A standalone Internet cognitive behavior therapy treatment for social anxiety in adults who stutter: CBTpsych

Helgadóttir, FD; Menzies, RG; Onslow, M; Packman, A; O'Brian, S

A standalone Internet cognitive behavior therapy treatment for social anxiety in adults who stutter: CBTpsych

Helgadóttir, FD Menzies, RG Onslow, M

Packman, A

O'Brian, S

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Publisher:: ELSEVIER SCIENCE INC
Publication Type:: Journal Article
Citation:: Journal of Fluency Disorders, 2014, 41, (C), pp. 47-54
Issue Date:: 2014-01-01

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Field	Value	Language
dc.contributor.author	Helgadóttir, FD
dc.contributor.author	Menzies, RG
dc.contributor.author	Onslow, M https://orcid.org/0000-0003-2629-2390
dc.contributor.author	Packman, A https://orcid.org/0000-0001-7378-326X
dc.contributor.author	O'Brian, S https://orcid.org/0000-0002-0882-1909
dc.date.accessioned	2025-01-30T12:15:40Z
dc.date.available	2014-04-01
dc.date.available	2025-01-30T12:15:40Z
dc.date.issued	2014-01-01
dc.identifier.citation	Journal of Fluency Disorders, 2014, 41, (C), pp. 47-54
dc.identifier.issn	0094-730X
dc.identifier.issn	1873-801X
dc.identifier.uri	http://hdl.handle.net/10453/184695
dc.description.abstract	© 2014 Elsevier Inc. Purpose: Social anxiety is common for those who stutter and efficacious cognitive behavior therapy (CBT) for them appears viable. However, there are difficulties with provision of CBT services for anxiety among those who stutter. Standalone Internet CBT treatment is a potential solution to those problems. CBTpsych is a fully automated, online social anxiety intervention for those who stutter. This report is a Phase I trial of CBTpsych. Method: Fourteen participants were allowed 5 months to complete seven sections of CBTpsych. Pre-treatment and post-treatment assessments tested for social anxiety, common unhelpful thoughts related to stuttering, quality of life and stuttering frequency. Results: Significant post-treatment improvements in social anxiety, unhelpful thoughts, and quality of life were reported. Five of seven participants diagnosed with social anxiety lost those diagnoses at post-treatment. The two participants who did not lose social anxiety diagnoses did not complete all the CBTpsych modules. CBTpsych did not improve stuttering frequency. Eleven of the fourteen participants who began treatment completed Section 4 or more of the CBTpsych intervention. Conclusions: CBTpsych provides a potential means to provide CBT treatment for social anxiety associated with stuttering, to any client without cost, regardless of location. Further clinical trials are warranted.Educational objectives: At the end of this activity the reader will be able to: (a) describe that social anxiety is common in those who stutter; (b) discuss the origin of social anxiety and the associated link with bullying; (c) summarize the problems in provision of effective evidence based cognitive behavior therapy for adults who stutter; (d) describe a scalable computerized treatment designed to tackle the service provision gap; (e) describe the unhelpful thoughts associated with stuttering that this fully automated computer program was able to tackle; (f) list the positive outcomes for individuals who stuttered that participated in this trial such as the reduction of social anxiety symptoms and improvement in the quality of life for individuals who stuttered and participated in this trial.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	ELSEVIER SCIENCE INC
dc.relation	http://purl.org/au-research/grants/nhmrc/633007
dc.relation.ispartof	Journal of Fluency Disorders
dc.relation.isbasedon	10.1016/j.jfludis.2014.04.001
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences, 20 Language, Communication and Culture
dc.subject.classification	Speech-Language Pathology & Audiology
dc.subject.classification	32 Biomedical and clinical sciences
dc.subject.classification	47 Language, communication and culture
dc.subject.classification	52 Psychology
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Aged, 80 and over
dc.subject.mesh	Anxiety
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Internet
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Models, Psychological
dc.subject.mesh	Psychiatric Status Rating Scales
dc.subject.mesh	Social Adjustment
dc.subject.mesh	Social Behavior
dc.subject.mesh	Speech
dc.subject.mesh	Stuttering
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Young Adult
dc.subject.mesh	Humans
dc.subject.mesh	Stuttering
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Speech
dc.subject.mesh	Social Behavior
dc.subject.mesh	Social Adjustment
dc.subject.mesh	Anxiety
dc.subject.mesh	Psychiatric Status Rating Scales
dc.subject.mesh	Models, Psychological
dc.subject.mesh	Internet
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Aged, 80 and over
dc.subject.mesh	Middle Aged
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Young Adult
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Aged, 80 and over
dc.subject.mesh	Anxiety
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Internet
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Models, Psychological
dc.subject.mesh	Psychiatric Status Rating Scales
dc.subject.mesh	Social Adjustment
dc.subject.mesh	Social Behavior
dc.subject.mesh	Speech
dc.subject.mesh	Stuttering
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Young Adult
dc.title	A standalone Internet cognitive behavior therapy treatment for social anxiety in adults who stutter: CBTpsych
dc.type	Journal Article
utslib.citation.volume	41
utslib.location.activity	United States
utslib.for	11 Medical and Health Sciences
utslib.for	17 Psychology and Cognitive Sciences
utslib.for	20 Language, Communication and Culture
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/UTS Groups
pubs.organisational-group	University of Technology Sydney/UTS Groups/Australian Stuttering Research Centre (ASRC)
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2025-01-30T12:15:36Z
pubs.issue	C
pubs.publication-status	Published
pubs.volume	41
utslib.citation.issue	C

Abstract:

© 2014 Elsevier Inc. Purpose: Social anxiety is common for those who stutter and efficacious cognitive behavior therapy (CBT) for them appears viable. However, there are difficulties with provision of CBT services for anxiety among those who stutter. Standalone Internet CBT treatment is a potential solution to those problems. CBTpsych is a fully automated, online social anxiety intervention for those who stutter. This report is a Phase I trial of CBTpsych. Method: Fourteen participants were allowed 5 months to complete seven sections of CBTpsych. Pre-treatment and post-treatment assessments tested for social anxiety, common unhelpful thoughts related to stuttering, quality of life and stuttering frequency. Results: Significant post-treatment improvements in social anxiety, unhelpful thoughts, and quality of life were reported. Five of seven participants diagnosed with social anxiety lost those diagnoses at post-treatment. The two participants who did not lose social anxiety diagnoses did not complete all the CBTpsych modules. CBTpsych did not improve stuttering frequency. Eleven of the fourteen participants who began treatment completed Section 4 or more of the CBTpsych intervention. Conclusions: CBTpsych provides a potential means to provide CBT treatment for social anxiety associated with stuttering, to any client without cost, regardless of location. Further clinical trials are warranted.Educational objectives: At the end of this activity the reader will be able to: (a) describe that social anxiety is common in those who stutter; (b) discuss the origin of social anxiety and the associated link with bullying; (c) summarize the problems in provision of effective evidence based cognitive behavior therapy for adults who stutter; (d) describe a scalable computerized treatment designed to tackle the service provision gap; (e) describe the unhelpful thoughts associated with stuttering that this fully automated computer program was able to tackle; (f) list the positive outcomes for individuals who stuttered that participated in this trial such as the reduction of social anxiety symptoms and improvement in the quality of life for individuals who stuttered and participated in this trial.

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http://hdl.handle.net/10453/184695