RCT of Bibliotherapy for Social Anxiety Disorder as a Prelude to CBT in IAPT

Summary

The efficacy of high-intensity Cognitive-Behavioural Therapy (CBT) for social anxiety disorder is well established (Mayo-Wilson et al., 2014) and it is recommended by the National Institute of Health and Clinical Excellence (NICE) as the first-line psychological intervention for social anxiety disorder. The treatment aims to modify several maintenance factors (e.g., self-focused attention) that are specified in cognitive models of social anxiety disorder (e.g., Clark \& Wells, 1995).

Cognitive-behavioural self-help treatments for social anxiety disorder have been developed to overcome various accessibility issues (e.g., long wait-lists, and the patient's need to avoid social situations, etc) associated with high-intensity CBT (Abramowitz et al., 2009; Carlbring et al., 2007) but a recent network meta-analysis (Mayo-Wilson et al., 2014) identified the former as less cost-effective than the later and thus, they are not recommended as standalone treatments.

However, the potential benefit of cognitive-behavioural self-help treatments for social anxiety disorder within a stepped-care recovery model as a prelude to high-intensity CBT has not been formally evaluated.

The aim of this study is to evaluate a seminal Cognitive-Behavioural Bibliotherapy\* (CBB; "pure self-help" book) - 'Overcoming Social Anxiety \& Shyness' (Butler, 2009) - for patients with social anxiety disorder while on the wait-list for high-intensity CBT within an Improving Access to Psychological Therapies (IAPT) service, and to determine if some patients recover from CBB alone or whether there may be a reduction in the average number of high-intensity CBT sessions for those patients who subsequently require further treatment.

The study is funded by Constable \& Robinson, Kellogg College (University of Oxford) and Talking Change (Solent NHS Trust).

\* The Reading Well Books on Prescription scheme with funding from the Arts Council England enables general practitioners (GPs) and mental health professionals to prescribe seminal CBBs for patients with mood and anxiety disorders. The books are accessed free of charge via local libraries. The scheme works within NICE guidelines and it is support by the Royal Colleges of GPs, Nursing and Psychiatrists, the British Association for Behavioural and Cognitive Psychotherapies and the Department of Health through its IAPT programme.

Conditions

• Bibliotherapy
• Social Anxiety Disorder
• Cognitive Behavioral Therapy

Interventions

PROCEDURE

Cognitive-Behavioural Bibliotherapy

PROCEDURE

Cognitive-Behavioural Therapy

OTHER

WAIT

Sponsors & Collaborators

• University of Oxford

  collaborator OTHER

• Talking Change (Solent NHS Trust)

  collaborator UNKNOWN

• Constable & Robinson

  collaborator UNKNOWN

• Solent NHS Trust

  lead OTHER_GOV

Principal Investigators

• Miles D Wrightman, MSc · University of Oxford

• Professor David M Clark, DPhil · University of Oxford

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

80 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2016-01-01

Primary Completion

2017-10-01

Completion

2017-10-01

Countries

• United Kingdom

Study Locations