Randomized Controlled Trial of Web-Based Treatment of Social Phobia Without Clinician Guidance

Titov, Nickolai; Andrews, Gavin; Choi, Isabella; Schwencke, Genevieve; Johnston, Luke

doi:10.1080/00048670903179160

Cited by 99 publications

(102 citation statements)

References 26 publications

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“…Andersson et al [2012a] investigated whether experienced CBT therapists yielded better results 17 studies reported large effects of d > 0.80. Only 2 unguided conditions yielded small to moderate effects [Titov et al, 2008c[Titov et al, , 2009a. In the trials comparing ICBT to a waitlist condition, the controlled effect sizes at post assessment varied between d = 0.74 and 1.38.…”

Section: Internet-based Self-help Versus Face-to-face Therapymentioning

confidence: 99%

“…7 trials focused on the comparison of internet-based self-help with a waitlist control group [Andersson et al, 2006;Berger et al, 2009Berger et al, , 2010Carlbring et al, 2007;Gallego et al, 2011;Tillfors et al, 2011;Titov et al 2008a,b] whereas 1 study compared ICBT to an online discussion group condition [Andersson et al, 2012a]. 8 studies compared different forms of ICBT, 7 of them focusing on different degrees of clinician guidance [Berger et al, 2011;Boettcher et al, 2012a;Furmark et al, 2009;Tillfors et al, 2008;Titov et al, 2008cTitov et al, , 2009a. 1 study examined ICBT with and without Motivational Enhancement Therapy [Titov et al, 2010a] Boettcher/Carlbring/Renneberg/Berger extent to which they assimilated to the clinical routine setting.…”

Section: Efficacymentioning

confidence: 99%

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Internet-Based Interventions for Social Anxiety Disorder - an Overview

et al. 2013

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Internet-based interventions hold specific advantages and disadvantages in the treatment of social anxiety disorder (SAD). The present review examines different approaches in the internet-based treatment of SAD and reviews their efficacy and effectiveness. 21 studies investigated the potential of guided and unguided internet-based cognitive-behavioral treatments (ICBT) for SAD, comprising a total of N = 1,801 socially anxious individuals. The large majority of these trials reported substantial reductions of social anxiety symptoms through ICBT programs. Within effect sizes were mostly large and comparisons to waitlist and more active control groups were positive. Treatment gains were stable from 3 months to 5 years after treatment termination. In conclusion, ICBT is effective in the reduction of social anxiety symptoms. At the same time, not all participants benefit from these treatments to a sufficient degree. Future research should focus on what makes these interventions work in which patient populations, and at the same time, examine ways to implement internet-based treatment in the routine care for socially anxious patients.

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Section: Internet-based Self-help Versus Face-to-face Therapymentioning

confidence: 99%

Section: Efficacymentioning

confidence: 99%

Internet-Based Interventions for Social Anxiety Disorder - an Overview

et al. 2013

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“…Most studies imply that digitizing CBT in one way or another has great potential. [61][62][63][64] Also, as mentioned earlier, many games and ''playful interventions'' have been developed for therapeutic purposes. [33][34][35][36][37][38][39][40][41][42][43][44][45] However, the use of games as a tool for cCBT is quite uncommon.…”

Section: Resultsmentioning

confidence: 99%

Using a Digital Game for Training Desirable Behavior in Cognitive–Behavioral Therapy of Burnout Syndrome: A Controlled Study

Zielhorst

Brule

Visch

et al. 2015

Cyberpsychology, Behavior, and Social Networking

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Using a digital game for training desirable behavior in cogrnitive-behavioral therapy for burnout syndrome: a controlled study Zielhorst, T.; van den Brule, D.; Visch, V.; Melles, M.; van Tienhoven, S.; Sinkbaek, H.; Schrieken, B.A.L.; Tan, E.S.H.; Lange, A. Published in:Cyberpsychology, Behavior, and Social Networking DOI:10.1089/cyber.2013.0690 Link to publicationCitation for published version (APA): Zielhorst, T., van den Brule, D., Visch, V., Melles, M., van Tienhoven, S., Sinkbaek, H., ... Lange, A. (2015). Using a digital game for training desirable behavior in cogrnitive-behavioral therapy for burnout syndrome: a controlled study. Cyberpsychology, Behavior, and Social Networking, 18(2), 101-111. https://doi.org/10.1089/cyber.2013.0690 General rightsIt is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulationsIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: http://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. Burnout is a globally increasing illness, and as a result, many forms of burnout therapy have arisen. The use of digital games can be psychotherapeutically effective because they can transform exercises that are by themselves unattractive into intrinsically motivated action. This pilot study aims to test whether a specially designed game contributes to patients learning desired behavior and achieving other specific therapeutic goals in an online cognitive-behavioral therapy (CBT)-based burnout treatment context. In total, 101 participants took part in the experiment, under four conditions: (a) Game + Therapy, (b) Therapy Only, (c) Game Only, and (d) No Game + No Therapy. Pre-and postmeasures were taken online. Results showed that the two therapy conditions (Game + Therapy and Therapy Only) showed a greater decrease in complaints and disengagement, and a stronger increase in coping skills than the nontherapy conditions (Game Only and No Game + No Therapy). As expected, the Game + Therapy condition outperformed the Therapy Only condition on combined improvement measures of burnout symptoms. However, analyses of individual measures showed no effects. It can be cautiously concluded that the therapeutic digital game may be a useful tool when embedded in a therapeutic burnout treatment program and is probably more efficient than CBT, as it is used in current practice.

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“…Clinician guidance seems to play an important role in treatment outcome: meta-analyses suggest a superiority of guided versus unguided self-help treatments in terms of adherence to treatment and efficacy (Palmqvist, Carlbring, & Andersson, 2007;Spek et al, 2007). Although it should be noted that clinician support does not seem necessary in some cases and positive results have also been reported for unguided self-help programs for SAD (Berger et al, 2011;Titov, Andrews, Choi, Schwencke, & Johnston, 2009). Overall, it can be said that ICBT for SAD produces significant improvements.…”

mentioning

confidence: 99%

Daydreamer and Night Owl: Comparing Positive and Negative Outcome Cases in an Online, Clinician-Guided, Self-Help Intervention for Social Anxiety Disorder

Schulz¹,

Vincent²,

Berger³

2017

PCSP

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Internet-Based Cognitive-Behavior Treatment (ICBT) has garnered strong empirical support in the last decade. However, despite the growing body of evidence that web-based treatments work, there are still a considerable number of clients who do not benefit sufficiently from such interventions. Recently, research has started to focus on identifying factors that affect treatment outcome and adherence to Internet interventions. To explore the difference between clients who are successful versus unsuccessful in response to ICBT, this article presents two systematic case studies that describe the course of treatment of a positive-outcome client (named "Daydreamer") and a more negative outcome client (named "Night Owl") in clinician-guided ICBT for Social Anxiety Disorder (SAD). We present focal points of therapist communication, as well as the clients' individual gains and obstacles. Lastly, we explore several factors that seem to be crucial in this specific setting, such as therapist support, motivation, and establishing a working alliance via the Internet.

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Randomized Controlled Trial of Web-Based Treatment of Social Phobia Without Clinician Guidance

Cited by 99 publications

References 26 publications

Internet-Based Interventions for Social Anxiety Disorder - an Overview

Internet-Based Interventions for Social Anxiety Disorder - an Overview

Using a Digital Game for Training Desirable Behavior in Cognitive–Behavioral Therapy of Burnout Syndrome: A Controlled Study

Daydreamer and Night Owl: Comparing Positive and Negative Outcome Cases in an Online, Clinician-Guided, Self-Help Intervention for Social Anxiety Disorder

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