Evidence map›Paper›PMID 25938241›Full record

Trial reportPloS one2015

Internet-delivered cognitive-behavioral therapy for social anxiety disorder in Romania: a randomized controlled trial.

Bogdan Tudor Tulbure, Aurora Szentagotai, Oana David, Simona Ștefan, Kristoffer N T Månsson, Daniel David, Gerhard Andersson

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01557894 (Internet Treatment for Social Phobia in Romania), which is not on this map. Cited by 28 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 6 pooled it
5.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01557894 nacompletednot on this map

Internet Treatment for Social Phobia in Romania: A Randomized Controlled Trial

TypeinterventionalSponsorBabes-Bolyai UniversityRan2012 to 2013Enrolled76ConditionsPhobia, SocialArmsiSOFIE
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 6 syntheses or guidelines pooled it, 80 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Bogdan Tudor TulbureDepartment of Psychology, West University of Timișoara, Bd. V. Pârvan No. 4, 300223, Timișoara, Romania.
Aurora SzentagotaiDepartment of Clinical Psychology and Psychotherapy, Babeş-Bolyai University, No. 37 Republici Street, 400015, Cluj-Napoca, Romania.
Oana DavidDepartment of Clinical Psychology and Psychotherapy, Babeş-Bolyai University, No. 37 Republici Street, 400015, Cluj-Napoca, Romania.
Simona ȘtefanDepartment of Clinical Psychology and Psychotherapy, Babeş-Bolyai University, No. 37 Republici Street, 400015, Cluj-Napoca, Romania.
Kristoffer N T MånssonDepartment of Behavioral Sciences and Learning, Linköping University, SE-581 83, Linköping, Sweden.
Daniel DavidDepartment of Clinical Psychology and Psychotherapy, Babeş-Bolyai University, No. 37 Republici Street, 400015, Cluj-Napoca, Romania.
Gerhard AnderssonDepartment of Behavioral Sciences and Learning, Linköping University, SE-581 83, Linköping, Sweden; Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden, Karolinska University Hospital Huddinge, SE-141 86, Stockholm, Sweden.
Babeș-Bolyai University · ROLinköping University · SEWest University of Timişoara · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsInternet-based cognitive-behavioral therapy (iCBT) for social anxiety disorder has been found effective, as attested by independently conducted randomized controlled trials in four languages. The study aim is to test the efficacy of an iCBT program in a culture where it was not tested before (i.e. Romania).

methodsParticipants (n = 76) were recruited, screened and randomized to either a nine-week guided iCBT or a wait-list control group in April and May 2012. Self-report measures were collected before (April 2012) and after the intervention (July 2012), as well as six months later (January 2013). Although social anxiety was assessed with multiple measures, the Liebowitz Social Anxiety Scale - Self Report version (LSAS-SR) and Social Phobia Inventory (SPIN) were used as the primary outcome measures.

resultsA significant difference with a large between-group effect size in favor of iCBT was found (Cohen's d = 1.19 for LSAS-SR and d = 1.27 for SPIN). Recovery rates show that 36.8% (n = 14) in the treatment group score below the SPIN clinical cut-off compared to only 2.6% (n = 1) in the wait-list control group. Post-intervention clinical interviews also revealed that 34.2% (n = 13) of the treatment group was completely recovered (full remission) while additionally 36.8% (n = 14) retained some social anxiety symptoms (partial remission). However, an important study limitation is that post-intervention interviewers were not blinded to the study conditions. The program also effectively reduced depression and dysfunctional thinking (between-group Cohen's d = 0.84 for depression and d = 0.63 for dysfunctional thinking). Moreover, the iCBT intervention appears to have a long-term impact for participants' functioning, as the treatment gains were maintained six months later.

conclusionsInternet-delivered interventions display a high potential to quickly and widely disseminate effective evidence-based programs around the world. This study provides support for guided iCBT as a promising treatment approach in Romania.

trial registrationClinicalTrials.gov NCT01557894.

Indexed as

Cognitive Behavioral TherapyInternetAdultAnxiety DisordersCase-Control StudiesDemographyFemaleHumansMalePatient CompliancePatient SatisfactionRomaniaTreatment Outcome

Identifiers

PMID25938241
PMCPMC4418823
OpenAlexW263243887

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.