How we made the decision

We check our guidelines regularly to ensure they remain up to date. We based the decision on surveillance 4 years after the publication of NICE's guideline on social anxiety disorder (NICE guideline CG159) in 2013.

For details of the process and update decisions that are available, see ensuring that published guidelines are current and accurate in developing NICE guidelines: the manual.

Previous surveillance update decisions for the guideline are on our website.


We found 51 studies in a search for randomised controlled trials and systematic reviews published between 18 February 2015 and 28 November 2016. We also included 1 relevant study from a total of 16 identified by members of the guideline committee who originally worked on this guideline. A further 1 study was identified through post-publication communications.

We also considered evidence identified in previous surveillance 2 years after publication of the guideline. This included 16 studies identified by the 2‑year surveillance review.

From all sources, we considered 69 studies to be relevant to the guideline.

We also checked for relevant ongoing research, which will be evaluated again at the next surveillance review of the guideline.

See appendix A: summary of evidence from surveillance for details of all evidence considered, and references.

Views of topic experts

We considered the views of topic experts, including those who helped to develop the guideline and other correspondence we have received since the publication of the guideline.

Views of stakeholders

Stakeholders commented on the decision not to update the guideline. See appendix B for stakeholders' comments and our responses.

Overall, 4 stakeholders responded to the consultation with 1 stakeholder providing comments. Of the stakeholders who responded; 2 agreed with the proposal to not update the guideline and 2 provided no answer. The comments suggested that the guideline should specifically address social anxiety disorder in older adults. This population is included as a subgroup of interest within the guideline review questions. As such, evidence relating to social anxiety disorder in older adults had been searched for and considered as part of the surveillance review. No evidence relating specifically to older adults was found during the review of NICE guideline CG159.

See ensuring that published guidelines are current and accurate in developing NICE guidelines: the manual for more details on our consultation processes.

NICE Surveillance programme project team

Kay Nolan
Associate Director

Philip Alderson
Consultant Clinical Adviser

Judith Thornton
Technical Adviser

Omar Moreea
Technical Analyst

The NICE project team would like to thank the topic experts who participated in the surveillance process.

ISBN: 978-1-4731-2543-8

This page was last updated: 22 June 2017