{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T21:04:09Z","timestamp":1792184649140,"version":"4.4.0"},"reference-count":28,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":5390,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2003,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Maintenance of treatment effect is important for the choice of treatment for social phobia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To examine the effect of exposure therapy and sertraline 28 weeks after cessation of medical treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>In this study 375 patients with social phobia were randomised to treatment with sertraline or placebo for 24 weeks, with or without the addition of exposure therapy Fifty-two weeks after inclusion, 328 patients were evaluated by the same psychometric tests as at baseline and the end of treatment (24 weeks).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The exposure therapy group and the placebo group had a further improvement in scores on social phobia during follow-up: mean change in the Clinical Global Impression \u2013 Social Phobia overall severity score was 0.45 (95% CI 016\u20130.65, <jats:italic>P<\/jats:italic> &lt; 0.01) for the exposure group, and 0.25 (95% CI 0.00\u20130.48, <jats:italic>P<\/jats:italic> &lt; 0.05) for the placebo group. At week 52 the sertraline plus exposure group and the sertraline-alone group had a significant deterioration on the 36-item Short Form Health Survey compared with exposure alone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Exposure therapy alone yielded a further improvement during follow-up, whereas exposure therapy combined with sertraline and sertraline alone showed a tendency towards deterioration after the completion of treatment.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.182.4.312","type":"journal-article","created":{"date-parts":[[2003,4,1]],"date-time":"2003-04-01T01:34:58Z","timestamp":1049160898000},"page":"312-318","source":"Crossref","is-referenced-by-count":123,"title":["Exposure therapy and sertraline in social phobia: 1-year follow-up of a randomised controlled trial"],"prefix":"10.1192","volume":"182","author":[{"given":"Tone 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