Internet-delivered acceptance-based behaviour therapy for generalized anxiety disorder: A randomized controlled trial

Dahlin, Mats; Andersson, Gerhard; Magnusson, Kristoffer; Johansson, Tomas; Sjögren, Johan; Håkansson, Andreas; Pettersson, Magnus; Kadowaki, Åsa; Cuijpers, Pim; Carlbring, Per

doi:10.1016/j.brat.2015.12.007

Cited by 77 publications

(60 citation statements)

References 51 publications

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“…Depression was examined by 11 studies, of which 5 included participants with a primary diagnosis of an anxiety disorder [ 36 , 56 - 59 ], 3 with a depressive disorder [ 37 , 53 , 54 ], 1 with both anxiety and depressive disorders [ 60 ], 1 with bipolar disorder [ 55 ], and 1 with bulimia disorder [ 61 ]. Usable data for meta-analysis of studies with a control group could be retrieved for 8 of these studies [ 36 , 37 , 53 , 54 , 56 , 59 - 61 ]. Johansson et al [ 60 ] reported data divided into two subgroups: those with a diagnosis of depression and those with a diagnosis of anxiety.…”

Section: Resultsmentioning

confidence: 99%

“…Significant heterogeneity was noted ( Q =42.996, df =3, P <.001, I 2 =93.023, T 2 =0.974, T =0.987). We performed sensitivity analyses to examine the difference between studies including mindfulness-only therapies [ 36 , 37 ] and those including mindfulness integrative therapies [ 53 , 54 , 56 , 59 - 61 ]. Exploratory sensitivity analysis indicated that mindfulness integrative therapies had a significant effect on reducing depression while mindfulness-only therapies did not.…”

Section: Resultsmentioning

confidence: 99%

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Web-Based Mindfulness Interventions for Mental Health Treatment: Systematic Review and Meta-Analysis

Sevilla‐Llewellyn‐Jones¹,

Santesteban-Echarri²,

Pryor³

et al. 2018

JMIR Ment Health

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BackgroundWeb-based mindfulness interventions are increasingly delivered through the internet to treat mental health conditions.ObjectiveThe objective of this study was to determine the effectiveness of web-based mindfulness interventions in clinical mental health populations. Secondary aims were to explore the impact of study variables on the effectiveness of web-based mindfulness interventions.MethodsWe performed a systematic review and meta-analysis of studies investigating the effects of web-based mindfulness interventions on clinical populations.ResultsThe search strategy yielded 12 eligible studies. Web-based mindfulness interventions were effective in reducing depression in the total clinical sample (n=656 g=−0.609, P=.004) and in the anxiety disorder subgroup (n=313, g=−0.651, P<.001), but not in the depression disorder subgroup (n=251, P=.18). Similarly, web-based mindfulness interventions significantly reduced anxiety in the total clinical sample (n=756, g=−0.433, P=.004) and the anxiety disorder subgroup (n=413, g=−0.719, P<.001), but not in the depression disorder group (n=251, g=−0.213, P=.28). Finally, web-based mindfulness interventions improved quality of life and functioning in the total sample (n=591, g=0.362, P=.02) in the anxiety disorder subgroup (n=370, g=0.550, P=.02) and mindfulness skills in the total clinical sample (n=251, g=0.724, P<.001).ConclusionsResults support the effectiveness of web-based mindfulness interventions in reducing depression and anxiety and in enhancing quality of life and mindfulness skills, particularly in those with clinical anxiety. Results should be interpreted with caution given the high heterogeneity of web-based mindfulness interventions and the low number of studies included.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Web-Based Mindfulness Interventions for Mental Health Treatment: Systematic Review and Meta-Analysis

Sevilla‐Llewellyn‐Jones¹,

Santesteban-Echarri²,

Pryor³

et al. 2018

JMIR Ment Health

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“…Empirical evidence supports the use of TBIs for prevention and treatment of other psychiatric disorders including, depression and anxiety, 45–49 psychotic disorders, 50 and eating disorders. 51 The largest body of literature on TBIs for psychiatric disorders focuses on interventions for depression and anxiety (for review see 52–54 ).…”

Section: Tbis For Other Psychiatric Disordersmentioning

confidence: 98%

Technology-Based Interventions for Substance Use and Comorbid Disorders: An Examination of the Emerging Literature

Sugarman

Campbell

Iles

et al. 2017

Harv Rev Psychiatry

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Among individuals with substance use disorders (SUDs), comorbidity with other psychiatric disorders is common and often noted as the rule rather than the exception. Standard care providing integrated treatment for comorbid diagnoses simultaneously has been shown to be effective. Technology-based interventions (TBIs) have the potential to provide a cost-effective platform for and greater accessibility to integrated treatments. For the purposes of this review, we defined TBIs as interventions in which the primary targeted aim of the intervention was delivered by automated computer, internet, or mobile system with minimal to no live therapist involvement. A search of the literature identified nine distinct TBIs for SUDs and comorbid disorders. An examination of this limited research showed promise, particularly for TBIs that address problematic alcohol use, depression, and/or anxiety. Additional randomized controlled trials of TBIs for comorbid SUDs and anxiety and depression are needed, as is future research developing TBIs that address SUDs and comorbid eating disorders and psychotic disorders. Ways of leveraging the full capabilities of what technology can offer should also be further explored.

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“…While CBT has been the dominant model of therapy used in Internet interventions so far, different models have been and are being explored, including acceptance and commitment therapy, psychodynamic approaches, interpersonal psychotherapy, physical activity, mindfulness, and programs based on attention bias modification training.…”

Section: Treatment Approachmentioning

confidence: 99%

Internet‐delivered psychological treatments: from innovation to implementation

et al. 2019

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Internet interventions, and in particular Internet-delivered cognitive behaviour therapy (ICBT), have existed for at least 20 years. Here we review the treatment approach and the evidence base, arguing that ICBT can be viewed as a vehicle for innovation. ICBT has been developed and tested for several psychiatric and somatic conditions, and direct comparative studies suggest that therapist-guided ICBT is more effective than a waiting list for anxiety disorders and depression, and tends to be as effective as face-to-face CBT. Studies on the possible harmful effects of ICBT are also reviewed: a significant minority of people do experience negative effects, although rates of deterioration appear similar to those reported for face-to-face treatments and lower than for control conditions. We further review studies on change mechanisms and conclude that few, if any, consistent moderators and mediators of change have been identified. A recent trend to focus on knowledge acquisition is considered, and a discussion on the possibilities and hurdles of implementing ICBT is presented. The latter includes findings suggesting that attitudes toward ICBT may not be as positive as when using modern information technology as an adjunct to face-to-face therapy (i.e., blended treatment). Finally, we discuss future directions, including the role played by technology and machine learning, blended treatment, adaptation of treatment for minorities and non-Western settings, other therapeutic approaches than ICBT (including Internet-delivered psychodynamic and interpersonal psychotherapy as well as acceptance and commitment therapy), emerging regulations, and the importance of reporting failed trials.

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Internet-delivered acceptance-based behaviour therapy for generalized anxiety disorder: A randomized controlled trial

Cited by 77 publications

References 51 publications

Web-Based Mindfulness Interventions for Mental Health Treatment: Systematic Review and Meta-Analysis

Web-Based Mindfulness Interventions for Mental Health Treatment: Systematic Review and Meta-Analysis

Technology-Based Interventions for Substance Use and Comorbid Disorders: An Examination of the Emerging Literature

Internet‐delivered psychological treatments: from innovation to implementation

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