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Table 1 Overview of the intervention programs

From: A disorder-specific group cognitive behavior therapy for social anxiety disorder in adolescents: study protocol for a randomized controlled study

Session number

Participants

Session content

CK-E

Session content

CK

S-1

T, Y, P

• Rapport building

• Psychoeducation

• Worry scale

• SMART goals

• Psychoeducation

• Fears list

• Goals

• Worry scale

• Introduce linking thoughts and feelings

S-2

T, Y, P

• Continue rapport building

• Introduce link between thoughts & feelings

• Introduce attention training

• Review parent goals

• Introduce cognitive restructuring

(detective thinking)

• Review parent goals

S-3

T, Y, P

• Introduce cognitive restructuring

(detective thinking)

• Introduce rewards

• Continue detective thinking

• Introduce cool breathing

• Introduce rewards

S-4

T, Y, P

• Detective thinking to cost

• Introduce avoidance

• Introduce behavioral experiments

• Conduct in-session experiment

• Introduce exposure

• Design 1st stepladder

S-5

T, P

• Parenting an adolescent with SAD

• Parenting an adolescent with SAD

S-6

T, Y, P

• Introduce safety traps

• Review experiments

• Introduce experiments to reduce safety behaviors

• Conduct in-session experiment

• Introduce task-focused attention

• Review exposure progress

• Design further stepladders and review useful steps

• Planning in-session exposure

S-7

T, Y, P

• Review safety trap experiments and task-focused attention

• Conduct the video-feedback experiment

• Introduce the importance of obtaining an accurate self-perception

• Obtaining accurate self-perception using feedback

• Conduct additional in-session experiments

• Review exposure progress

• Simplified detective thinking (in my mind and act as if)

• In-session exposure

S-8

T, Y, P

• Review and revise experiments that utilize feedback

• Introduce post-event processing (detective thinking after a situation)

• Introduce cost experiments

• Conduct in-session exposure (including an extra challenge experiment)

• Review of exposure progress

• In-session exposure

• Problem solving

S-9

T, Y, P

• Review and revise extra challenge experiments and post-event detective thinking

• In-session experiments

• Parents only: Progress review, experiment revision, and (optional) experiment troubleshooting

• Optional module: Dealing with teasing and bullying

• Revise/add stepladders

• Conduct in-session exposure

• Parents only: Progress review, stepladder revision, and (optional) stepladder practice troubleshooting

S-10

T, Y, P

• Review of goals

• Maintenance of gains/setbacks

• Future plans

• Review of goals

• Maintenance of gains/setbacks

• Future plans

Booster

T, Y,P

• Focusing on maintaining and continuing the progress

• Advise possible further help

• Focusing on maintaining and continuing the progress

• Advise possible further help

  1. Abbreviations: S session, Y youth, P parent, T therapist, CK-E Cool Kids Anxiety Program - Social Enhanced, CK Cool Kids Anxiety Program