{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T10:24:17Z","timestamp":1771583057557,"version":"3.50.1"},"reference-count":53,"publisher":"Leibniz Institute for Psychology (ZPID)","issue":"1","license":[{"start":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:00:00Z","timestamp":1772150400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cpe.psychopen.eu"],"crossmark-restriction":false},"short-container-title":["Clin. Psychol. Eur."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Social Anxiety Disorder (SAD) is a prevalent mental disorder characterised by fear of negative evaluation. Although effective treatment approaches are available, access remains limited due to psychological and organisational barriers. Internet-based cognitive behavioural therapy (iCBT) has shown promising results and may facilitate an easy and more resource-efficient access to treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      We developed an app-based self-help intervention for SAD based on the Clark and Wells treatment program, implemented as an unguided smartphone application, which was evaluated in this quasi-experimental pre-post pilot study consisting of\n                      <jats:italic>N<\/jats:italic>\n                      = 33 patients with a primary diagnosis of SAD. Feasibility was assessed through usage parameters and qualitative feedback. Effectiveness was evaluated in regard to SAD and depression, using clinician-rated measures (LSAS, QIDS-C) at post-treatment (12 weeks) and self-report measures (SPIN, SCQ, BDI-FS) at midpoint and post-treatment. Additionally, moderating effects of usage parameters on symptom reduction were examined.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Clinician- and self-reported SAD symptoms were significantly reduced at post-measurement (within-group effect sizes LSAS: \u03b7\n                      <jats:sup>2<\/jats:sup>\n                      = .54; SPIN: \u03b7\n                      <jats:sup>2<\/jats:sup>\n                      = .47), with 52% of patients achieving a clinically significant improvement. Despite moderate overall adherence, the amount of conducted behavioural experiments moderated reduction in self-reported SAD symptom severity and SAD-related cognitions. Open feedback supported feasibility and acceptability of the app.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      In conclusion, findings provide preliminary support for feasibility, acceptability, and potential effectiveness of\n                      <jats:italic>Mindable: Soziale Phobie<\/jats:italic>\n                      . A randomised controlled trial will further evaluate the effectiveness and explore the impact of therapist guidance.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.32872\/cpe.15687","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T09:30:39Z","timestamp":1771579839000},"update-policy":"https:\/\/doi.org\/10.5964\/psychopen.cmp","source":"Crossref","is-referenced-by-count":0,"title":["Conducting behavioural experiments using an app-based self-help program for social anxiety disorder (SMASH): Outcomes of a quasi-experimental pre-post pilot trial"],"prefix":"10.32872","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0000-4522","authenticated-orcid":false,"given":"Johanna S.","family":"Sch\u00fcller","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4134-0821","authenticated-orcid":false,"given":"Jacob","family":"Kujat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4478-5036","authenticated-orcid":false,"given":"Jan M.","family":"Schittenhelm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronja","family":"von Rechenberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9456-2443","authenticated-orcid":false,"given":"Antonia","family":"\u010ceri\u010d","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1697-6732","authenticated-orcid":false,"given":"J\u00fcrgen","family":"Hoyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1945-1704","authenticated-orcid":false,"given":"Ulrich","family":"Stangier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1941","published-online":{"date-parts":[[2026,2,27]]},"reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2012.01.003"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1002\/da.22711"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1080\/14737175.2018.1400381"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.1097\/YIC.0000000000000078"},{"key":"r6","unstructured":"Beesdo-Baum, K., Zaudig, M., & Wittchen, H. 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