Starting to develop self-help for social anxiety associated with vitiligo: using clinical significance to measure the potential effectiveness of enhanced psychological self-help

Shah, R., Hunt, J., Webb, T. L. and Thompson, A. R. ORCID: https://orcid.org/0000-0001-6788-7222 2014. Starting to develop self-help for social anxiety associated with vitiligo: using clinical significance to measure the potential effectiveness of enhanced psychological self-help. British Journal of Dermatology 171 (2) , pp. 332-337. 10.1111/bjd.12990

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Abstract

Background Vitiligo can be associated with high levels of distress, yet there are currently no self‐help interventions available. Objectives To describe the initial development of a psychosocial self‐help intervention designed to reduce social anxiety associated with vitiligo. Also to examine whether including a planning exercise, aimed at increasing use of the intervention (termed implementation intentions), has the potential to achieve a clinically significant reduction in distress. Methods Participants (n = 75) were randomized to one of three groups: cognitive behavioural self‐help (CBSH), CBSH augmented with implementation intentions (CBSH+), or no intervention. Participants were assessed at baseline and after 8 weeks on measures of social anxiety, anxiety and depression, and appearance‐related concern. The two intervention groups also completed a questionnaire evaluating their use of, and satisfaction with, the intervention. Results High levels of social anxiety and concern over appearance were reported. Twenty‐four per cent of participants in the CBSH+ group experienced clinically significant change on the measure of social anxiety compared with 8% in the CBSH group and 0% in the control group. In addition, 58% of the control group deteriorated during the study period. There were no significant differences between the conditions on the other outcome measures. Participants reported that the self‐help leaflets were helpful. Conclusions The findings demonstrate that augmented CBSH provides a relatively simple and accessible intervention that can result in a clinically significant reduction in social anxiety. The augmented intervention has potential and might be further developed and evaluated in subsequent trials.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Psychology
Publisher:	Wiley
ISSN:	0007-0963
Date of Acceptance:	20 March 2014
Last Modified:	09 Nov 2022 10:49
URI:	https://orca.cardiff.ac.uk/id/eprint/140723

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