ArticleInternet interventions2026
Therapist-guided online group forums in internet-based cognitive behavioral therapy for social anxiety disorder: A mixed-methods analysis.
Article in Internet interventions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Internet-based treatments for social anxiety disorder (SAD) have been widely studied in unguided and therapist-guided formats and, more recently, in group-guided formats that include guided online discussion forums. Little is known about what participants communicate and which processes unfold within these forum groups. This mixed-methods study analyzed communication in therapist-guided small-group forums integrated into an internet-based cognitive behavioral self-help program for SAD. Data stemmed from a three-arm randomized controlled trial and were limited to the forum arm. A qualitative content analysis of 511 forum posts from 60 participants identified 18 main categories. Communication was dominated by therapist input, interactional group processes, symptom-related exchanges, and relational content, indicating that the forum functioned as a shared therapeutic space linked to the cognitive-behavioral intervention. Exploratory associations between category frequencies and treatment outcomes were examined for completers (
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