Background:Social anxiety disorder (SAD) is common. It usually starts in adolescence, and without treatment can disrupt key developmental milestones. Existing generic treatments are less effective for young people with SAD than with other anxiety disorders, but an adaptation of an effective adult therapy (CT-SAD-A) has shown promising results for adolescents.Aims:The aim of this study was to conduct a qualitative exploration to contribute towards the evaluation of CT-SAD-A for adoption into Child and Adolescent Mental Health Services (CAMHS).Method:We used interpretative phenomenological analysis (IPA) to analyse the transcripts of interviews with a sample of six young people, six parents and seven clinicians who were learning the treatment.Results:Three cross-cutting themes were identified: (i) endorsing the treatment; (ii) finding therapy to be collaborative and active; challenging but helpful; and (iii) navigating change in a complex setting. Young people and parents found the treatment to be useful and acceptable, although simultaneously challenging. This was echoed by the clinicians, with particular reference to integrating CT-SAD-A within community CAMHS settings.Conclusions:The acceptability of the treatment with young people, their parents and clinicians suggests further work is warranted in order to support its development and implementation within CAMHS settings.

中文翻译：

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在 NHS CAMHS 中为青少年社交焦虑症提供认知治疗：对年轻人、他们的父母和实习临床医生的经历进行定性分析


背景：社交焦虑症（SAD）很常见。它通常始于青春期，如果不治疗可能会破坏关键的发育里程碑。现有的通用疗法对患有 SAD 的年轻人的效果不如其他焦虑症，但有效的成人疗法 (CT-SAD-A) 的改编已显示出对青少年有希望的结果。 目的：本研究的目的是进行一项定性探索，有助于评估 CT-SAD-A 纳入儿童和青少年心理健康服务 (CAMHS) 的情况。方法：我们使用解释性现象学分析 (IPA) 来分析六名年轻人样本的访谈笔录，六名家长和七名临床医生正在学习治疗。结果：确定了三个交叉主题：(i) 认可治疗； (ii) 寻找具有协作性和积极性的治疗；具有挑战性但有帮助； (iii) 在复杂的环境中应对变化。年轻人和父母发现这种治疗方法有用且可以接受，但同时也具有挑战性。这得到了临床医生的响应，特别是关于将 CT-SAD-A 纳入社区 CAMHS 设置。结论：年轻人、他们的父母和临床医生对治疗的可接受性表明需要进一步开展工作，以支持其开发和实施在 CAMHS 设置内。