Social anxiety in young people with first‐episode psychosis: Pilot study of the EMBRACE moderated online social intervention
Aim We conducted a single‐group pilot study to evaluate the feasibility, acceptability and safety of a novel online intervention (entitled EMBRACE) that includes expert and peer moderation, therapeutic comics and social networking features. The cognitive‐behavioural‐based intervention was specifical...
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| Veröffentlicht in: | Early intervention in psychiatry 2021-02, Vol.15 (1), p.76-86 |
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| creator | McEnery, Carla Lim, Michelle H. Knowles, Ann Rice, Simon Gleeson, John Howell, Simmone Russon, Penni Miles, Chris D'Alfonso, Simon Alvarez‐Jimenez, Mario |
| description | Aim
We conducted a single‐group pilot study to evaluate the feasibility, acceptability and safety of a novel online intervention (entitled EMBRACE) that includes expert and peer moderation, therapeutic comics and social networking features. The cognitive‐behavioural‐based intervention was specifically designed to treat social anxiety as a primary treatment target in youth with first‐episode psychosis (FEP).
Methods
The 10 participants (17‐26 years; Mage = 23 years) had a diagnosis of FEP and experienced significant levels of social anxiety as defined by exceeding a sub‐threshold clinical score (>30) on the Social Interaction Anxiety Scale (SIAS). They had access to the EMBRACE intervention for 2 months.
Results
In total, seven out of ten participants completed eight modules or more (total of 12 modules). All participants rated the intervention as positive and safe, and endorsed recommending it to others who experience social anxiety. Improvement in pre‐post social anxiety symptoms, as measured via the SIAS (d = −1.70, P = .0005) and the Liebowitz Social Anxiety Scale (d = −1.35, P = .002) were found. No statistically significant pre‐post improvements were found for depressive or loneliness symptoms.
Conclusion
EMBRACE was shown to be a feasible, acceptable, and safe online intervention to specifically target social anxiety as a primary treatment concern in young people with FEP. |
| doi_str_mv | 10.1111/eip.12912 |
| format | Article |
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We conducted a single‐group pilot study to evaluate the feasibility, acceptability and safety of a novel online intervention (entitled EMBRACE) that includes expert and peer moderation, therapeutic comics and social networking features. The cognitive‐behavioural‐based intervention was specifically designed to treat social anxiety as a primary treatment target in youth with first‐episode psychosis (FEP).
Methods
The 10 participants (17‐26 years; Mage = 23 years) had a diagnosis of FEP and experienced significant levels of social anxiety as defined by exceeding a sub‐threshold clinical score (>30) on the Social Interaction Anxiety Scale (SIAS). They had access to the EMBRACE intervention for 2 months.
Results
In total, seven out of ten participants completed eight modules or more (total of 12 modules). All participants rated the intervention as positive and safe, and endorsed recommending it to others who experience social anxiety. Improvement in pre‐post social anxiety symptoms, as measured via the SIAS (d = −1.70, P = .0005) and the Liebowitz Social Anxiety Scale (d = −1.35, P = .002) were found. No statistically significant pre‐post improvements were found for depressive or loneliness symptoms.
Conclusion
EMBRACE was shown to be a feasible, acceptable, and safe online intervention to specifically target social anxiety as a primary treatment concern in young people with FEP.</description><identifier>ISSN: 1751-7885</identifier><identifier>EISSN: 1751-7893</identifier><identifier>DOI: 10.1111/eip.12912</identifier><identifier>PMID: 31889431</identifier><language>eng</language><publisher>Melbourne: Wiley Publishing Asia Pty Ltd</publisher><subject>Acceptability ; Anxiety ; Behavior modification ; Cognitive therapy ; cognitive‐behavioural therapy ; Comics ; Feasibility studies ; internet ; Modules ; online ; Psychosis ; Social anxiety ; Social factors ; Social networks ; Young adults</subject><ispartof>Early intervention in psychiatry, 2021-02, Vol.15 (1), p.76-86</ispartof><rights>2019 John Wiley & Sons Australia, Ltd</rights><rights>2019 John Wiley & Sons Australia, Ltd.</rights><rights>2021 Wiley Publishing Asia Pty Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3882-d6021393057c837c30da7e3434cedd4d5e5435a1d9a42165defdd1e76226ed613</citedby><cites>FETCH-LOGICAL-c3882-d6021393057c837c30da7e3434cedd4d5e5435a1d9a42165defdd1e76226ed613</cites><orcidid>0000-0003-4045-8553 ; 0000-0001-9145-9068</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Feip.12912$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Feip.12912$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31889431$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McEnery, Carla</creatorcontrib><creatorcontrib>Lim, Michelle H.</creatorcontrib><creatorcontrib>Knowles, Ann</creatorcontrib><creatorcontrib>Rice, Simon</creatorcontrib><creatorcontrib>Gleeson, John</creatorcontrib><creatorcontrib>Howell, Simmone</creatorcontrib><creatorcontrib>Russon, Penni</creatorcontrib><creatorcontrib>Miles, Chris</creatorcontrib><creatorcontrib>D'Alfonso, Simon</creatorcontrib><creatorcontrib>Alvarez‐Jimenez, Mario</creatorcontrib><title>Social anxiety in young people with first‐episode psychosis: Pilot study of the EMBRACE moderated online social intervention</title><title>Early intervention in psychiatry</title><addtitle>Early Interv Psychiatry</addtitle><description>Aim
We conducted a single‐group pilot study to evaluate the feasibility, acceptability and safety of a novel online intervention (entitled EMBRACE) that includes expert and peer moderation, therapeutic comics and social networking features. The cognitive‐behavioural‐based intervention was specifically designed to treat social anxiety as a primary treatment target in youth with first‐episode psychosis (FEP).
Methods
The 10 participants (17‐26 years; Mage = 23 years) had a diagnosis of FEP and experienced significant levels of social anxiety as defined by exceeding a sub‐threshold clinical score (>30) on the Social Interaction Anxiety Scale (SIAS). They had access to the EMBRACE intervention for 2 months.
Results
In total, seven out of ten participants completed eight modules or more (total of 12 modules). All participants rated the intervention as positive and safe, and endorsed recommending it to others who experience social anxiety. Improvement in pre‐post social anxiety symptoms, as measured via the SIAS (d = −1.70, P = .0005) and the Liebowitz Social Anxiety Scale (d = −1.35, P = .002) were found. No statistically significant pre‐post improvements were found for depressive or loneliness symptoms.
Conclusion
EMBRACE was shown to be a feasible, acceptable, and safe online intervention to specifically target social anxiety as a primary treatment concern in young people with FEP.</description><subject>Acceptability</subject><subject>Anxiety</subject><subject>Behavior modification</subject><subject>Cognitive therapy</subject><subject>cognitive‐behavioural therapy</subject><subject>Comics</subject><subject>Feasibility studies</subject><subject>internet</subject><subject>Modules</subject><subject>online</subject><subject>Psychosis</subject><subject>Social anxiety</subject><subject>Social factors</subject><subject>Social networks</subject><subject>Young adults</subject><issn>1751-7885</issn><issn>1751-7893</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp10ctO3DAUBmCralVuXfQFKkvdwGIgx87F6W4YDQUJVETbteXGJx2jjB1sB8gG8Qh9Rp4E0wCLSvXmePHpt49-Qj5Ctg_pHKDp94HVwN6QTagKmFWi5m9f76LYIFshXGZZUZUM3pMNDkLUOYdNcvfdNUZ1VNlbg3GkxtLRDfY37dH1HdIbE1e0NT7Eh_s_2JvgNNI-jM3KBRO-0HPTuUhDHPRIXUvjCuny7PBivljSdaJeRdTU2c5YpGF6ytiI_hptNM7ukHet6gJ-eJ7b5OfR8sfieHb67evJYn46a7gQbKbLjAGveVqgEbxqeKZVhTzneYNa57rAIueFAl2rnEFZaGy1BkzbshJ1CXyb7E65vXdXA4Yo1yY02HXKohuCZJxDyVkJeaKf_6GXbvA2_U6yXGS14HUlktqbVONdCB5b2XuzVn6UkMmnUmQqRf4tJdlPz4nDrzXqV_nSQgIHE7gxHY7_T5LLk_Mp8hEDypeE</recordid><startdate>202102</startdate><enddate>202102</enddate><creator>McEnery, Carla</creator><creator>Lim, Michelle H.</creator><creator>Knowles, Ann</creator><creator>Rice, Simon</creator><creator>Gleeson, John</creator><creator>Howell, Simmone</creator><creator>Russon, Penni</creator><creator>Miles, Chris</creator><creator>D'Alfonso, Simon</creator><creator>Alvarez‐Jimenez, Mario</creator><general>Wiley Publishing Asia Pty Ltd</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4045-8553</orcidid><orcidid>https://orcid.org/0000-0001-9145-9068</orcidid></search><sort><creationdate>202102</creationdate><title>Social anxiety in young people with first‐episode psychosis: Pilot study of the EMBRACE moderated online social intervention</title><author>McEnery, Carla ; Lim, Michelle H. ; Knowles, Ann ; Rice, Simon ; Gleeson, John ; Howell, Simmone ; Russon, Penni ; Miles, Chris ; D'Alfonso, Simon ; Alvarez‐Jimenez, Mario</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3882-d6021393057c837c30da7e3434cedd4d5e5435a1d9a42165defdd1e76226ed613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acceptability</topic><topic>Anxiety</topic><topic>Behavior modification</topic><topic>Cognitive therapy</topic><topic>cognitive‐behavioural therapy</topic><topic>Comics</topic><topic>Feasibility studies</topic><topic>internet</topic><topic>Modules</topic><topic>online</topic><topic>Psychosis</topic><topic>Social anxiety</topic><topic>Social factors</topic><topic>Social networks</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McEnery, Carla</creatorcontrib><creatorcontrib>Lim, Michelle H.</creatorcontrib><creatorcontrib>Knowles, Ann</creatorcontrib><creatorcontrib>Rice, Simon</creatorcontrib><creatorcontrib>Gleeson, John</creatorcontrib><creatorcontrib>Howell, Simmone</creatorcontrib><creatorcontrib>Russon, Penni</creatorcontrib><creatorcontrib>Miles, Chris</creatorcontrib><creatorcontrib>D'Alfonso, Simon</creatorcontrib><creatorcontrib>Alvarez‐Jimenez, Mario</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Early intervention in psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McEnery, Carla</au><au>Lim, Michelle H.</au><au>Knowles, Ann</au><au>Rice, Simon</au><au>Gleeson, John</au><au>Howell, Simmone</au><au>Russon, Penni</au><au>Miles, Chris</au><au>D'Alfonso, Simon</au><au>Alvarez‐Jimenez, Mario</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Social anxiety in young people with first‐episode psychosis: Pilot study of the EMBRACE moderated online social intervention</atitle><jtitle>Early intervention in psychiatry</jtitle><addtitle>Early Interv Psychiatry</addtitle><date>2021-02</date><risdate>2021</risdate><volume>15</volume><issue>1</issue><spage>76</spage><epage>86</epage><pages>76-86</pages><issn>1751-7885</issn><eissn>1751-7893</eissn><abstract>Aim
We conducted a single‐group pilot study to evaluate the feasibility, acceptability and safety of a novel online intervention (entitled EMBRACE) that includes expert and peer moderation, therapeutic comics and social networking features. The cognitive‐behavioural‐based intervention was specifically designed to treat social anxiety as a primary treatment target in youth with first‐episode psychosis (FEP).
Methods
The 10 participants (17‐26 years; Mage = 23 years) had a diagnosis of FEP and experienced significant levels of social anxiety as defined by exceeding a sub‐threshold clinical score (>30) on the Social Interaction Anxiety Scale (SIAS). They had access to the EMBRACE intervention for 2 months.
Results
In total, seven out of ten participants completed eight modules or more (total of 12 modules). All participants rated the intervention as positive and safe, and endorsed recommending it to others who experience social anxiety. Improvement in pre‐post social anxiety symptoms, as measured via the SIAS (d = −1.70, P = .0005) and the Liebowitz Social Anxiety Scale (d = −1.35, P = .002) were found. No statistically significant pre‐post improvements were found for depressive or loneliness symptoms.
Conclusion
EMBRACE was shown to be a feasible, acceptable, and safe online intervention to specifically target social anxiety as a primary treatment concern in young people with FEP.</abstract><cop>Melbourne</cop><pub>Wiley Publishing Asia Pty Ltd</pub><pmid>31889431</pmid><doi>10.1111/eip.12912</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-4045-8553</orcidid><orcidid>https://orcid.org/0000-0001-9145-9068</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Acceptability Anxiety Behavior modification Cognitive therapy cognitive‐behavioural therapy Comics Feasibility studies internet Modules online Psychosis Social anxiety Social factors Social networks Young adults |
| title | Social anxiety in young people with first‐episode psychosis: Pilot study of the EMBRACE moderated online social intervention |
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