Effectiveness of computerised cognitive behaviour therapy for anxiety disorders in secondary care

Bell, Caroline; Colhoun, Helen C; Carter, Frances A.; Frampton, Christopher

doi:10.1177/0004867412437345

Cited by 34 publications

(30 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Internet-delivered cognitive behavior therapy treatment protocols have included disorder-specific treatments and transdiagnostic treatments that aim to treat the common elements and symptoms for anxiety disorders in general (Andersson et al, 2012;Bell et al, 2012;Carlbring et al, 2011;Johnston, Titov, Andrews, Spence, & Dear, 2011;Newby et al, 2013;Paxling et al, 2011;Robinson et al, 2010;Titov et al, 2010;Titov et al, 2009;Titov et al, 2011). Few internet-delivered treatments have integrated other therapeutic practices such as brief psychodynamic therapy (Andersson et al, 2012).…”

Section: Access To Treatment: the Evolution Of High And Low-intensitymentioning

confidence: 99%

“…We decided to include the data from this study as all had primary diagnosis of GAD or had a diagnosis of MDD with significant subthreshold GAD symptoms. In conclusion, we received discrete outcomes for GAD diagnosed subjects from the authors of 7 transdiagnostic studies (Bell et al, 2012;Berger et al, 2013;Johansson et al, 2013;Johnston et al, 2011;Newby et al, 2013;Titov et al, 2010;Titov et al, 2011).…”

Section: Selection and Inclusion Of Studiesmentioning

confidence: 99%

“…In one case recruitment was from several countries (Berger et al, 2013). Samples were community-based, apart from Bell et al (2012) who recruited from a clinical population, and ranged in size from 48 participants to 150 participants , the mean sample size across the 11 studies was 99 participants.…”

Section: Overview Of the Studies Includedmentioning

confidence: 99%

“…Four interventions were delivered in 6 modules of content over 8 to 10 weeks (Newby et al, 2013;Robinson et al, 2010;Titov et al, 2010;Titov et al, 2009). The GAD treatment in Bell et al (2012) consisted of 4 lessons to be completed within 12 weeks.…”

Section: Overview Of the Studies Includedmentioning

confidence: 99%

See 3 more Smart Citations

The efficacy of internet-delivered treatment for generalized anxiety disorder: A systematic review and meta-analysis

Richards

Richardson

Timulák

et al. 2015

Internet Interventions

106

View full text Add to dashboard Cite

Generalized Anxiety Disorder (GAD) is typically considered a chronic condition characterized by excessive worry. Lifetime prevalence is 4.3-5.9%, yet only a small percentage seeks treatment. GAD is treatable and in recent years internet-delivered treatment interventions have shown promise. This paper aims to systematically search for literature on internet-delivered psychological interventions for the treatment of GAD and conduct a meta-analysis to examine their efficacy. The purpose of the paper is to inform the community of researchers, program developers and practitioners in internet delivered interventions of the current state-of-the-art and research gaps that require attention. A systematic search of the literature was conducted to find all studies of internet-delivered treatments for GAD (N = 20). Using Review Manager 5 all Randomized Controlled Trials (RCTs; n = 11) that met our established eligibility criteria were included into a meta-analysis that calculated effect sizes via the standardized mean difference. Compared to the waiting-list controls, the results demonstrate positive outcomes for GAD symptoms (d = −0.91) and its central construct of pathological worry (d = −0.74). The meta-analysis supports the efficacy of internet-delivered treatments for GAD including the use of disorder-specific (4 studies) and transdiagnostic treatment protocols (7 studies). Caution is advised regarding the results as the data is limited and highly heterogeneous, but revealing of what future research might be needed.

show abstract

Section: Access To Treatment: the Evolution Of High And Low-intensitymentioning

confidence: 99%

Section: Selection and Inclusion Of Studiesmentioning

confidence: 99%

Section: Overview Of the Studies Includedmentioning

confidence: 99%

Section: Overview Of the Studies Includedmentioning

confidence: 99%

See 2 more Smart Citations

The efficacy of internet-delivered treatment for generalized anxiety disorder: A systematic review and meta-analysis

Richards

Richardson

Timulák

et al. 2015

Internet Interventions

106

View full text Add to dashboard Cite

show abstract

“…The evidence base for the clinical feasibility of ICBT is growing, showing promising results, with medium to large withingroup and small to medium between-group effect sizes (Bell, Colhoun, Carter, & Frampton, 2012;Hedman et al, 2013;Hoifodt, Strom, Kolstrup, Eisemann, & Waterloo, 2011;Mewton, Wong, & Andrews, 2012;Roy-Byrne et al, 2010;Ruwaard, Lange, Schrieken, Dolan, & Emmelkamp, 2012). Nevertheless, there seem to be differences between diagnoses.…”

Section: Internet-based Cognitive Behavioural Therapymentioning

confidence: 99%

Individually tailored internet-based cognitive behavioural therapy for anxiety disorders

Nordgren¹

2013

View full text Add to dashboard Cite

All previously published articles were reproduced with permission from the publisher. It´s hard to remember that this day will never come again. That the time is nowand the place is here and that there are no second chances at a single moment. Jeanette Winterson, The Passion 1 ABSTRACTFear is an innate emotion and an adaptive response to provide protection from potential harm. When fear is excessive and out of proportion in relation to the confronted situation, it can lead to the development of an anxiety disorder. Many individuals feel anxious at some point, but not all experience clinical anxiety or meet the diagnostic criteria of an anxiety disorder. Still, anxiety disorders are the most prevalent form of psychiatric disorder in the general population. More often than not people suffering from one anxiety disorder also present other psychiatric conditions. As of today, cognitive and behavioural treatments have been tested and found to positively affect anxiety disorders, making them the treatment of choice. Nevertheless, many patients do not seek or receive adequate treatment.One common critique of the research trials from which the recommendations for treatments stem is the use of a single protocol targeting only one diagnosis. This is because many people suffer from comorbidities. Another problem connected to the recommendation that cognitive behavioural therapy (CBT) should be the treatment of choice for anxiety disorders is the lack of therapists with adequate training. One possible way of dealing both with the shortcoming of therapists and making CBT more accessible is the use of the Internet. Internet-based CBT (ICBT) has been tested in numerous trials during the last 15 years, showing positive outcomes for a large variety of disorders. Many ICBT trials also make use of a single protocol. Another way of dealing with comorbidities might be to tailor the treatment to let characteristics and preferences of the patient guide the design of the protocol. Little is known about possible effects of tailoring the ICBT, the effects of therapeutic relationships in ICBT, and the effectiveness and cost-effectiveness of these treatments. This thesis is based on three studies on two separate randomized controlled trials (RCTs) using the same set of modules accessible for the tailored protocol.Study I was an RCT investigating treatment effects up to two-year after completion, showing favourable outcomes of the treatment in a 2 self-recruited sample at all measure points. Study II was a secondary analysis exploring possible relations between working alliance and treatment outcome for participants in the treatment group recruited for Study I indicating that working alliance predict outcome in this tailored treatment.The second RCT was an effectiveness trial (Study III) analysing treatment effects and cost-effectiveness of the treatment up to one year post treatment in a primary-care population. This study showed positive treatment effects both regarding symptom reduction and cost-effectiveness, and that effects were susta...

show abstract

Media-delivered cognitive behavioural therapy and behavioural therapy (self-help) for anxiety disorders in adults

Mayo‐Wilson

Montgomery

2013

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

show abstract

Effectiveness of computerised cognitive behaviour therapy for anxiety disorders in secondary care

Cited by 34 publications

References 54 publications

The efficacy of internet-delivered treatment for generalized anxiety disorder: A systematic review and meta-analysis

The efficacy of internet-delivered treatment for generalized anxiety disorder: A systematic review and meta-analysis

Individually tailored internet-based cognitive behavioural therapy for anxiety disorders

Media-delivered cognitive behavioural therapy and behavioural therapy (self-help) for anxiety disorders in adults

Contact Info

Product

Resources

About