| Autor: |
Stott, Richard, Wild, Jennifer, Grey, Nick, Liness, Sheena, Warnock-Parkes, Emma, Commins, Siobhan, Readings, Jennifer, Bremner, Georgina, Woodward, Elizabeth, Ehlers, Anke, Clark, David M. |
| Předmět: |
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| Zdroj: |
Behavioural & Cognitive Psychotherapy; Jul2013, Vol. 41 Issue 4, p383-397, 15p |
| Abstrakt: |
Background: Randomized controlled trials have established that individual cognitive therapy based on the Clark and Wells (1995) model is an effective treatment for social anxiety disorder that is superior to a range of alternative psychological and pharmacological interventions. Normally the treatment involves up to 14 weekly face-to-face therapy sessions. Aim: To develop an internet based version of the treatment that requires less therapist time. Method: An internet-delivered version of cognitive therapy (iCT) for social anxiety disorder is described. The internet-version implements all key features of the face-to-face treatment; including video feedback, attention training, behavioural experiments, and memory focused techniques. Therapist support is via a built-in secure messaging system and by brief telephone calls. A cohort of 11 patients meeting DSM-IV criteria for social anxiety disorder worked through the programme and were assessed at pretreatment and posttreatment. Results: No patients dropped out. Improvements in social anxiety and related process variables were within the range of those observed in randomized controlled trials of face-to-face CT. Nine patients (82%) were classified as treatment responders and seven (64%) achieved remission status . Therapist time per patient was only 20% of that in face-to-face CT. Conclusions: iCT shows promise as a way of reducing therapist time without compromising efficacy. Further evaluation of iCT is ongoing. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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