","sequence":"additional","affiliation":[{"name":"School of Medicine and Psychology Australian National University  Canberra Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0124-9601","authenticated-orcid":false,"given":"Catherine","family":"Haslam","sequence":"additional","affiliation":[{"name":"School of Psychology University of Queensland  St Lucia Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4870-750X","authenticated-orcid":false,"given":"Junwen","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Medicine and Psychology Australian National University  Canberra Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6668-3121","authenticated-orcid":false,"given":"Amy","family":"Dawel","sequence":"additional","affiliation":[{"name":"School of Medicine and Psychology Australian National University  Canberra Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,21]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2012.01.003"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2016.02.005"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v067.i01"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063\u2010019\u20103807\u20104"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145445515587087"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2017.11.006"},{"key":"e_1_2_11_11_1","first-page":"69","volume-title":"Social phobia: Diagnosis, assessment, and treatment","author":"Clark D. 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