Evidence map›Paper›PMID 40400113›Full record

Trial reportThe British journal of clinical psychology2025

An intervention to build social identities improves mental health and wellbeing in people with elevated social anxiety: Evidence from a single-arm clinical trial.

Jessica L Donaldson, Alysia M Robertson, Tegan Cruwys, Joanne A Rathbone, Catherine Haslam, Junwen Chen, Amy Dawel

Abstract readClinical Trial
In one paragraph

Trial report in The British journal of clinical psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Trial
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.

Jessica L DonaldsonSchool of Medicine and Psychology, Australian National University, Canberra, Australian Capital Territory, Australia.ORCID https://orcid.org/0000-0001-8752-2423
Alysia M RobertsonSchool of Medicine and Psychology, Australian National University, Canberra, Australian Capital Territory, Australia.ORCID https://orcid.org/0000-0002-3803-2492
Tegan CruwysSchool of Medicine and Psychology, Australian National University, Canberra, Australian Capital Territory, Australia.ORCID https://orcid.org/0000-0001-5296-3480
Joanne A RathboneSchool of Medicine and Psychology, Australian National University, Canberra, Australian Capital Territory, Australia.ORCID https://orcid.org/0000-0003-3910-2648
Catherine HaslamSchool of Psychology, University of Queensland, St Lucia, Queensland, Australia.ORCID https://orcid.org/0000-0003-0124-9601
Junwen ChenSchool of Medicine and Psychology, Australian National University, Canberra, Australian Capital Territory, Australia.ORCID https://orcid.org/0000-0003-4870-750X
Amy DawelSchool of Medicine and Psychology, Australian National University, Canberra, Australian Capital Territory, Australia.ORCID https://orcid.org/0000-0001-6668-3121

Funding

Australian Government Research Training Program (RTP) ScholarshipsNational Health and Medical Research Council (NHMRC) FellowshipSusan and Stuart Lloyd-Hurwitz (philanthropic support)
6 · The paper itself

Abstract

objectivesCurrent best-practice treatments for social anxiety disorder do not directly address loneliness, despite its role in the maintenance of the condition. The current study targets this issue directly, using mixed methods to provide an initial test of the efficacy of an established loneliness intervention, Groups 4 Health (G4H), among 33 people with clinically elevated social anxiety symptoms.

designA single-arm design was used and outcomes were assessed at baseline, programme completion and 5-month follow-up (3 months after programme completion).

methodsLoneliness, social anxiety symptoms, depression symptoms and well-being were assessed at each time point. Semi-structured follow-up interviews were also conducted to explore the feasibility and acceptability of G4H in this population.

resultsResults from intention-to-treat analyses provide initial evidence of the programme's efficacy: participants' loneliness (d = -1.08), social anxiety symptoms (d = -.45), and depression symptoms (d = -.60) reduced significantly from baseline to 5-month follow-up while their well-being (d = 1.00) increased. Four themes emerged from reflexive thematic analysis: (1) the importance of challenging initial anxiety about attending group therapy, (2) the value of being vulnerable with fellow group members, (3) the role of G4H in increasing participants' social confidence, and (4) processes which both helped and hindered participants' ability to engage with their group.

conclusionsTogether, results suggest that G4H is a promising and innovative treatment option for people with social anxiety, and further controlled evaluation is warranted.

Indexed as

DepressionLonelinessPhobia, SocialPsychotherapy, GroupSocial IdentificationAdultFemaleFollow-Up StudiesHumansMaleMental HealthMiddle AgedYoung Adultgroup membershipsgroup psychotherapylonelinessmental healthsocial anxietysocial identitysocial isolation

Identifiers

PMID40400113
PMCPMC12506949

What OpenQuestion holds

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LicenceCC BY-NC
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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.