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Therapist-assisted Internet-delivered cognitive behavior therapy for depression and anxiety: translating evidence into clinical practice.

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journal contribution
posted on 2024-06-03, 20:01 authored by HD Hadjistavropoulos, NE Pugh, MM Nugent, H Hesser, G Andersson, M Ivanov, CG Butz, G Marchildon, GJ Asmundson, B Klein, David AustinDavid Austin
This dissemination study examined the effectiveness of therapist-assisted Internet-delivered Cognitive Behavior Therapy (ICBT) when offered in clinical practice. A centralized unit screened and coordinated ICBT delivered by newly trained therapists working in six geographically dispersed clinical settings. Using an open trial design, 221 patients were offered 12 modules of ICBT for symptoms of generalized anxiety (n=112), depression (n=83), or panic (n=26). At baseline, midpoint and post-treatment, patients completed self-report measures. On average, patients completed 8 of 12 modules. Latent growth curve modeling identified significant reductions in depression, anxiety, stress and impairment (d=.65-.78), and improvements in quality of life (d=.48-.66). Improvements in primary symptoms were large (d=.91-1.25). Overall, therapist-assisted ICBT was effective when coordinated across settings in clinical practice, but further attention should be given to strategies to improve completion of treatment modules.

History

Journal

Journal of Anxiety Disorders

Volume

28

Pagination

884-893

Location

Netherlands

Open access

  • Yes

ISSN

1873-7897

eISSN

1873-7897

Language

eng

Publication classification

C Journal article, C1 Refereed article in a scholarly journal

Copyright notice

2014, Elsevier

Issue

8

Publisher

Elsevier