Shah, R., Hunt, J., Webb, T.L. et al. (1 more author) (2014) Starting to develop self-help for social anxiety associated with vitiligo: using clinical significance to measure the potential effectiveness of enhanced psychological self-help. British Journal Of Dermatology, 171 (2). 332 - 337. ISSN 0007-0963
Abstract
Background Vitiligo can be associated with high levels of distress, yet there are currently no self-help interventions available.
Objectives To describe the initial development of a psychosocial self-help intervention designed to reduce social anxiety associated with vitiligo. Also to examine whether including a planning exercise, aimed at increasing use of the intervention (termed implementation intentions), has the potential to achieve a clinically significant reduction in distress.
Methods Participants (n = 75) were randomized to one of three groups: cognitive behavioural self-help (CBSH), CBSH augmented with implementation intentions (CBSH+), or no intervention. Participants were assessed at baseline and after 8 weeks on measures of social anxiety, anxiety and depression, and appearance-related concern. The two intervention groups also completed a questionnaire evaluating their use of, and satisfaction with, the intervention.
Results High levels of social anxiety and concern over appearance were reported. Twenty-four per cent of participants in the CBSH+ group experienced clinically significant change on the measure of social anxiety compared with 8% in the CBSH group and 0% in the control group. In addition, 58% of the control group deteriorated during the study period. There were no significant differences between the conditions on the other outcome measures. Participants reported that the self-help leaflets were helpful.
Conclusions The findings demonstrate that augmented CBSH provides a relatively simple and accessible intervention that can result in a clinically significant reduction in social anxiety. The augmented intervention has potential and might be further developed and evaluated in subsequent trials.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2014 British Association of Dermatologists. This is an author produced version of a paper subsequently published in British Journal of Dermatology. Uploaded in accordance with the publisher's self-archiving policy. |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 13 May 2015 14:46 |
Last Modified: | 04 Aug 2015 22:40 |
Published Version: | http://dx.doi.org/10.1111/bjd.12990 |
Status: | Published |
Publisher: | Blackwell Publishing |
Refereed: | Yes |
Identification Number: | 10.1111/bjd.12990 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:85650 |