Shyness 3: Randomized Controlled Trial of Guided Versus Unguided Internet-Based CBT for Social Phobia

Titov, Nickolai; Andrews, Gavin; Choi, Isabella; Schwencke, Genevieve; Mahoney, Alison

doi:10.1080/00048670802512107

Cited by 203 publications

(151 citation statements)

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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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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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“…Os estudos controlados avaliados apontam para a eficácia das intervenções cognitivas e comportamentais (tais como EXP e TTC), sozinhas ou associadas a outras técni-cas (relaxamento e treino em respiração), na redução dos sintomas do TAS [17][18][19] quando comparadas a outros tipos de abordagens psicoterápicas ou a grupo controle [21][22][23][24][25][26][28][29][30][31][32][33][34]41,43 . Tais achados são confi rmados por Acarturk et al 52 em estudo meta-analítico recente que afi rmou também que essa efi cácia tende a se manter e, em alguns casos, até melhorar nas medidas de follow-up.…”

Section: Discussionunclassified

“…As novas formas de apresentação da TCC, como a autoterapia através de um livro-guia 31 , a terapia via internet [24][25][26][28][29][30] Tratamento cognitivo e/ou comportamental e transtorno de ansiedade social -MULULO ET AL.…”

Section: Discussionunclassified

Eficácia do tratamento cognitivo e/ou comportamental para o transtorno de ansiedade social

Mululo

Menezes

Fontenelle

et al. 2009

Rev. psiquiatr. Rio Gd. Sul

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ResumoObjetivo: Avaliar a efi cácia do tratamento cognitivo e/ou comportamental no transtorno de ansiedade social quando comparado a outras intervenções terapêuticas, incluindo farmacoterapia. Método: Realizamos análise sistemática de todos os ensaios clínicos controlados randomizados envolvendo terapia cognitiva e/ou comportamental versus outras formas de tratamento, publicados até março de 2009, indexados nas seguintes bases de dados: MEDLINE, PsycINFO, Registro Cochrane de Ensaios Controlados, LILACS e ISI/Web of Science. Resultados: Os estudos avaliados não demonstraram diferenças signifi cativas entre a terapia cognitiva e/ou comportamental e a farmacoterapia. Esses tratamentos combinados não apresentaram maior efi cácia do que as intervenções isoladamente. Quando comparada ao grupo controle, a terapia cognitiva e/ou comportamental é efi caz na redução dos sintomas de ansiedade social, tanto no seu formato padrão quanto nas novas formas de intervenção. A exceção foi o treino em habilidades sociais, que, isoladamente, não se mostrou efi caz. A terapia cognitiva e/ou comportamental também demonstrou ser superior aos outros tipos de psicoterapias. Conclusão: A terapia cognitiva e/ou comportamental mostrou-se efi caz na redução da ansiedade social em pacientes com transtorno de ansiedade social. No entanto, a heterogeneidade dos estudos avaliados, seja no que diz respeito a aspectos envolvendo o tratamento (duração do tratamento e protocolos utilizados) ou os pacientes avaliados (gravidade e forma de recrutamento), difi cultaram a comparação dos resultados. Novos estudos de tratamento cognitivo e/ou comportamental e novas revisões envolvendo essas abordagens são necessários para melhor avaliação de nossos achados. Descritores: Fobia social, terapia cognitiva, terapia comportamental, transtorno de ansiedade social, revisão. AbstractObjective: To ascertain whether cognitive and/or behavioral treatment of patients with social anxiety disorder is superior in terms of effi cacy than other types of therapeutic interventions, including pharmacotherapy. Method: Systematic analysis of all randomized clinical trials on cognitive and/or behavioral therapy vs. other forms of treatment, published until March 2009, indexed in the following databases: MEDLINE, PsycINFO, Cochrane Controlled Trials Register, LILACS and ISI Web of Science. Results: The reported results do not suggest signifi cant differences in the effi cacy of cognitive and/or behavioral therapy and pharmacotherapy. Such treatments combined did not show higher effi cacy than interventions alone. Compared with the control group, cognitive and/or behavioral therapy was superior in reducing social anxiety disorder, either in the classic model or in the newest propositions. The only exception was the social skills training, which was not effective for patients with social anxiety disorder. Cognitive and/or behavioral therapy was also superior to other psychotherapeutic interventions. Conclusion: Cognitive and/or behavioral therapy is an effective treatment for pati...

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“…Prior to developing TD iPT, we developed and evaluated disorder-specifi c iPT interventions to treat social phobia Titov, Andrews, Choi, Schwencke, & Mahoney, 2008;Titov, Andrews, Schwencke, et al, 2010;, PD (Wims et al, 2010), GAD , and depression (Perini et al, 2009;Titov, Andrews, Davies, et al, 2010). These interventions were evaluated in 12 RCTs and 3 open trials with participants who met a principal DSM-IV diagnosis for the relevant disorder.…”

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

confidence: 99%

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

Titov

Dear²,

Johnston³

et al. 2012

RPPC

Self Cite

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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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Shyness 3: Randomized Controlled Trial of Guided Versus Unguided Internet-Based CBT for Social Phobia

Cited by 203 publications

References 35 publications

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

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

Eficácia do tratamento cognitivo e/ou comportamental para o transtorno de ansiedade social

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

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