Evidence map›Paper›PMID 30372482›Full record

Trial reportPloS one2018

Concomitant treatment with sertraline and social skills training improves social skills acquisition in social anxiety disorder: A double-blind, randomized controlled trial.

Marcio Bernik, Fabio Corregiari, Mariangela Gentil Savoia, Tito Paes de Barros Neto, Cristiane Pinheiro, Francisco Lotufo Neto

Open access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 20% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Brazilian Psychiatric Association guidelines for the treatment of social anxiety disorder.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2025
    Guideline
  3. Article
  4. Article
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

6 authors at 1 institution in 1 country.

Marcio BernikAnxiety Disorders Program, Department and Institute of Psychiatry, University of Sao Paulo, Sao Paulo, Brazil.ORCID 0000-0001-7922-6747
Fabio CorregiariAnxiety Disorders Program, Department and Institute of Psychiatry, University of Sao Paulo, Sao Paulo, Brazil.
Mariangela Gentil SavoiaAnxiety Disorders Program, Department and Institute of Psychiatry, University of Sao Paulo, Sao Paulo, Brazil.ORCID 0000-0002-3057-4174
Tito Paes de Barros NetoAnxiety Disorders Program, Department and Institute of Psychiatry, University of Sao Paulo, Sao Paulo, Brazil.
Cristiane PinheiroAnxiety Disorders Program, Department and Institute of Psychiatry, University of Sao Paulo, Sao Paulo, Brazil.
Francisco Lotufo NetoAnxiety Disorders Program, Department and Institute of Psychiatry, University of Sao Paulo, Sao Paulo, Brazil.
Universidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine whether: (1) sertraline (SER) + psychotherapy is superior to psychotherapy alone; (2) group cognitive-behavioural therapy (GCBT) is superior to group psychodynamic therapy (GPT) and (3) SER+GCBT or SER+GPT is superior to Placebo (PLA)+GCBT or PLA+GPT in social anxiety disorder (SAD).

methodsA double-blind randomized controlled trial. Participants were assigned either to: SER+GCBT (n = 34); SER+GPT (n = 36); PLA+GCBT (n = 36) or PLA+GPT (n = 41) for 20 weeks. SER (or PLA) was administered at doses from 50 to 200 mg/d. Primary measures were both categorial: remission (CGI score≤2), response of social symptoms (≥50% reduction in Scale of Avoidance and Social Discomfort (SASD)); and continuous: reduction of SASD and Multidimensional Scale of Social Expression(M-MSSE).

resultsSER exhibited better improvement of social anxiety symptoms rate than PLA (25.73% vs. 9.46%, P < .05). Neither GCBT differed from GPT (12.33% vs. 22.54%, P = .11) nor SER+GCBT from PLA+GCBT (17.65% vs. 7.69%, P = .20). However, SER+GPT was superior to PLA+GPT (33.33%, vs. 11.43%, P < .05). M-MSSE had superior improvement for SER+GCBT vs PLA+GCBT (P < .01) but not for SER+GPT vs. PLA+GPT (P = .80). SASD scores improvement were greater for SER than PLA (P < .01) and for SER+GCBT vs. PLA+GCBT (P < .05), but neither GCBT differed from GPT(P = .60) nor SER+GPT differed from PLA+GPT (P = .09).

conclusionsIn overall, SER+psychotherapy was superior to psychotherapy alone. SER potentiated GCBT by enhancing social skills acquisition.

trial registrationISRCTN 57551461.

Indexed as

Social SkillsAdultCognitive Behavioral TherapyCombined Modality TherapyDouble-Blind MethodFemaleHumansMaleMiddle AgedPhobia, SocialPsychotherapy, GroupSelective Serotonin Reuptake InhibitorsSertralineTreatment OutcomeYoung AdultSelective Serotonin Reuptake InhibitorsSertraline

Identifiers

PMID30372482
PMCPMC6205595
OpenAlexW2898655373

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.