Therapist-assisted Internet-delivered cognitive behavior therapy for depression and anxiety: Translating evidence into clinical practice
| Autor: | Greg Marchildon, Max Ivanov, David W. Austin, Britta Klein, Nicole E. Pugh, Hugo Hesser, Gerhard Andersson, Gordon J.G. Asmundson, C. G. Butz, Marcie Nugent, Heather D. Hadjistavropoulos |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male 050103 clinical psychology Medicinska och farmaceutiska grundvetenskaper Anxiety law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Quality of life law medicine Humans 0501 psychology and cognitive sciences Internet-delivered Depression (differential diagnoses) Aged Internet Cognitive Behavioral Therapy Latent growth modeling Depression Panic disorder 05 social sciences Panic Cognition Generalized anxiety Basic Medicine Middle Aged medicine.disease Anxiety Disorders 3. Good health 030227 psychiatry Clinical Psychology Psychiatry and Mental health Cognitive behavior therapy Quality of Life Female Therapist-assisted Self Report medicine.symptom Psychology Clinical psychology |
| Zdroj: | Journal of Anxiety Disorders. 28(8):884-893 |
| ISSN: | 0887-6185 |
| DOI: | 10.1016/j.janxdis.2014.09.018 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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