{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T17:40:25Z","timestamp":1787161225967,"version":"build-2736575974"},"reference-count":45,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,8,9]],"date-time":"2022-08-09T00:00:00Z","timestamp":1660003200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["NF\u2010SI\u20100512\u201010132"],"award-info":[{"award-number":["NF\u2010SI\u20100512\u201010132"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["102176\/Z\/13\/Z"],"award-info":[{"award-number":["102176\/Z\/13\/Z"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["WT069777"],"award-info":[{"award-number":["WT069777"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Psychology Psychiatry"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cognitive therapy for SAD (CT\u2010SAD) is a first\u2010line recommended treatment for adult social anxiety disorder (SAD) and shows considerable promise for youth. However, the high prevalence of adolescent SAD and limited number of therapists presents an implementation challenge. Delivery of CT\u2010SAD via the Internet may offer part of the solution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Forty\u2010three youth (14\u201318\u2009years) with SAD recruited through schools were randomly allocated to therapist\u2010assisted Internet\u2010delivered CT\u2010SAD (called OSCA) or waitlist for 14\u2009weeks (ISRCTN15079139).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>OSCA outperformed waitlist on all measures and was associated with large effects that were maintained at 6\u2010month follow\u2010up. In the OSCA arm, 77% of adolescents lost their SAD diagnosis at post (vs. 14% in the waitlist arm), increasing to 91% at 6\u2010months. Beneficial effects of OSCA were mediated through changes in cognitions and safety behaviours as predicted by cognitive models of SAD. OSCA was associated with high credibility and therapeutic alliance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This preliminary trial suggests OSCA holds promise as an effective, accessible treatment for adolescent SAD. Future definitive trials could compare OSCA to active comparators to examine specificity of effects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpp.13680","type":"journal-article","created":{"date-parts":[[2022,8,9]],"date-time":"2022-08-09T06:44:41Z","timestamp":1660027481000},"page":"145-155","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Internet\u2010delivered therapist\u2010assisted cognitive therapy for adolescent social anxiety disorder (\n                    <scp>OSCA<\/scp>\n                    ): a randomised controlled trial addressing preliminary efficacy and mechanisms of action"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2756-3770","authenticated-orcid":false,"given":"Eleanor","family":"Leigh","sequence":"first","affiliation":[{"name":"Department of Experimental Psychology University of Oxford  Oxford UK"},{"name":"Oxford Health NHS Foundation Trust  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8173-6022","authenticated-orcid":false,"given":"David M.","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Experimental Psychology University of Oxford  Oxford UK"},{"name":"Oxford Health NHS Foundation Trust  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,9]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1848"},{"key":"e_1_2_6_3_1","first-page":"237","article-title":"The development of a short questionnaire for use in epidemiological studies of depression in children and adolescents","volume":"5","author":"Angold A.","year":"1995","journal-title":"International Journal of Methods in Psychiatric Research"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2017.05.004"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d556"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7916(72)90045-6"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.6.1179"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2020.103801"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.10.055"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(99)00130-8"},{"key":"e_1_2_6_11_1","unstructured":"Clark D.M.(2003).Social anxiety process measures. Available from:https:\/\/oxcadatresources.com"},{"key":"e_1_2_6_12_1","first-page":"69","volume-title":"Social phobia: Diagnosis, assessment, and treatment","author":"Clark D.M.","year":"1995"},{"key":"e_1_2_6_13_1","unstructured":"Clark D.M. Wild J. Warnock\u2010Parkes E. Stott R. Thew G.R. &Ehlers A.(in press).More than doubling the clinical benefit of each hour of therapist time: A randomised controlled trial of internet cognitive therapy for social anxiety disorder. Psychological Medicine."},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291716002348"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2021.103931"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/S135246582000079X"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euroneuro.2005.04.002"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.4306\/pi.2016.13.5.574"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2021.44"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503300500352500"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0020761"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1159\/000354672"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-019-3885-3"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0249952"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465815000715"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-019-3651-6"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10578-021-01163-0"},{"key":"e_1_2_6_28_1","first-page":"1","article-title":"Establishing the psychometric properties of the self\u2010report Liebowitz social anxiety scale for children and adolescents in a general population adolescent sample","author":"Leigh E.","year":"2021","journal-title":"European Journal of Psychological Assessment"},{"key":"e_1_2_6_29_1","first-page":"1","article-title":"Delivering cognitive therapy for adolescent social anxiety disorder in NHS CAMHS: A clinical and cost analysis","volume":"1","author":"Leigh E.","year":"2021","journal-title":"Behavioural and Cognitive Psychotherapy"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2013.09.008"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2007.01737.x"},{"key":"e_1_2_6_32_1","unstructured":"Masia\u2010Warner C. Klein R.G. &Liebowitz M.R.(1999).The Liebowitz Social Anxiety Scale for Children and Adolescents (LSAS\u2010CA). Available from Carrie Masia\u2010Warner Dickson Hall 255 1 Normal Avenue Montclair NJ USA 07043."},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(14)70329-3"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2011.02.001"},{"key":"e_1_2_6_35_1","unstructured":"National Institute for Health and Care Excellence. (2013).Social anxiety disorder: recognition assessment and treatment of social anxiety disorder. (Clinical guideline 159). Available from:http:\/\/guidance.nice.org.uk\/CG159[last accessed 05 April 2022]."},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2021.0469"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/camh.12160"},{"key":"e_1_2_6_38_1","volume-title":"R: A language and environment for statistical computing","author":"R Core Team","year":"2020"},{"key":"e_1_2_6_39_1","volume-title":"The anxiety disorders interview schedule for DSM\u2010IV: Child and parent versions","author":"Silverman W.K.","year":"1996"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2015.07.009"},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2016.12.003"},{"key":"e_1_2_6_42_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.58.3.251"},{"key":"e_1_2_6_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2019.01.003"},{"key":"e_1_2_6_44_1","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2011.555486"},{"key":"e_1_2_6_45_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291719003908"},{"key":"e_1_2_6_46_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291798008174"}],"container-title":["Journal of Child Psychology and Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jcpp.13680","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jcpp.13680","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jcpp.13680","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T19:11:49Z","timestamp":1762197109000},"score":1,"resource":{"primary":{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/10.1111\/jcpp.13680"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,9]]},"references-count":45,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1111\/jcpp.13680"],"URL":"https:\/\/doi.org\/10.1111\/jcpp.13680","archive":["Portico"],"relation":{},"ISSN":["0021-9630","1469-7610"],"issn-type":[{"value":"0021-9630","type":"print"},{"value":"1469-7610","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,9]]},"assertion":[{"value":"2022-06-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}