CBT for Social Anxiety Disorder Delivered by School Counselors

January 28, 2016 updated by: NYU Langone Health
This 5-year study addresses the unmet needs of adolescents with social phobia through the testing of a 12-week cognitive-behavioral, school-based group intervention delivered by trained school counselors compared to a nonspecific school counseling program. A secondary goal is to provide further examination of the efficacy of the CBT program delivered by school counselors as compared to the same program delivered by psychologists.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The investigators have tested SASS, a school-based group CBT intervention for social phobia, and found it to be effective when delivered by psychologists (Masia Warner et al., 2005; Masia Warner et al., 2007). The proposed dissemination study extends this work through a controlled trial of SASS delivered by school counselors. The investigators will randomize 126 adolescents with social anxiety disorder, ages 14 through 17, to one of 3 treatments: 1) SASS delivered by school counselors (SC-SASS), 2) SASS delivered by psychologists (Expert-SASS), or 3) a manualized adolescent group counseling program specifically designed for school counselors, called Skills for Living (SFL). A comprehensive evaluation will include diagnosis, illness severity, scale ratings of social anxiety and depression, clinical global improvement, overall functioning, and school-relevant indices of function. Outcomes will be assessed at baseline, mid-point (after 6 weeks of intervention), post-treatment, and 6 months following intervention completion.

Study Type

Interventional

Enrollment (Actual)

126

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • New York
      • New York, New York, United States, 10016
        • New York University School of Medicine

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

14 years to 17 years (Child)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. Diagnosis. DSM-IV primary diagnosis (most severe) of social anxiety disorder (as determined by the ADIS-PC)
  2. Age and Sex. Boys and Girls, 14 through 19 years
  3. Grade. 9th, 10th, 11th, or 12th
  4. English speaking. Adolescent

Exclusion Criteria:

  1. Current diagnosis of substance use or conduct disorder
  2. Concurrent mental disorder of greater severity than social anxiety disorder
  3. Current psychotic symptoms
  4. Current suicidal ideation
  5. Pervasive developmental disorder, or a significant medical disorder (e.g., substantially impairs functioning, school attendance, or the ability to engage in treatment)
  6. Current psychological or pharmacological treatment

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Factorial Assignment
  • Masking: Triple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Expert-led CBT
Expert SASS is the Skills for Academic and Social Success protocol delivered by a postdoctoral fellows.
Behavioral: Skills for Academic and Social Success
12-week cognitive-behavioral, school-based group intervention
Experimental: School Counselor-led CBT

School Counselor SASS is the Skills for Academic and Social Success protocol delivered by School Counselors.

Intervention: Behavioral: Skills for Social and Academic Success
Behavioral: Skills for Academic and Social Success
12-week cognitive-behavioral, school-based group intervention
Active Comparator: Skills for Life
SFL is the Skills for Life Protocol delivered by school counselors. Intervention: Behavioral: Skills for Life
Behavioral: Skills for Life
SFL is the Skills for Life Protocol delivered by school counselors.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in Diagnostic severity of social anxiety disorder (ADIS CSR score)
Time Frame: 2 week and 6-month follow-up
ADIS CSR Ratings are taken at baseline, immediately following treatment, and at a 6-month followup.
2 week and 6-month follow-up
Change in Treatment response/non-response (a CGI-I of Improved or better, ratings of 1-3, 3 = Improved)
Time Frame: 2 week and 6-month follow-up
CGI-I assesses improvement from baseline immediately following treatment and at a 6-month followup assessment.
2 week and 6-month follow-up

Secondary Outcome Measures

Outcome Measure
Time Frame
Change in Diagnostic status: presence or absence of social anxiety disorder
Time Frame: 2 week and 6-month follow-up
2 week and 6-month follow-up
Change in Overall and school functioning: spare-time, peer relations, home life, school attendance, grades, and LSAS-CA school items total score
Time Frame: 2 week and 6-month follow-up
2 week and 6-month follow-up
Change in Adolescent and parent ratings of social anxiety scale scores (self and parent SPAI-C), and adolescent ratings of depression (BDI-II)
Time Frame: 2 week and 6-month follow-up
2 week and 6-month follow-up

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

NYU Langone Health

Collaborators

National Institute of Mental Health (NIMH)

Investigators

  • Principal Investigator: Carrie Masia, Ph.D., NYU Langone Health

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

October 1, 2010

Primary Completion (Actual)

February 1, 2015

Study Completion (Actual)

February 1, 2015

Study Registration Dates

First Submitted

March 11, 2011

First Submitted That Met QC Criteria

March 21, 2011

First Posted (Estimate)

March 22, 2011

Study Record Updates

Last Update Posted (Estimate)

January 29, 2016

Last Update Submitted That Met QC Criteria

January 28, 2016

Last Verified

January 1, 2016

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • MH81881
  • R01MH081881 (U.S. NIH Grant/Contract)

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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