austin-therapistassisted-2014.pdf (4.05 MB)
Therapist-assisted Internet-delivered cognitive behavior therapy for depression and anxiety: translating evidence into clinical practice.
journal contribution
posted on 2014-12-01, 00:00 authored by H D Hadjistavropoulos, N E Pugh, M M Nugent, H Hesser, G Andersson, M Ivanov, C G Butz, G Marchildon, G J Asmundson, B Klein, David AustinDavid AustinThis 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 DisordersVolume
28Issue
8Pagination
884 - 893Publisher
ElsevierLocation
NetherlandsPublisher DOI
ISSN
1873-7897eISSN
1873-7897Language
engPublication classification
C Journal article; C1 Refereed article in a scholarly journalCopyright notice
2014, ElsevierUsage metrics
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No categories selectedKeywords
Cognitive behavior therapyDepressionGeneralized anxietyInternet-deliveredPanicTherapist-assistedAdultAgedAnxietyAnxiety DisordersCognitive TherapyFemaleHumansInternetMaleMiddle AgedQuality of LifeSelf ReportSocial SciencesScience & TechnologyLife Sciences & BiomedicinePsychology, ClinicalPsychiatryPsychologySELF-REPORTPSYCHOMETRIC PROPERTIESPANIC DISORDERMISSING DATATRIALSEVERITYSCALEPHQ-9RELIABILITYEFFICACY
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