Videoconferencing-delivered cognitive behavioural therapy for social anxiety disorder: a randomised controlled trial.

Winter, HR; Norton, AR; Wootton, BM

Videoconferencing-delivered cognitive behavioural therapy for social anxiety disorder: a randomised controlled trial.

Winter, HR Norton, AR Wootton, BM

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Publisher:: Taylor & Francis
Publication Type:: Journal Article
Citation:: Cogn Behav Ther, 2025, pp. 1-17
Issue Date:: 2025-08-06

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Field	Value	Language
dc.contributor.author	Winter, HR
dc.contributor.author	Norton, AR
dc.contributor.author	Wootton, BM
dc.date.accessioned	2025-08-18T22:18:59Z
dc.date.available	2025-08-18T22:18:59Z
dc.date.issued	2025-08-06
dc.identifier.citation	Cogn Behav Ther, 2025, pp. 1-17
dc.identifier.issn	1650-6073
dc.identifier.issn	1651-2316
dc.identifier.uri	http://hdl.handle.net/10453/189475
dc.description.abstract	Videoconferencing-delivered cognitive behaviour therapy (vCBT) has the potential to overcome barriers to accessing treatment for social anxiety disorder (SAD). The present study examines the efficacy and acceptability of vCBT for SAD in a randomised controlled trial. Seventy-eight participants were randomised to a vCBT condition or waitlist control group (61.8% female, 34.2% male, 3.9% non-binary; Mage = 39.19, SD = 12.28). On the Social Interaction Anxiety Scale and Social Phobia Scale-short form (SIAS-6; SPS-6), vCBT within-group analyses indicated large effect sizes from pre-treatment to post-treatment on the SIAS-6 (Cohen's d = 0.95; 95% CI: 0.45-1.41) and SPS-6 (d = 0.90; 95% CI: 0.41-1.37). The between-group effect size at post-treatment was large on the SPS-6 (d = 1.01; 95% CI: 0.51-1.47) and medium on the SIAS-6 (d = 0.55; 95% CI: 0.09-1.00). At post-treatment, 57% of participants in the vCBT condition no longer met criteria for SAD and 68% at 3-month follow-up. Benchmarking analyses indicated similar treatment effect sizes to in-person CBT for SAD. Participants rated the program as acceptable and treatment completion rates were high. The results suggest that vCBT may be a viable remote treatment option for individuals with SAD.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Taylor & Francis
dc.relation.ispartof	Cogn Behav Ther
dc.relation.isbasedon	10.1080/16506073.2025.2540916
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1701 Psychology, 1702 Cognitive Sciences
dc.subject.classification	Clinical Psychology
dc.subject.classification	52 Psychology
dc.title	Videoconferencing-delivered cognitive behavioural therapy for social anxiety disorder: a randomised controlled trial.
dc.type	Journal Article
utslib.location.activity	England
utslib.for	1701 Psychology
utslib.for	1702 Cognitive Sciences
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Graduate School of Health/Clinical Psychology
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated	2025-08-18T22:18:58Z
pubs.publication-status	Published online

Abstract:

Videoconferencing-delivered cognitive behaviour therapy (vCBT) has the potential to overcome barriers to accessing treatment for social anxiety disorder (SAD). The present study examines the efficacy and acceptability of vCBT for SAD in a randomised controlled trial. Seventy-eight participants were randomised to a vCBT condition or waitlist control group (61.8% female, 34.2% male, 3.9% non-binary; Mage = 39.19, SD = 12.28). On the Social Interaction Anxiety Scale and Social Phobia Scale-short form (SIAS-6; SPS-6), vCBT within-group analyses indicated large effect sizes from pre-treatment to post-treatment on the SIAS-6 (Cohen's d = 0.95; 95% CI: 0.45-1.41) and SPS-6 (d = 0.90; 95% CI: 0.41-1.37). The between-group effect size at post-treatment was large on the SPS-6 (d = 1.01; 95% CI: 0.51-1.47) and medium on the SIAS-6 (d = 0.55; 95% CI: 0.09-1.00). At post-treatment, 57% of participants in the vCBT condition no longer met criteria for SAD and 68% at 3-month follow-up. Benchmarking analyses indicated similar treatment effect sizes to in-person CBT for SAD. Participants rated the program as acceptable and treatment completion rates were high. The results suggest that vCBT may be a viable remote treatment option for individuals with SAD.

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http://hdl.handle.net/10453/189475