Internet-based treatment of social phobia: A randomized controlled trial comparing unguided with two types of guided self-help

Berger, Thomas; Caspar, Franz; Richardson, Robert L.; Kneubühler, Bernhard; Sutter, Daniel; Andersson, Gerhard

doi:10.1016/j.brat.2010.12.007

Cited by 255 publications

(266 citation statements)

References 49 publications

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“…Fourth, we were surprised by our results, which consistently indicated that approximately 80% of participants completed the treatment protocols with a magnitude of clinical improvement at least as large as those we typically observed at our specialist tertiary face-to-face outpatient treatment facility for anxiety disorders (McEvoy, 2007). Specifi cally, using the same outcome measures across services, we consistently obtained mean effect sizes on primary outcome measures of Cohen's d ≥ 1.0, which were consistent with results from other research teams evaluating disorder-specifi c iPT interventions (Andersson et al, 2006;Berger et al, 2011;Carlbring et al, 2007;Carlbring et al, 2005;Furmark et al, 2009;Kiropoulos et al, 2008;Paxling et al, 2011;Richards, Klein, & Austin, 2006). Fifth, consistent with other reports, we noticed that effective treatment of the principal diagnosis often reduced symptoms in comorbid conditions (Johnston, Titov, Andrews, Dear, & Spence, accepted;Titov, Gibson, Andrews, & McEvoy, 2009).…”

Section: Results Of Our Trials Of Disorder-specifi C Iptsupporting

confidence: 85%

Transdiagnostic internet treatment for anxiety and depression = Tratamiento transdiagnóstico por internet de la ansiedad y la depresión

Titov

Dear²,

Johnston³

et al. 2012

RPPC

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Anxiety and depression are common, chronic, disabling and frequently comorbid, but many people experience barriers accessing treatment. Internet-delivered psychological treatments (iPT) have considerable potential to increase access, while transdiagnostic (TD) interventions, which aim to simultaneously treat multiple disorders, represent an emerging approach that may facilitate the treatment of comorbidity. The present paper describes a conceptual and pragmatic rationale for combining iPT and TD approaches. It also describes the authors' experiences in developing and evaluating TD iPT protocols for anxiety and depression. The results of 4 randomised controlled trials and one open trial (N = 572) are reviewed. The results of these trials are encouraging and indicate TD iPT can significantly reduce symptoms of both principal and comorbid disorders. However, independent replication of the existing findings is required and many outstanding questions remain. We watch with interest how further conceptual and technological developments influence the content and delivery of these interventions.Keywords: Internet-delivered psychological therapy (iPT); randomised controlled trial (RCT); anxiety; depression; transdiagnostic; treatment; internet. Tratamiento transdiagnóstico por internet de la ansiedad y la depresiónResumen: La ansiedad y la depresión son fenómenos comunes, crónicos, incapacitantes y frecuentemente comórbidos, pero muchas personas tienen dificultades para acceder a su tratamiento. Los tratamientos psicológicos administrados por internet poseen un gran potencial para incrementar el acceso de los pacientes, mientras que las intervenciones transdiagnósticas, que se dirigen a tratar simultáneamente múltiples trastornos, representan un enfoque emergente que podría facilitar el tratamiento de dicha comorbilidad. El presente trabajo describe los fundamentos conceptuales y pragmáticos para la aplicación del transdiagnóstico a través de internet. También se describe la experiencia de los autores en el desarrollo y evaluación de protocolos transdiagnósticos administrados por internet para el tratamiento de la ansiedad y la depresión. Se revisan los resultados procedentes de 4 ensayos controlados aleatorizados y un ensayo abierto (N = 572). Los resultados de estos ensayos son alentadores e indican que el transdiagnóstico administrado por internet puede reducir significativamente tanto los síntomas de los trastornos principales como de los trastornos comórbidos. Sin embargo, aparte de que existen cuestiones sin resolver, se requiere una replicación independiente de los resultados existentes. Observamos con interés la forma en que los futuros desarrollos teó-ricos y tecnológicos influyan sobre el contenido y administración de estas intervenciones.Palabras clave: Terapia psicológica por internet; ensayo controlado aleatorizado; ansiedad; depresión; transdiagnóstico; tratamiento; internet.

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Section: Results Of Our Trials Of Disorder-specifi C Iptsupporting

confidence: 85%

Transdiagnostic internet treatment for anxiety and depression = Tratamiento transdiagnóstico por internet de la ansiedad y la depresión

Titov

Dear²,

Johnston³

et al. 2012

RPPC

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“…First, the homogeneity of our sample (all patients had SAD as a main diagnosis) and of the intervention (manualized CBGT, semi-standardized e-mails) are strengths of the study. Further, although the effectiveness of internet-based cognitive-behavior therapy has been shown for the treatment of several psychiatric conditions including SAD (Berger et al, 2011;Hedman et al, 2011;Gadit, 2006;Tilfors et al, 2008;Titov et al, 2008) and previous studies have confirmed the effectiveness of motivational e-mail support as an adjunct to internetdelivered self-help (e.g. Lancee et al, 2013), this is the first study systematically testing the effect of e-mail support as an adjunct to face-to-face group therapy.…”

Section: Discussionmentioning

confidence: 99%

E-mail support as an adjunct to cognitive-behavioral group therapy for social anxiety disorder: Impact on dropout and outcome

Delsignore

Rufer

Emmerich

et al. 2016

Psychiatry Research

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“…28,30,62 In contrast, one RCT directly compared unguided, minimally guided and flexibly guided Internetdelivered CBT for social phobias using a fivelesson program administered over 10 weeks. 63 The three treatments were equally effective, with no statistical difference in adherence. Further studies are needed to reconcile these conflicting results.…”

Section: What Are the Disadvantages Of Internet-delivered Cbt?mentioning

confidence: 95%

Internet-delivered cognitive behavioural therapy in the treatment of psychiatric illness

Gratzer

Khalid-Khan

2015

CMAJ

100

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Internet-based treatment of social phobia: A randomized controlled trial comparing unguided with two types of guided self-help

Cited by 255 publications

References 49 publications

Transdiagnostic internet treatment for anxiety and depression = Tratamiento transdiagnóstico por internet de la ansiedad y la depresión

Transdiagnostic internet treatment for anxiety and depression = Tratamiento transdiagnóstico por internet de la ansiedad y la depresión

E-mail support as an adjunct to cognitive-behavioral group therapy for social anxiety disorder: Impact on dropout and outcome

Internet-delivered cognitive behavioural therapy in the treatment of psychiatric illness

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