ArticlePloS one2015
Predictors of Symptomatic Change and Adherence in Internet-Based Cognitive Behaviour Therapy for Social Anxiety Disorder in Routine Psychiatric Care.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 5 of them syntheses that pooled it.
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Who cites it
49 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- The association between social class and the impact of treatment for mental health problems: a systematic review and narrative synthesis.Social psychiatry and psychiatric epidemiology · 2023Pooled it
- Effect of Engagement With Digital Interventions on Mental Health Outcomes: A Systematic Review and Meta-Analysis.Frontiers in digital health · 2021Pooled it
- Adaptive Elements in Internet-Delivered Psychological Treatment Systems: Systematic Review.Journal of medical Internet research · 2020Pooled it
- Clarifying the Concept of Adherence to eHealth Technology: Systematic Review on When Usage Becomes Adherence.Journal of medical Internet research · 2017Pooled it
- A Systematic Review of Predictors of, and Reasons for, Adherence to Online Psychological Interventions.International journal of behavioral medicine · 2016Pooled it
- User Experience and Therapeutic Alliance of Treatment Completers of Clinician-Supported Versus Self-Help Online Intervention for Eating Disorders: A Mixed Methods Approach.European eating disorders review : the journal of the Eating Disorders Association · 2025Trial
- Predicting optimal treatment allocation for cognitive analytic-guided self-help versus cognitive behavioural-guided self-help.The British journal of clinical psychology · 2025Trial
- Statistical methods to adjust for the effects on intervention compliance in randomized clinical trials where precision treatment rules are being developed.International journal of methods in psychiatric research · 2025Trial
- Trajectories of Symptoms in Digital Interventions for Depression and Anxiety Using Routine Outcome Monitoring Data: Secondary Analysis Study.JMIR mHealth and uHealth · 2023Trial
- The Clinical Effectiveness of Blended Cognitive Behavioral Therapy Compared With Face-to-Face Cognitive Behavioral Therapy for Adult Depression: Randomized Controlled Noninferiority Trial.Journal of medical Internet research · 2022Trial
- Predictors of adherence to an internet-based cognitive behavioral therapy program for individuals with chronic pain and comorbid psychological distress.BMC psychology · 2021Trial
- Guided Self-Help Works: Randomized Waitlist Controlled Trial of Pacifica, a Mobile App Integrating Cognitive Behavioral Therapy and Mindfulness for Stress, Anxiety, and Depression.Journal of medical Internet research · 2019Trial
- Predicting Adherence to Internet-Delivered Psychotherapy for Symptoms of Depression and Anxiety After Myocardial Infarction: Machine Learning Insights From the U-CARE Heart Randomized Controlled Trial.Journal of medical Internet research · 2018Trial
- Treatment credibility, expectancy, and preference: Prediction of treatment engagement and outcome in a randomized clinical trial of hatha yoga vs. health education as adjunct treatments for depression.Journal of affective disorders · 2018Trial
- Can we learn to manage stress? A randomized controlled trial carried out on university students.PloS one · 2018Trial
- Differences in motivation and adherence to a prescribed assignment after face-to-face and online psychoeducation: an experimental study.BMC psychology · 2017Trial
- Trial
- Therapist-patient correspondence in internet-based CBT for chronic pain: Associations with outcome and adherence.Internet interventions · 2026Article
- Risk Factors for Noninitiation and Dropout in Blended Therapy in Inpatient Psychiatric Patients: Retrospective Cohort Study.JMIR human factors · 2026Observational
- Predicting the path to guided ICBT success across referral pathway for moderate depression and anxiety disorders.Internet interventions · 2026Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveA central goal of health care is to improve patient outcomes. Although several studies have demonstrated the effectiveness of therapist guided internet-based cognitive behaviour therapy (ICBT) for social anxiety disorder (SAD), a significant proportion of patients do not respond to treatment. Consequently, the aim of this study was to identify individual characteristics and treatment program related factors that could help clinicians predict treatment outcomes and adherence for individuals with SAD.
methodThe sample comprised longitudinal data collected during a 4-year period of adult individuals (N = 764) treated for SAD at a public service psychiatric clinic. Weekly self-rated Liebowitz Social Anxiety Scale (LSAS-SR) scores were provided. Rates of symptomatic change during treatment and adherence levels were analysed using multilevel modelling. The following domains of prognostic variables were examined: (a) socio-demographic variables; (b) clinical characteristics; (c) family history of mental illness; and (d) treatment-related factors.
resultsHigher treatment credibility and adherence predicted a faster rate of improvement during treatment, whereas higher overall functioning level evidenced a slower rate of improvement. Treatment credibility was the strongest predictor of greater adherence. Having a family history of SAD-like symptoms was also associated with greater adherence, whereas Attention-Deficit/Hyperactivity Disorder (ADHD)-like symptoms, male gender, and family history of minor depression predicted lower adherence. Also, the amount of therapist time spent per treatment module was negatively associated with adherence.
conclusionsResults from a large clinical sample indicate that the credibility of ICBT is the strongest prognostic factor explaining individual differences in both adherence level and symptomatic improvement. Early screening of ADHD-like symptoms may help clinicians identify patients who might need extra support or an adjusted treatment. Therapist behaviours that promote adherence may be important for treatment response, although more research is needed in order to determine what type of support would be most beneficial.
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