Trial reportJournal of child psychology and psychiatry, and allied disciplines2023
Internet-delivered therapist-assisted cognitive therapy for adolescent social anxiety disorder (OSCA): a randomised controlled trial addressing preliminary efficacy and mechanisms of action.
Trial report in Journal of child psychology and psychiatry, and allied disciplines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06368557 (Internet-based Cognitive Behavioral Intervention for Adolescents With Anxiety Disorders), which is not on this map. Cited by 14 papers, 5 of them syntheses that pooled 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.
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.
Internet-based Cognitive Behavioral Intervention for Adolescents With Anxiety Disorders
Who cites it
14 citing papers in PubMed, 5 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Efficacy of digital interventions in social anxiety disorder: a systematic review and Bayesian network meta-analysis.Frontiers in psychiatry · 2026Pooled it
- Effects of different interventions on anxiety disorders in children and adolescents: a systematic review and bayesian network meta-analysis.BMC psychiatry · 2025Pooled it
- Digital Mental Health Interventions for the Prevention and Treatment of Social Anxiety Disorder in Children, Adolescents, and Young Adults: Systematic Review and Meta-Analysis of Randomized Controlled Trials.Journal of medical Internet research · 2025Pooled it
- Understanding Mechanisms that Maintain Social Anxiety Disorder in Autistic Individuals Through the Clark and Wells (1995) Model and Beyond: A Systematic Review.Clinical child and family psychology review · 2024Pooled it
- Social Anxiety and Suicidality in Youth: A Systematic Review and Meta-analysis.Research on child and adolescent psychopathology · 2023Pooled it
- Prevention and treatment of social anxiety disorder in adolescents: mixed method randomised controlled trial of the guided online intervention SOPHIE.Scientific reports · 2025Trial
- Internet Cognitive Therapy for Prolonged Grief Disorder (iCT-PG): a developmental case series.European journal of psychotraumatology · 2026Article
- Evaluating the efficacy of psychological therapies for generalised anxiety disorder in children and adolescents: A systematic review and narrative synthesis.JCPP advances · 2026Article
- Clinical and Cost-Effectiveness of Blended Cognitive Behavioral Therapy or Psychodynamic Therapy Versus Face-to-Face Psychotherapy for Depression (BLENDED Study): Protocol for a Pragmatic, Multicenter, Assessor-Blinded Randomized Controlled Noninferiority Trial.JMIR research protocols · 2026Article
- Care Delivery Strategies for Anxiety, Depression, Obsessive Compulsive Disorder, and Tourette Syndrome to Improve Health Outcomes in Children and Youth.Child psychiatry and human development · 2025Review
- Article
- Adolescents' experience of receiving internet-delivered cognitive therapy for social anxiety disorder.Internet interventions · 2023Article
- Cognitive and behavioural processes in adolescents with social anxiety disorder.Behaviour research and therapy · 2023Article
- Remotely delivered cognitive therapy for social anxiety disorder in adolescence: Preliminary efficacy evidence based on changes throughout treatment.Frontiers in psychology · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
backgroundCognitive therapy for SAD (CT-SAD) is a first-line recommended treatment for adult social anxiety disorder (SAD) and shows considerable promise for youth. However, the high prevalence of adolescent SAD and limited number of therapists presents an implementation challenge. Delivery of CT-SAD via the Internet may offer part of the solution.
methodForty-three youth (14-18 years) with SAD recruited through schools were randomly allocated to therapist-assisted Internet-delivered CT-SAD (called OSCA) or waitlist for 14 weeks (ISRCTN15079139).
resultsOSCA outperformed waitlist on all measures and was associated with large effects that were maintained at 6-month follow-up. In the OSCA arm, 77% of adolescents lost their SAD diagnosis at post (vs. 14% in the waitlist arm), increasing to 91% at 6-months. Beneficial effects of OSCA were mediated through changes in cognitions and safety behaviours as predicted by cognitive models of SAD. OSCA was associated with high credibility and therapeutic alliance.
conclusionsThis preliminary trial suggests OSCA holds promise as an effective, accessible treatment for adolescent SAD. Future definitive trials could compare OSCA to active comparators to examine specificity of effects.
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What OpenQuestion holds
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.