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Social Anxiety DisorderSCE-CBTNCT02646865

Self-Compassion Enhanced CBT vs. Standard CBT for Social Anxiety (SCE-CBT)

A study testing Self-Compassion Enhanced Cognitive-Behavioral Therapy and Cognitive-Behavioral Therapy in people with Social Anxiety Disorder, run by Babes-Bolyai University at 1 site in Romania.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study evaluates the addition of a self-compassion training in the treatment of social anxiety disorder. Half of the participants will receive a self-compassion enhanced group cognitive-behavioral therapy, while the other half will receive standard group cognitive-behavioral therapy. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Social Anxiety Disorder
What is being tested?
Self-Compassion Enhanced Cognitive-Behavioral Therapy and Cognitive-Behavioral Therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteRomania
Study dates
Jan 2016to Jan 2018
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • subjects diagnosed with Social Anxiety Disorders using the DSM-5 criteria
  • subjects that have SAD as the primary diagnosis according to DSM-5 criteria
  • exceed the cutoff scores on SPIN, SIAS, and LSAS-SR

Who cannot join

  • subjects that score over 29 points at BDI-II
  • display suicidal ideation (i.e., exceed a score of 2 on the suicide item of BDI-II)
  • undergo other forms of treatment for SAD
  • have a diagnosis of psychosis, bipolar disorder or personality disorders according to DSM-5 criteria

Trial locations and contacts

1 site in 1 country.

Romania1 site
  • Babes-Bolyai University

    Cluj-Napoca, Cluj, 400015

Other trials in Romania

About this study

Official title: A Randomized Controlled Trial on the Efficacy of Self-Compassion Enhanced CBT vs. Standard CBT for Social Anxiety

This study evaluates the addition of a self-compassion training in the treatment of social anxiety disorder. Half of the participants will receive a self-compassion enhanced group cognitive-behavioral therapy, while the other half will receive standard group cognitive-behavioral therapy.

Read the detailed description

There is growing evidence showing that shame is associated with social anxiety. Also, empirical data shows that individuals with social anxiety have higher levels of shame compared with healthy individuals and that shame might play an important role in the maintenance of social anxiety symptoms. Although cognitive-behavioral therapy for social anxiety seems to reduce the level of shame-proneness, the magnitude of this reduction is a small one.

The purpose of this study is to test whether adding a self-compassion component (which seems to be effective in reducing shame feelings) to a cognitive-behavioral protocol would increase the efficacy of the treatment in reducing both shame-proneness and social anxiety symptoms compared with a standard cognitive-behavioral intervention.

Being tested
Self-Compassion Enhanced Cognitive-Behavioral Therapy, Cognitive-Behavioral Therapy
Keywords
social phobia, compassion, shame
Medical subject headings
Phobia, Social

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Self-Compassion Enhanced Cognitive-Behavioral TherapyBehavioural

    12 group sessions of CBT for social anxiety based on Heimberg \& Becker's (2002) protocol with additional self-compassion exercises integrated into the treatment

  • Cognitive-Behavioral TherapyBehavioural

    12 group sessions of CBT for social anxiety based on Heimberg \& Becker's (2002) protocol

Study groups in NCT02646865
Study groupRoleWhat they receive
Self-Compassion Enhanced Cognitive-Behavioral TherapyExperimentalGroup Cognitive-Behavioral Therapy for social anxiety enhanced with exercises targeting self-compassion
Receives: Behavioral: Self-Compassion Enhanced Cognitive-Behavioral Therapy
Cognitive-Behavioral TherapyActive comparatorStandard Group Cognitive-Behavioral Therapy for social anxiety
Receives: Behavioral: Cognitive-Behavioral Therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in social anxiety symptoms using (Liebowitz Social Anxiety Scale; Leibowitz, 1987)

    Self-reported measure of social anxiety symptoms

    Measured: (1) baseline; (2) weekly for 11 weeks starting with the second week of treatment (2) at the of end of treatment (12 weeks after the start of the treatment) ; (3) 6 months after the end of treatment

  2. Changes in social anxiety symptoms using SPIN (Social Phobia Inventory; Connor et al., 2000)

    Self-reported measure of social anxiety symptoms

    Measured: (1) baseline; (2) after 6 weeks from the start of the treatment; (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment

  3. Changes in social anxiety symptoms using SIAS (Social Interaction Anxiety Scale; Mattick & Clarke, 1998)

    Self-reported measure of social anxiety symptoms

    Measured: (1) baseline; (2) after 6 weeks from the start of the treatment; (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment

  4. Changes in shame-proneness using TOSCA-3 (Test of Self-Conscious Affect-3; Tangney, Dearing, Wagner, & Gramzow, 2000)

    Self-reported measure of predisposition to experience shame

    Measured: (1) baseline; (2) after 3, 6, 9 weeks from the start of the treatment; (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of the treatment

  5. Changes in social anxiety disorder clinical status

    DSM-5 semi-structured interview for social anxiety disorder

    Measured: at the end of the therapy

Secondary outcomes (11)
  1. Changes in self-compassion using SCS (Self-Compassion Scale; Neff, 2003)

    Self-reported measure of self-compassion

    Measured: (1) baseline; (2) after 6 weeks from the start of the treatment; (2)at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment

  2. Changes in self-compassion using SCSs (Self-Compassion Scale Short Form; Raes et al., 2011)

    Self-reported measure of self-compassion

    Measured: (1) baseline; (2) weekly for 11 weeks starting with the second week of treatment (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment

  3. Changes in depressive symptoms using BDI-II (Beck Depression Inventory-II; Beck, 1996)

    Self-reported measure of depressive symptoms

    Measured: (1) baseline; (2) after 6 weeks from the start of the treatment; (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment

  4. Changes in positive and negative affect using PANAS (Positive and Negative Affect Schedule; Watson & Clark, 1999)

    Self-reported measure of positive and negative affect

    Measured: (1) baseline; (2) weekly for 11 weeks starting with the second week of treatment (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment

  5. Changes in positive and negative emotions using PDA (Profile of Affective Distress; Opriș & Macavei, 2005)

    Self-reported measure of positive and negative emotions

    Measured: (1) baseline; (2) after 6 weeks from the start of the treatment; (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment

  6. Changes in irrational and rational thinking using ABS-II (Attitudes and Beliefs Scale- 2; DiGiuseppe, Leaf, Exner, & Robin, 1988)

    Self-reported measure of rational and irrational beliefs

    Measured: (1) baseline; (2) after 6 weeks from the start of the treatment; (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment

  7. Changes in emotion regulation using ERQ (Emotion Regulation Questionnaire; Gross & John, 2003)

    Self-reported measure of the use of suppression and reappraisal

    Measured: (1) baseline; (2) after 6 weeks from the start of the treatment; (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment

  8. Changes in emotion regulation using DERS (Difficulties in Emotion Regulation Scale; Gratz & Roemer, 2004)

    Self-reported measure on emotion regulation strategies

    Measured: (1) baseline; (2) after 6 weeks from the start of the treatment; (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment

  9. Changes in rational and irrational beliefs using GABS (General Attitudes and Beliefs Scale; Bernard, 1998)

    Self-reported measure of rational and irrational beliefs

    Measured: (1) baseline; (2) after 6 weeks from the start of the treatment; (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment

  10. Changes in social phobia related thoughts using BFNE (Brief Fear of Negative Evaluation Scale; Leary, 1983)

    Self-reported measure of social phobia relevant negative thoughts

    Measured: (1) baseline; (2) weekly for 11 weeks starting with the second week of treatment (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment

  11. Changes in shame with PFQ-2 (Personal Feelings Questionnaire-2; Harder & Zalma, 1990)

    Self-reported measure of shame

    Measured: (1) baseline; (2) weekly for 11 weeks starting with the second week of treatment (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Jan 2016 (estimated)
  2. Study startJan 2016
  3. Primary completionJul 2017
  4. Study completionJan 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02646865
Sponsor's protocol ID
UBB-CLINPSY-2016-1
Acronym
SCE-CBT
Status last verified
Jul 2018
First submitted
30 Dec 2015
Last updated
18 Jul 2018
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Gilbert, P, Miles, JNV.Sensitivity to social put-down: Its relationship to perceptions of social rank, shame, social anxiety, depression, anger and self-other blame. Personality and Individual Differences, 29: 757-774, 2000.

  • Gilbert, P.The relationship of shame, social anxiety and depression: The role of the evaluation of social rank. Clin Psychol Psychother, 7: 174-189, 2000.

  • Fergus TA, Valentiner DP, McGrath PB, Jencius S. Shame- and guilt-proneness: relationships with anxiety disorder symptoms in a clinical sample. J Anxiety Disord. 2010 Dec;24(8):811-5. doi: 10.1016/j.janxdis.2010.06.002. Epub 2010 Jun 11.

    PubMed 20591613
  • Hedman E, Strom P, Stunkel A, Mortberg E. Shame and guilt in social anxiety disorder: effects of cognitive behavior therapy and association with social anxiety and depressive symptoms. PLoS One. 2013 Apr 19;8(4):e61713. doi: 10.1371/journal.pone.0061713. Print 2013.

    PubMed 23620782
  • Gilbert, P, Procter, S. Compassionate mind training for people with high shame and self-criticism: Overview and pilot study of a group therapy approach. Clinical Psychology and Psychotherapy, 13(6): 353-379, 2006.

  • Heimberg, RG, & Becker, RE. Cognitive-behavioral group therapy for social phobia: Basic mechanisms and clinical strategies. Guilford Press, 2002.

  • Lutwak, N, Ferrari, JR.. Shame-related social anxiety: Replicating a link with various social interaction measures. Anxiety, stress, and coping, 10(4): 335-34, 1997.

Questions about this trial

What is this clinical trial studying?

A study testing Self-Compassion Enhanced Cognitive-Behavioral Therapy and Cognitive-Behavioral Therapy in people with Social Anxiety Disorder, run by Babes-Bolyai University at 1 site in Romania.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 18 Jul 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Romania. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in social anxiety symptoms using (Liebowitz Social Anxiety Scale; Leibowitz, 1987) (time frame: (1) baseline; (2) weekly for 11 weeks starting with the second week of treatment (2) at the of end of treatment (12 weeks after the start of the treatment) ; (3) 6 months after the end of treatment). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02646865, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Jul 2018.

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