Evidence map›Paper›PMID 41787584›Full record

SynthesisBMC psychology2026

Short-term psychodynamic psychotherapy for social anxiety disorder: a meta-analysis of randomized controlled trials.

Maud Norén, Karin Lindqvist, Peter Lilliengren, Jakob Mechler

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC psychology, 2026. 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. 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

4 authors.

Maud NorénDepartment of Psychology, Uppsala University, Uppsala, Sweden.ORCID http://orcid.org/0009-0009-1167-0249
Karin LindqvistDepartment of Psychology, Stockholm University, Stockholm, Sweden.ORCID http://orcid.org/0000-0001-6325-4380
Peter LilliengrenDepartment of Psychology, Stockholm University, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-2500-3510
Jakob MechlerDepartment of Psychology, Uppsala University, Uppsala, Sweden. Jakob.mechler@psyk.uu.se.ORCID http://orcid.org/0000-0002-1296-3432

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough established treatments for social anxiety disorder (SAD) are effective, a substantial proportion of patients does not respond. This meta-analysis evaluated the efficacy of psychodynamic therapy (PDT) by assessing its short- and long-term effects on social anxiety symptoms, as well as on secondary measures of depressive symptoms.

methodsA systematic literature search following PICO criteria identified randomized controlled trials (RCTs) of PDT for SAD published since 1980. Study quality was assessed using the Randomized Controlled Trial Psychotherapy Quality Rating Scale and the Cochrane Risk of Bias tool. At treatment termination, between-group effect sizes were pooled using random effect models. Long-term effects were explored using between- and within-group analyses, depending on available follow-up data.

resultsEleven eligible RCTs (n = 1167), evaluating short-term psychodynamic psychotherapy (STPP) were identified. In SAD symptoms, STPP was superior to waitlist controls (k = 6) with a large pooled effect (g = − 0.97, 95% CI: -1.27 to -0.12). Compared with active treatment conditions (k = 9), no significant differences were observed (g = 0.01, 95% CI: − 0.14 to 0.15). Study quality significantly moderated effects in comparisons with passive controls only, with lower-quality studies reporting larger effects (β = 0.02). No differences in dropout rates were observed. Available follow-up data indicated that gains in social anxiety symptoms were maintained, with some evidence of continued improvement over time.

conclusionThese findings suggest that STPP may be an effective and acceptable treatment for SAD. Future studies should include active treatment comparisons, assess long-term outcomes, and examine mechanisms of change.

trial registrationPROSPERO database with ID CRD420250656024.

Indexed as

Phobia, SocialPsychotherapy, BriefPsychotherapy, PsychodynamicHumansRandomized Controlled Trials as TopicTreatment OutcomeMeta-analysisPsychodynamic therapySocial anxietySTPP efficacySystematic review

Identifiers

PMID41787584
PMCPMC13064217

What OpenQuestion holds

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Registered trials

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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.