A Systems Level Intervention for Unemployed Persons With Social Anxiety Disorder

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Joseph Himle, University of Michigan
ClinicalTrials.gov Identifier:
NCT01654510
First received: May 10, 2012
Last updated: July 30, 2012
Last verified: July 2012
  Purpose

The goal of the proposed research is to design and develop a culturally appropriate, vocationally focused, sustainable, cognitive-behavioral intervention for unemployed, economically disadvantaged, urban-dwelling persons whose job attainment efforts have been undermined by the presence of social anxiety disorder.


Condition Intervention Phase
Social Anxiety Disorder
Behavioral: Cognitive Behavioral Therapy Group
Other: Vocational Services as Usual
Phase 2
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Systems Level Intervention for Unemployed Persons With Social Anxiety

Resource links provided by NLM:


Further study details as provided by University of Michigan:

Primary Outcome Measures:
  • Liebowitz Social Anxiety Scale [ Time Frame: April 2008 - March 2012 (4 years) ] [ Designated as safety issue: No ]
    The primary symptom measure for assessing treatment outcome will be the Liebowitz Social Anxiety Scale (LSAS: Liebowitz, 1987). It assesses fear and avoidance of several social interaction and performance situations.


Secondary Outcome Measures:
  • Employment Status [ Time Frame: April 2008 - March 2012 (4 years) ] [ Designated as safety issue: No ]
    Reported number of paid work hours per week and the reported number of weeks working at least 35 hours per week (full-time) during the follow-up period.


Enrollment: 165
Study Start Date: April 2008
Study Completion Date: March 2012
Primary Completion Date: March 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Cognitive Behavioral Therapy Group Behavioral: Cognitive Behavioral Therapy Group
This is a cognitive behavioral therapy group designed for homeless, unemployed people utelizing vocational rehabilitation services. The group is administered on a bi-weekly basis for four weeks, totalling eight sessions.
Active Comparator: Vocational Services as Usual Control
Vocational services typically present in a comprehensive vocational service center.
Other: Vocational Services as Usual

Detailed Description:

The goal of the proposed research is to gather information from Jewish Vocational Service consumers and employees about the association between social anxiety disorder and unemployment. A recent nationally representative epidemiological study places the lifetime prevalence of DSM-IV SocAD at 12.1% (Kessler et al., 2005). Social anxiety disorder is associated with notable impairments in social functioning (Kessler, 2003; Stein and Kean, 2000). A large majority of people with social anxiety disorder report significant impairment in occupational functioning (Stein, et al., 2000; Turner et al., 1986). Specific impairments include turning down job offers and promotions (Stein, Torgrud, & Walker, 2000), reduced productivity and job performance (Wittchen, et al., 2000), lowered educational attainment & early school dropout (Stein & Kean, 2000), increased unemployment (Heimberg et al.,1990a), financial dependence (Scheier et al, 1992), and reduced income (Magee et al., 1996). Social anxiety disorder likely interferes with job attainment due to job interview avoidance, excessive anxious arousal during job interviews, and limited social networks to provide job leads. Our longitudinal study of mothers receiving welfare found that the diagnosis of social anxiety disorder was the strongest psychiatric predictor of reliance on welfare for support over time. We have also completed a study that identifies social anxiety disorder as the only psychiatric disorder that significantly interferes with attaining work among individuals who participated in an internationally tested, best-practice, vocational services intervention program. We have begun to screen individuals for the presence of social anxiety at Jewish Vocational Service in Detroit, Michigan, where the primary clientele are economically disadvantaged, African Americans who are seeking work. Our screening efforts confirm the association between suspected social anxiety disorder and unemployment in this population. This project will build upon these findings and will interview JVS consumers and employees to gain more insight and knowledge into the relationship between social anxiety disorder and unemployment. It will also inform future research on the design and development of a culturally appropriate, vocationally focused, sustainable, cognitive-behavioral intervention for unemployed, economically disadvantaged, urban-dwelling persons whose job attainment efforts have been undermined by the presence of social anxiety disorder.

  Eligibility

Ages Eligible for Study:   18 Years to 60 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • JVS service-seeking adults
  • Unemployed
  • Score at least four on the MINI-SPIN
  • Meet structured interview criteria for Social Anxiety Disorder and other study related inclusion criteria described below.

Exclusion Criteria:

  • Substance use dependence within the past 1 month
  • Current use of opiates or freebase cocaine
  • Chronic neurological disorder; mental retardation
  • Current bipolar I disorder
  • Medical conditions contraindicating study treatment
  • Prominent suicidal/homicidal ideation with imminent risk
  Contacts and Locations
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Please refer to this study by its ClinicalTrials.gov identifier: NCT01654510

Sponsors and Collaborators
University of Michigan
Investigators
Principal Investigator: Joseph Himle, PhD University of Michigan
  More Information

No publications provided

Responsible Party: Joseph Himle, Associate Professor, University of Michigan
ClinicalTrials.gov Identifier: NCT01654510     History of Changes
Other Study ID Numbers: HUM00017734
Study First Received: May 10, 2012
Last Updated: July 30, 2012
Health Authority: United States: Institutional Review Board

Additional relevant MeSH terms:
Anxiety Disorders
Phobic Disorders
Mental Disorders

ClinicalTrials.gov processed this record on July 24, 2014