TY - JOUR
T1 - Mediation of social anxiety and depression during internet-delivered treatment for social anxiety disorder
AU - Shalom, Jonathan G.
AU - Shaul-Tsoran, Inbar
AU - Strauss, Asher Y.
AU - Huppert, Jonathan D.
AU - Andersson, Gerhard
AU - Aderka, Idan M.
N1 - Publisher Copyright:
© 2024 Swedish Association for Behaviour Therapy.
PY - 2024
Y1 - 2024
N2 - Many individuals with social anxiety disorder (SAD) have depressive symptoms that meet criteria for major depressive disorder (MDD). In our study, we examined the temporal relationship between symptoms of social anxiety and symptoms of depression during the course of an 11-week internet-delivered cognitive behavioral treatment (ICBT) for SAD (n = 170). Specifically, we investigated whether weekly changes in social anxiety mediated changes in depression, changes in depression mediated changes in anxiety, both or neither. In addition, we compared individuals with SAD and MDD (n = 50) and individuals with SAD and no MDD (n = 120) to examine the role of MDD as a moderator of the social anxiety—depression relationship. Lower-level mediational modeling revealed that changes in social anxiety symptoms mediated changes in depression symptoms to a greater extent than vice versa. In addition, mediation among individuals with SAD and MDD was significantly greater compared to individuals with SAD and no MDD. Our findings suggest that ICBT is effective in treating individuals with SAD regardless of comorbid depression, and that focusing ICBT interventions on social anxiety can lead to significant reductions in depression among individuals with SAD.
AB - Many individuals with social anxiety disorder (SAD) have depressive symptoms that meet criteria for major depressive disorder (MDD). In our study, we examined the temporal relationship between symptoms of social anxiety and symptoms of depression during the course of an 11-week internet-delivered cognitive behavioral treatment (ICBT) for SAD (n = 170). Specifically, we investigated whether weekly changes in social anxiety mediated changes in depression, changes in depression mediated changes in anxiety, both or neither. In addition, we compared individuals with SAD and MDD (n = 50) and individuals with SAD and no MDD (n = 120) to examine the role of MDD as a moderator of the social anxiety—depression relationship. Lower-level mediational modeling revealed that changes in social anxiety symptoms mediated changes in depression symptoms to a greater extent than vice versa. In addition, mediation among individuals with SAD and MDD was significantly greater compared to individuals with SAD and no MDD. Our findings suggest that ICBT is effective in treating individuals with SAD regardless of comorbid depression, and that focusing ICBT interventions on social anxiety can lead to significant reductions in depression among individuals with SAD.
KW - Social anxiety disorder
KW - depression
KW - internet-delivered cognitive behavior therapy
KW - lower-level mediational models
KW - major depressive disorder
UR - http://www.scopus.com/inward/record.url?scp=85188658489&partnerID=8YFLogxK
U2 - 10.1080/16506073.2024.2331188
DO - 10.1080/16506073.2024.2331188
M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???
C2 - 38502174
AN - SCOPUS:85188658489
SN - 1650-6073
VL - 53
SP - 436
EP - 453
JO - Cognitive Behaviour Therapy
JF - Cognitive Behaviour Therapy
IS - 4
ER -