Social Anxiety Disorder: Psychotherapy vs. Control
General Description
The sad-psyctr
dataset is a meta-analytic research domain MARD which is part of the Metapsy project. The dataset contains study information and effect size data of randomized trials on psychological interventions for social anxiety disorder. The date of the last search update is provided here. More details about a larger version of this dataset can be accessed in the published meta-analysis.
This dataset includes psychological interventions vs. control (psy vs ctr
) comparisons. Effect sizes are provided for all validated social anxiety measures reported in a study at post-treatment, including clinician-rated instruments and self-report questionnaires (e.g., Social Phobia Scale, Social Interaction Anxiety Scale, Liebowitz Social Anxiety Scale, etc.). It includes one type of effect size calculation per study, giving priority to means and standard deviations at post-test.
All data has been extracted by two independent reviewers.
Risk of bias assessments were performed by two independent reviewers using the Cochrane Risk of Bias tool (version 2).
The dataset follows the Metapsy data standard.
Affiliated Institutions
Vrije Universiteit Amsterdam
Online Meta-Analysis Tool
A simplified version of this database can be analyzed at metapsy.org/database/ocd.
Metadata
- metapsyData Shorthand:
sad-psyctr
- Number of Studies: 66
- Latest Version: 24.0.1
- Last updated: July 12, 2024
- Last search: January 1, 2024
- Search String (Latest Version): ↗
- Data Repository (Latest Version): ↗
- Preregistration (Research Domain): ↗
- License: ODC-By v1.0 ↗
- Database DOI:
Variable Description
Variable | Description |
---|---|
study | Author and year of publication |
condition_arm1 | Type of treatment (cbt = cognitive behaviour therapy, 3rd = third wave cognitive behaviour therapy, Exposure = exposure therapy, Other psy = other type of psychotherapy) |
condition_arm2 | Type of comparator (cau = care as usual, wlc = waitlist, other ctr = other type of inactive control group) |
multi_arm1 | In multiarm trials, this variable provides a specification of the type of treatment used in the first arm. This variable is set to NA (missing) when the study was not a multiarm trial. For example, if a multiarm trial employed two types of CBT interventions, face-to-face and Internet-based, this variable would be set to f2f and Internet, respectively. |
multi_arm2 | In multiarm trials, this variable provides a specification of the type of treatment used in the second arm. This variable is set to NA (missing) when the study was not a multiarm trial. For example, if a multiarm trial employed two types of control groups, waitlist and placebo, this variable would be set to wl and plac, respectively. Typically, multiarm trials employ two or more active treatments (e.g. CBT and problem-solving therapy), which are compared to the same control group (e.g. a waitlist). This means that values in multi_arm2 do not differ (e.g. they are always wl for this specific multiarm trial); nevertheless, the variable should be specified in the dataset. |
outcome_type | This variable encodes the type of outcome that builds the basis of the comparison, e.g. means and standard deviations (msd), change from baseline, response, remission, other statistics, etc. |
instrument | This variable describes the instrument through which the relevant outcome was measured. |
rating | This variable encodes if the measured outcome was self-reported ("self-report"), clinician-rated ("cr") |
mean_arm1 | Mean arm 1 |
mean_arm2 | Mean arm 2 |
sd_arm1 | Standard deviation arm 1 |
sd_arm2 | Standard deviation arm 2 |
n_arm1 | Number of participants arm 1 |
n_arm2 | Number of participants arm 2 |
mean_change_arm1 | Mean change from baseline arm 1 |
mean_change_arm2 | Mean change from baseline arm 2 |
sd_change_arm1 | Standard deviation for the change from baseline arm 1 |
sd_change_arm2 | Standard deviation for the change from baseline arm 2 |
n_change_arm1 | Number of participants arm 1 (change scores) |
n_change_arm2 | Number of participants arm 2 (change scores) |
dich_paper | How the paper describes the dichotomous outcome |
event_arm1 | Number of events (responders, remission, deterioration cases) in the first trial arm |
event_arm2 | Number of events (responders, remission, deterioration cases) in the second trial arm |
totaln_arm1 | Total number of participants arm 1 (event data) |
totaln_arm2 | Total number of participants arm 2 (event data) |
precalc_g | The pre-calculated value of Hedges' g (small-sample bias corrected standardized mean difference; Hedges, 1981). |
precalc_g_se | Standard error of g |
precalc_log_rr | The pre-calculated value of the log-risk ratio logeRR, comparing events in the first arm to events in the second arm. |
precalc_log_rr_se | The standard error of the log-risk ratio logeRR, comparing events in the first arm to events in the second arm. |
other_stat | Ouctome statistic from the paper used to precalculate the effect size |
bl_m_arm1 | Baseline mean arm 1 |
bl_sd_arm1 | Baseline standard deviation arm 1 |
bl_n_arm1 | Number of participants at baseline arm 1 |
bl_m_arm2 | Baseline mean arm 2 |
bl_sd_arm2 | Baseline standard deviation arm 2 |
bl_n_arm2 | Number of participants at baseline arm 2 |
rand_arm1 | Randomized number of participants arm 1 |
rand_arm2 | Randomized number of participants arm 2 |
attr_arm1 | Attrition arm 1 |
attr_arm2 | Attrition arm 2 |
year | Year of publication |
time_weeks | The measurement point at which the outcome was obtained, in weeks after randomization (set to NA if this information was not available). |
time | The measurement point at which the outcome was obtained (e.g. post or follow-up). |
comorbid_mental | All the participants are recruited based on meeting criteria for a comorbid mental health disorder (e.g. anxiety and depression). Coded as y= yes, n= no |
format | ind= individual; grp= group; gsh= guided self-help; ush= unguided self-help; Mixed/oth = mixed or other formats |
format_details | It includes more details about the format |
n_sessions_arm1 | Average number of sessions received |
country | continent where the trial was conducted: Asia; Australia; Europe; North America |
age_group | Adul = adults; Yadul = young adults (studies in college students and studies with a mean age between 18 and 24) |
mean_age | Average age |
percent_women | % of women at baseline |
recruitment | com= community; clin= clinical; oth= other |
target_group | adul = adults; stud/oth = students or other target groups |
rob | Overall risk of bias score |
rob_domain1 | Risk of bias score domain 1, risk of bias arising from the randomization process |
rob_domain2 | Risk of bias score domain 2, risk of bias due to deviations from the intended interventions (effect of assignment to intervention) |
rob_domain3 | Risk of bias score domain 3, risk of bias due to missing outcome data |
rob_domain4 | Risk of bias score domain 4, risk of bias in measurement of the outcome |
rob_domain5 | Risk of bias score domain 5 risk of bias in selection of the reported result |
.id | metapsyTools generated variable: Unique identifier for a trial arm comparison/row. |
.g | metapsyTools generated variable: Calculated effect size (Hedges' g). |
.g_se | metapsyTools generated variable: Standard error of Hedges' g. |
notes | Notes about the trial |
full_ref | Full reference of the study. |
Study References
- Abramowitz, 2009: Abramowitz, J. S., Moore, E. L., Braddock, A. E., & Harrington, D. L. (2009). Self-help cognitive-behavioral therapy with minimal therapist contact for social phobia: a controlled trial. J Behav Ther Exp Psychiatry, 40(1), 98-105. https://doi.org/10.1016/j.jbtep.2008.04.004
- Anderson, 2013: Anderson, P. L., Price, M., Edwards, S. M., Obasaju, M. A., Schmertz, S. K., Zimand, E., & Calamaras, M. R. (2013). Virtual reality exposure therapy for social anxiety disorder: a randomized controlled trial. J Consult Clin Psychol, 81(5), 751-760. https://doi.org/10.1037/a0033559
- Andersson, 2006: Andersson, G., Carlbring, P., Holmstrom, A., Sparthan, E., Furmark, T., Nilsson-Ihrfelt, E., Buhrman, M., & Ekselius, L. (2006). Internet-based self-help with therapist feedback and in vivo group exposure for social phobia: a randomized controlled trial. J Consult Clin Psychol, 74(4), 677-686. https://doi.org/10.1037/0022-006x.74.4.677
- Andersson, 2012: Andersson, G., Carlbring, P., & Furmark, T. (2012). Therapist experience and knowledge acquisition in internet-delivered CBT for social anxiety disorder: a randomized controlled trial. PLoS One, 7(5), e37411. https://doi.org/10.1371/journal.pone.0037411
- Beidel, 2014: Beidel, D. C., Alfano, C. A., Kofler, M. J., Rao, P. A., Scharfstein, L., & Wong Sarver, N. (2014). The impact of social skills training for social anxiety disorder: a randomized controlled trial. J Anxiety Disord, 28(8), 908-918. https://doi.org/10.1016/j.janxdis.2014.09.016
- Berger, 2009: Berger, T., Hohl, E., & Caspar, F. (2009). Internet-based treatment for social phobia: a randomized controlled trial. J Clin Psychol, 65(10), 1021-1035. https://doi.org/10.1002/jclp.20603
- Blanco, 2010: Blanco, C., Heimberg, R. G., Schneier, F. R., Fresco, D. M., Chen, H., Turk, C. L., Vermes, D., Erwin, B. A., Schmidt, A. B., Juster, H. R., Campeas, R., & Liebowitz, M. R. (2010). A placebo-controlled trial of phenelzine, cognitive behavioral group therapy, and their combination for social anxiety disorder. Arch Gen Psychiatry, 67(3), 286-295. https://doi.org/10.1001/archgenpsychiatry.2010.11
- Botella, 2010: Botella, C., Gallego, M. J., Garcia-Palacios, A., Guillen, V., Baños, R. M., Quero, S., & Alcañiz, M. (2010). An Internet-based self-help treatment for fear of public speaking: a controlled trial. Cyberpsychol Behav Soc Netw, 13(4), 407-421. https://doi.org/10.1089/cyber.2009.0224
- Bouchard, 2017: Bouchard, S., Dumoulin, S., Robillard, G., Guitard, T., Klinger, E., Forget, H., Loranger, C., & Roucaut, F. X. (2017). Virtual reality compared with in vivo exposure in the treatment of social anxiety disorder: a three-arm randomised controlled trial. Br J Psychiatry, 210(4), 276-283. https://doi.org/10.1192/bjp.bp.116.184234
- Carlbring, 2007: Carlbring, P., Gunnarsdottir, M., Hedensjo, L., Andersson, G., Ekselius, L., & Furmark, T. (2007). Treatment of social phobia: randomised trial of internet-delivered cognitive-behavioural therapy with telephone support. Br J Psychiatry, 190, 123-128. https://doi.org/10.1192/bjp.bp.105.020107
- Clark, 2006: Clark, D. M., Ehlers, A., Hackmann, A., McManus, F., Fennell, M., Grey, N., Waddington, L., & Wild, J. (2006). Cognitive therapy versus exposure and applied relaxation in social phobia: A randomized controlled trial. J Consult Clin Psychol, 74(3), 568-578. https://doi.org/10.1037/0022-006x.74.3.568
- Clark, 2023: Clark, D., Wild, J., Warnock-Parkes, E., Stott, R., Grey, N., Thew, G., & Ehlers, A. (2023). More than doubling the clinical benefit of each hour of therapist time: A randomised controlled trial of internet cognitive therapy for social anxiety disorder. Psychol Med,53(11), 5022-5032. doi:10.1017/S0033291722002008
- Craske, 2014: Craske, M. G., Niles, A. N., Burklund, L. J., Wolitzky-Taylor, K. B., Vilardaga, J. C., Arch, J. J., Saxbe, D. E., & Lieberman, M. D. (2014). Randomized controlled trial of cognitive behavioral therapy and acceptance and commitment therapy for social phobia: outcomes and moderators. J Consult Clin Psychol, 82(6), 1034-1048. https://doi.org/10.1037/a0037212
- Davidson, 2004: Davidson, J. R., Foa, E. B., Huppert, J. D., Keefe, F. J., Franklin, M. E., Compton, J. S., Zhao, N., Connor, K. M., Lynch, T. R., & Gadde, K. M. (2004). Fluoxetine, comprehensive cognitive behavioral therapy, and placebo in generalized social phobia. Arch Gen Psychiatry, 61(10), 1005-1013. https://doi.org/10.1001/archpsyc.61.10.1005
- Furmark, 2009: Furmark, T., Carlbring, P., Hedman, E., Sonnenstein, A., Clevberger, P., Bohman, B., Eriksson, A., Hallen, A., Frykman, M., Holmstrom, A., Sparthan, E., Tillfors, M., Ihrfelt, E. N., Spak, M., Eriksson, A., Ekselius, L., & Andersson, G. (2009). Guided and unguided self-help for social anxiety disorder: randomised controlled trial. Br J Psychiatry, 195(5), 440-447. https://doi.org/10.1192/bjp.bp.108.060996
- Gallego, 2011: Gallego, M. J., Gerardus Emmelkamp, P. M., van der Kooij, M., & Mees, H. (2011). The effects of a Dutch version of an Internet-based treatment program for fear of public speaking: A controlled study. Int J Clin Health Psychol, 11(3), 459-472. https://www.redalyc.org/pdf/337/33719289003.pdf
- Goldin, 2012: Goldin, P. R., Ziv, M., Jazaieri, H., Werner, K., Kraemer, H., Heimberg, R. G., & Gross, J. J. (2012). Cognitive reappraisal self-efficacy mediates the effects of individual cognitive-behavioral therapy for social anxiety disorder. J Consult Clin Psychol, 80(6), 1034-1040. https://doi.org/10.1037/a0028555
- Goldin, 2016: Goldin, P. R., Morrison, A., Jazaieri, H., Brozovich, F., Heimberg, R., & Gross, J. J. (2016). Group CBT versus MBSR for social anxiety disorder: A randomized controlled trial. J Consult Clin Psychol, 84(5), 427-437. https://doi.org/10.1037/ccp0000092
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- He, 2021: He, L., Han, W., & Shi, Z. (2021). The Effects of Mindfulness-Based Stress Reduction on Negative Self-Representations in Social Anxiety Disorder-A Randomized Wait-List Controlled Trial. Front Psychiatry, 12, 582333. https://doi.org/10.3389/fpsyt.2021.582333
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- Iavaonia, 2016: Ivanova, E., Lindner, P., Ly, K. H., Dahlin, M., Vernmark, K., Andersson, G., & Carlbring, P. (2016). Guided and unguided Acceptance and Commitment Therapy for social anxiety disorder and/or panic disorder provided via the Internet and a smartphone application: A randomized controlled trial. J Anxiety Disord, 44, 27-35. https://doi.org/10.1016/j.janxdis.2016.09.012
- Johansson, 2017: Johansson, R., Hesslow, T., Ljotsson, B., Jansson, A., Jonsson, L., Fardig, S., Karlsson, J., Hesser, H., Frederick, R. J., Lilliengren, P., Carlbring, P., & Andersson, G. (2017). Internet-based affect-focused psychodynamic therapy for social anxiety disorder: A randomized controlled trial with 2-year follow-up. Psychotherapy (Chic), 54(4), 351-360. https://doi.org/10.1037/pst0000147
- Kählke, 2019: Kählke, F., Berger, T., Schulz, A., Baumeister, H., Berking, M., Auerbach, R. P., Bruffaerts, R., Cuijpers, P., Kessler, R. C., & Ebert, D. D. (2019). Efficacy of an unguided internet-based self-help intervention for social anxiety disorder in university students: A randomized controlled trial. Int J Methods Psychiatr Res, 28(2), e1766. https://doi.org/10.1002/mpr.1766
- Kampmann, 2016: Kampmann, I. L., Emmelkamp, P. M., Hartanto, D., Brinkman, W. P., Zijlstra, B. J., & Morina, N. (2016). Exposure to virtual social interactions in the treatment of social anxiety disorder: A randomized controlled trial. Behav Res Ther, 77, 147-156. https://doi.org/10.1016/j.brat.2015.12.016
- Khoramnia, 2020: Khoramnia, S., Bavafa, A., Jaberghaderi, N., Parvizifard, A., Foroughi, A., Ahmadi, M., & Amiri, S. (2020). The effectiveness of acceptance and commitment therapy for social anxiety disorder: A randomized clinical trial. Trends in Psychiatry and Psychotherapy, 42(1), 30-38. https://doi.org/10.1590/2237-6089-2019-0003
- Kim, 2022: Kim, H., Kim, B. H., Kim, M. K., Eom, H., & Kim, J. J. (2022). Alteration of resting-state functional connectivity network properties in patients with social anxiety disorder after virtual reality-based self-training [Article]. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.959696
- Kocovski, 2013: Kocovski, N. L., Fleming, J. E., Hawley, L. L., Huta, V., & Antony, M. M. (2013). Mindfulness and acceptance-based group therapy versus traditional cognitive behavioral group therapy for social anxiety disorder: a randomized controlled trial. Behav Res Ther, 51(12), 889-898. https://doi.org/10.1016/j.brat.2013.10.007
- Koszycki, 2016: Koszycki, D., Thake, J., Mavounza, C., Daoust, J. P., Taljaard, M., & Bradwejn, J. (2016). Preliminary Investigation of a Mindfulness-Based Intervention for Social Anxiety Disorder That Integrates Compassion Meditation and Mindful Exposure. J Altern Complement Med, 22(5), 363-374. https://doi.org/10.1089/acm.2015.0108
- Ledley, 2009: Ledley, D. R., Heimberg, R. G., Hope, D. A., Hayes, S. A., Zaider, T. I., Dyke, M. V., Turk, C. L., Kraus, C., & Fresco, D. M. (2009). Efficacy of a manualized and workbook-driven individual treatment for social anxiety disorder. Behav Ther, 40(4), 414-424. https://doi.org/10.1016/j.beth.2008.12.001
- Leichsenring, 2013: Leichsenring, F., Salzer, S., Beutel, M. E., Herpertz, S., Hiller, W., Hoyer, J., Huesing, J., Joraschky, P., Nolting, B., Poehlmann, K., Ritter, V., Stangier, U., Strauss, B., Stuhldreher, N., Tefikow, S., Teismann, T., Willutzki, U., Wiltink, J., & Leibing, E. (2013). Psychodynamic therapy and cognitive-behavioral therapy in social anxiety disorder: a multicenter randomized controlled trial. Am J Psychiatry, 170(7), 759-767. https://doi.org/10.1176/appi.ajp.2013.12081125
- Mattick, 1989: Mattick, R. P., Peters, L., & Clarke, J. C. (1989). Exposure and cognitive restructuring for social phobia: A controlled study. Behav Ther, 20(1), 3-23. https://doi.org/10.1016/S0005-7894(89)80115-7
- Mersch, 1995: Mattick, R. P., Peters, L., & Clarke, J. C. (1989). Exposure and cognitive restructuring for social phobia: A controlled study. Behav Ther, 20(1), 3-23. https://doi.org/10.1016/S0005-7894(89)80115-7
- Mörtberg, 2006: Mortberg, E., Karlsson, A., Fyring, C., & Sundin, O. (2006). Intensive cognitive-behavioral group treatment (CBGT) of social phobia: a randomized controlled study. J Anxiety Disord, 20(5), 646-660. https://doi.org/10.1016/j.janxdis.2005.07.005
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- Mulkens, 2001: Mulkens, S., Bögels, S. M., de Jong, P. J., & Louwers, J. (2001). Fear of blushing: effects of task concentration training versus exposure in vivo on fear and physiology. J Anxiety Disord, 15(5), 413-432. https://doi.org/10.1016/s0887-6185(01)00073-1
- Newman, 1994: Newman, M. G., Hofmann, S. G., Trabert, W., Roth, W. T., & Taylor, C. B. (1994). Does behavioral treatment of social phobia lead to cognitive changes? Behav Ther, 25(3), 503-517. https://doi.org/https://doi.org/10.1016/S0005-7894(05)80160-1
- Nilsson, 2012: Nilsson, J. E., Lundh, L. G., & Viborg, G. (2012). Imagery rescripting of early memories in social anxiety disorder: an experimental study. Behav Res Ther, 50(6), 387-392. https://doi.org/10.1016/j.brat.2012.03.004
- Olivares-Olivares, 2016: Olivares-Olivares, P. J., Olivares, J., Macia, D., Macia, A., & Montesinos, L. (2016). Community versus clinical cognitive-behavioral intervention in young-adult Spanish population with generalized social phobia. Terapia psicologica, 34(1), 23‐30. https://doi.org/10.4067/S0718-48082016000100003
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- Soltani, 2023: Soltani, E., Bahrainian, S. A., Farhoudian, A., Masjedi Arani, A., & Gachkar, L. (2023). Effectiveness of Acceptance Commitment Therapy in Social Anxiety Disorder: Application of a Longitudinal Method to Evaluate the Mediating Role of Acceptance, Cognitive Fusion, and Values. Basic and Clinical Neuroscience, 14(4), 479-490. https://doi.org/https://dx.doi.org/10.32598/bcn.2021.2785.1
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- Stolz, 2018: Stolz, T., Schulz, A., Krieger, T., Vincent, A., Urech, A., Moser, C., Westermann, S., & Berger, T. (2018). A mobile app for social anxiety disorder: A three-arm randomized controlled trial comparing mobile and PC-based guided self-help interventions. J Consult Clin Psychol, 86(6), 493-504. https://doi.org/10.1037/ccp0000301
- Teale Sapach, 2022: Teale Sapach, M. J. N., & Carleton, R. N. (2023). Self-compassion training for individuals with social anxiety disorder: a preliminary randomized controlled trial. Cogn Behav Ther, 52(1), 18-37. https://doi.org/10.1080/16506073.2022.2130820
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- Yoshinaga, 2016: Yoshinaga, N., Matsuki, S., Niitsu, T., Sato, Y., Tanaka, M., Ibuki, H., Takanashi, R., Ohshiro, K., Ohshima, F., Asano, K., Kobori, O., Yoshimura, K., Hirano, Y., Sawaguchi, K., Koshizaka, M., Hanaoka, H., Nakagawa, A., Nakazato, M., Iyo, M., & Shimizu, E. (2016). Cognitive Behavioral Therapy for Patients with Social Anxiety Disorder Who Remain Symptomatic following Antidepressant Treatment: A Randomized, Assessor-Blinded, Controlled Trial. Psychother Psychosom, 85(4), 208-217. https://doi.org/10.1159/000444221
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Database Flowchart
Studies in the sad-psyctr
dataset were extracted from the “psychological interventions for social anxiety disorder” database. The study flow of this database can be found below.
- Conference proceedings/abstracts: n=22
- Follow-up studies/secondary analyses: n=80
- Protocols: n=54
- Wrong comparator: n=7
- Wrong design: n=201
- Wrong intervention: n=55
- Wrong outcome: n=50
- Wrong population: n=310
- Other language: n=1
- Full-text not available: n=66
- Not social anxiety disorder: n=455
- No non-experimental condition: n=109
- Not diagnosed: n=13