About this trial
The study will adapt and implement a Pakistani version of Internet-delivered Cognitive Therapy for Social Anxiety Disorder (iCT-SAD), assessing its effectiveness in reducing social anxiety symptoms among Pakistani individuals.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Primary diagnosis of SAD based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)
Aged 18-75 years
Regular, access to an appropriate internet device
Resident of Pakistan and can write and speak Urdu
Disqualifiers
Current psychosis, bipolar disorder, antisocial personality disorder, or alcohol/substance use disorder
Active suicidal ideation with intent or plan
Previously received CT or cognitive behavioral therapy for SAD
Trial design
Parallel
Treatments tested in this trial
iCT-SAD-PK
BehavioralThe intervention arm will receive a Pakistani version of Internet-delivered Cognitive Therapy for Social Anxiety Disorder (iCT-SAD), assessing its effectiveness in reducing social anxiety symptoms among Pakistani individuals. This will involve culturally tailored online therapy modules, therapist support, and regular progress assessments.
Treatment groups
Trial outcomes
Primary outcomes
The primary outcome is change in Social Anxiety score (LSAS)
The primary outcome will be measured by Liebowitz Social Anxiety Scale. The 24 items are first rated on a Likert Scale from 0 to 3 on fear felt during the situations, and then the same items are rated regarding avoidance of the situation. Each item is rated on a four-item Likert scale ranging from 0 (no fear/never avoidance) to 3 (high fear/usually avoidance), with lower scores indicating a better outcome
Secondary outcomes
The secondary outcome is change in Social Cognitions symptoms
The secondary outcome will be measured by the Social Cognitions Questionnaire (SCQ). SCQ is a 22-item scale that assesses the most common negative automatic thoughts related to SAD. Each thought is rated in terms of how often it occurred in the last week and how much it is believed. The mean scores for frequency (mean ranges from 1 to 5) and for belief (mean ranges from 0 to 100) are computed separately, with lower scores indicating a better outcome.
The secondary outcome is change in depressive symptoms
The secondary outcome will be measured by the Patient Health Questionnaire (PHQ-9). PHQ-9 is a scale that will be used for assessing depressive symptoms. This scale contains 9 questions answered on a 4-point Likert scale, with numbers from 0 (not at all) to 3 (nearly every day). A higher score reflects more severe symptoms.
The secondary outcome is change in generalised anxiety symptoms
GAD-7 is a validated questionnaire commonly used to assess generalized anxiety symptoms and their severity. This scale consists of 7 questions answered on a 4-item Likert scale, with numbers from 0 (not at all) to 3 (nearly every day). A higher score reflects more severe symptoms.
The secondary outcome is change in perceived functional impairment
WSAS is a five-item scale that measures perceived functional impairment across five domains: work, home management, social leisure activities, private leisure activities, and relationships with others. Each item is rated on a 9-point severity scale ranging from 0 (not at all) to 8 (very severely), based on the degree to which the issue impedes one's ability to perform an activity.
Locations
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Universiti Putra Malaysia
Lead sponsor
Green International University
Collaborator
This trial is not recruiting at the moment. You can still explore other options: