%0 Journal Article %@ 1438-8871 %I Gunther Eysenbach %V 13 %N 2 %P e39 %T A 5-Year Follow-up of Internet-Based Cognitive Behavior Therapy for Social Anxiety Disorder %A Hedman,Erik %A Furmark,Tomas %A Carlbring,Per %A Ljótsson,Brjánn %A Rück,Christian %A Lindefors,Nils %A Andersson,Gerhard %+ Department of Clinical Neuroscience, Karolinska Institutet, Internet Psychiatry M46, Karolinska University Hospital Huddinge, Stockholm, 141 86, Sweden, 46 8 585 857 91, erik.hedman.2@ki.se %K Internet %K cognitive behavior therapy %K anxiety disorders %K social anxiety disorder %K 5-year follow-up %D 2011 %7 15.06.2011 %9 Original Paper %J J Med Internet Res %G English %X Background: Internet-based cognitive behavior therapy (CBT) has been shown to be a promising method to disseminate cognitive behavior therapy for social anxiety disorder (SAD). Several trials have demonstrated that Internet-based CBT can be effective for SAD in the shorter term. However, the long-term effects of Internet-based CBT for SAD are less well known. Objective: Our objective was to investigate the effect of Internet-based CBT for SAD 5 years after completed treatment. Method: We conducted a 5-year follow-up study of 80 persons with SAD who had undergone Internet-based CBT. The assessment comprised a diagnostic interview and self-report questionnaires. The main outcome measure was the Liebowitz Social Anxiety Scale-Self-Report (LSAS-SR). Additional measures of social anxiety were the Social Interaction Anxiety Scale (SIAS) and the Social Phobia Scale (SPS). Attrition rates were low: 89% (71/80) of the participants completed the diagnostic interview and 80% (64/80) responded to the questionnaires. Results: Mixed-effect models analysis showed a significant effect of time on the three social anxiety measures, LSAS-SR, SIAS, and SPS (F3,98-102 = 16.05 - 29.20, P < .001) indicating improvement. From baseline to 5-year follow-up, participants’ mean scores on the LSAS-SR were reduced from 71.3 (95% confidence interval [CI] 66.1-76.5) to 40.3 (95% CI 35.2 - 45.3). The effect sizes of the LSAS-SR were large (Cohen’s d range 1.30 - 1.40, 95% CI 0.77 - 1.90). Improvements gained at the 1-year follow-up were sustained 5 years after completed treatment. Conclusions: Internet-based CBT for SAD is a treatment that can result in large and enduring effects. Trial registration: Clinicaltrials.gov NCT01145690; http://clinicaltrials.gov/ct2/show/NCT01145690 (Archived by WebCite at http://www.webcitation.org/5ygRxDLfK) %M 21676694 %R 10.2196/jmir.1776 %U http://www.jmir.org/2011/2/e39/ %U https://doi.org/10.2196/jmir.1776 %U http://www.ncbi.nlm.nih.gov/pubmed/21676694