Evidence map›Paper›PMID 38763062›Full record

Trial reportJournal of anxiety disorders2024

Work-Related Cognitive Behavioral Therapy for racially and economically diverse unemployed persons with social anxiety: A randomized clinical trial.

Joseph A Himle, Richard T LeBeau, Jennifer M Jester, Amy M Kilbourne, Addie Weaver, Daphne M Brydon, Katherine M Tucker, Nicole Hamameh, Natalie Castriotta, Michelle G Craske

Abstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of anxiety disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

10 authors.

Joseph A HimleSchool of Social Work, University of Michigan, USA; Department of Psychiatry, Medical School, University of Michigan, USA. Electronic address: himlej@umich.edu.
Richard T LeBeauDepartment of Psychology, University of California Los Angeles, USA.
Jennifer M JesterDepartment of Psychiatry, Medical School, University of Michigan, USA.
Amy M KilbourneDepartment of Learning Health Sciences, Medical School, University of Michigan, USA; Quality Enhancement Research Initiative, US Department of Veterans Affairs, Washington, DC, USA.
Addie WeaverSchool of Social Work, University of Michigan, USA.
Daphne M BrydonSchool of Social Work, University of Michigan, USA.
Katherine M TuckerSchool of Social Work, University of Michigan, USA.
Nicole HamamehJVS Human Services, Detroit, USA.
Natalie CastriottaUniversity of California, San Diego, USA; VA San Diego Healthcare System, USA.
Michelle G CraskeDepartment of Psychology, University of California Los Angeles, USA; Department of Psychiatry & Biobehavioral Sciences, USA.

Funding

2/2 Multi-site systems intervention for unemployed persons with social anxietyR01MH102274 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CRASKE, MICHELLE G · 2014 to 2018
$1.7M
1/2 Multi-site systems intervention for unemployed persons with social anxietyR01MH102263 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HIMLE, JOSEPH A · 2014 to 2018
$1.6M
NIMH NIH HHS R01 MH102263NIMH NIH HHS R01 MH102274
6 · The paper itself

Abstract

Individuals with Social Anxiety Disorder (SAD) are at risk for employment problems. This multi-site trial examined the efficacy of Work-Related Cognitive Behavioral Therapy provided alongside vocational services as usual (WCBT+VSAU), a group-based treatment designed to improve mental health and employment outcomes for individuals with SAD. Vocational service-seeking participants with SAD (N = 250) were randomized to either WCBT+VSAU or VSAU-alone. Hypotheses were that participants randomized to WCBT+VSAU would report less social anxiety, less depression, and more hours worked than participants randomized to VSAU-alone. WCBT+VSAU participants had significantly greater improvements on the Liebowitz Social Anxiety Scale (LSAS; d=-.25, CI=-0.49 to -0.02, p = .03) at post-assessment compared to VSAU-alone. The conditions did not differ on any variable at later time points or on secondary outcomes. Unexpectedly, participants randomized to VSAU-alone experienced LSAS improvements, similar to WCBT+VASU at later timepoints. Baseline psychological flexibility (beta=-.098 [-0.19-0.008]) and depression (beta=-0.18 [-0.34-0.009]) moderated change in social anxiety. Participants with lower psychological flexibility and higher depression responded more strongly to WCBT+VSAU than VSAU-alone over the duration of the study, suggesting that WCBT+VSAU may particularly benefit those with greater psychopathology. Results indicate that vocational centers are promising settings for treating SAD and employment-focused refinements are likely needed to improve work outcomes.

Indexed as

Cognitive Behavioral TherapyPhobia, SocialUnemploymentAdultDepressionFemaleHumansMaleMiddle AgedRehabilitation, VocationalTreatment OutcomeCognitive-behavioral therapyDiversityPovertySocial anxietyUnemployment

Identifiers

PMID38763062
PMCPMC11639394

What OpenQuestion holds

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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.