A randomized controlled trial of a smartphone-based application for the treatment of anxiety
Autor: | Michelle G. Newman, Gavin N. Rackoff, Megan Jones Bell, Nicholas C. Jacobson, C. Barr Taylor |
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Rok vydání: | 2020 |
Předmět: |
050103 clinical psychology
Psychotherapist Generalized anxiety disorder medicine.medical_treatment education Psychological intervention Anxiety Article law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law ComputingMilieux_COMPUTERSANDEDUCATION medicine Humans 0501 psychology and cognitive sciences 05 social sciences Treatment method medicine.disease Anxiety Disorders 030227 psychiatry Cognitive behavioral therapy Clinical Psychology Self Report Smartphone medicine.symptom Psychology |
Zdroj: | Psychother Res |
ISSN: | 1468-4381 1050-3307 |
DOI: | 10.1080/10503307.2020.1790688 |
Popis: | INTRODUCTION: Generalized anxiety disorder (GAD) is prevalent among college students. Smartphone-based interventions may be a low-cost treatment method. METHOD: College students with self-reported GAD were randomized to receive smartphone-based guided self-help (n = 50), or no treatment (n = 50). Post-treatment and six-month follow-up outcomes included the Depression Anxiety Stress Scales-Short Form Stress Subscale (DASS Stress), the Penn State Worry Questionnaire (PSWQ-11), and the State-Trait Anxiety Inventory-Trait (STAI-T), as well as diagnostic status assessed by the GAD-Questionnaire, 4th edition. RESULTS: From pre- to post-treatment, participants who received guided self-help (vs. no treatment) experienced significantly greater reductions on the DASS Stress (d = −0.408) and a greater probability of remission from GAD (d = −0.445). There was no significant between-group difference in change on the PSWQ-11 (d = −0.208) or STAI-T (d = −0.114). From post to six-month follow-up there was no significant loss of gains on DASS Stress scores (d = −0.141) and of those who had remitted, 78.6% remained remitted. Yet rates of remitted participants no longer differed significantly between conditions at follow-up (d = −0.229). CONCLUSION: Smartphone-based interventions may be efficacious in treating some aspects of GAD. Methods for improving symptom reduction and long-term outcome are discussed. |
Databáze: | OpenAIRE |
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