Transdiagnostic internet treatment for anxiety and depression: A randomised controlled trial

Disorder-specific cognitive behavioural therapy programs delivered over the internet (iCBT) with clinicianguidance are effective at treating specific anxiety disorders and depression. The present study examined the efficacy of a transdiagnostic iCBT protocol to treat three anxiety disorders and/or d...

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Main Authors: Titov, N., Dear, B., Schwencke, G., Andrews, G., Johnston, L., Craske, M., McEvoy, Peter
Format: Journal Article
Published: Elsevier 2011
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/36981
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author Titov, N.
Dear, B.
Schwencke, G.
Andrews, G.
Johnston, L.
Craske, M.
McEvoy, Peter
author_facet Titov, N.
Dear, B.
Schwencke, G.
Andrews, G.
Johnston, L.
Craske, M.
McEvoy, Peter
author_sort Titov, N.
building Curtin Institutional Repository
collection Online Access
description Disorder-specific cognitive behavioural therapy programs delivered over the internet (iCBT) with clinicianguidance are effective at treating specific anxiety disorders and depression. The present study examined the efficacy of a transdiagnostic iCBT protocol to treat three anxiety disorders and/or depression within the same program (the Wellbeing Program). Seventy-seven individuals with a principaldiagnosis of major depression, generalised anxiety disorder, panic disorder, and/or social phobia wererandomly assigned to a Treatment or Waitlist Control group. Treatment consisted of CBT-based onlineeducational lessons and homework assignments, weekly email or telephone contact from a clinicalpsychologist, access to a moderated online discussion forum, and automated emails. Eighty one percent of Treatment group participants completed all 8 lessons within the 10 week program. Post-treatment data were collected from 34/37 Treatment group and 35/37 Control group participants, and 3-month follow-up data were collected from 32/37 Treatment group participants. Relative to Controls, Treatment group participants reported significantly reduced symptoms of anxiety and depression as measured by the Depression Anxiety and Stress Scales-21 item, Patient Health Questionnaire-9 item, and Generalised Anxiety Disorder-7 item scales, with corresponding between-groups effect sizes (Cohen’s d) at post treatment of .56, .58, and .52, respectively. The clinician spent a mean time of 84.76 min (SD ¼ 50.37) per person over the program. Participants rated the procedure as highly acceptable, and gains were sustained at follow-up. These results provide preliminary support for the efficacy of transdiagnostic iCBT in the treatment of anxiety and depressive disorders.
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spelling curtin-20.500.11937-369812017-02-28T01:44:10Z Transdiagnostic internet treatment for anxiety and depression: A randomised controlled trial Titov, N. Dear, B. Schwencke, G. Andrews, G. Johnston, L. Craske, M. McEvoy, Peter Randomised controlled trial (RCT) Anxiety (iCBT) Treatment Internet Internet cognitive behavioural therapy Depression - Transdiagnostic Disorder-specific cognitive behavioural therapy programs delivered over the internet (iCBT) with clinicianguidance are effective at treating specific anxiety disorders and depression. The present study examined the efficacy of a transdiagnostic iCBT protocol to treat three anxiety disorders and/or depression within the same program (the Wellbeing Program). Seventy-seven individuals with a principaldiagnosis of major depression, generalised anxiety disorder, panic disorder, and/or social phobia wererandomly assigned to a Treatment or Waitlist Control group. Treatment consisted of CBT-based onlineeducational lessons and homework assignments, weekly email or telephone contact from a clinicalpsychologist, access to a moderated online discussion forum, and automated emails. Eighty one percent of Treatment group participants completed all 8 lessons within the 10 week program. Post-treatment data were collected from 34/37 Treatment group and 35/37 Control group participants, and 3-month follow-up data were collected from 32/37 Treatment group participants. Relative to Controls, Treatment group participants reported significantly reduced symptoms of anxiety and depression as measured by the Depression Anxiety and Stress Scales-21 item, Patient Health Questionnaire-9 item, and Generalised Anxiety Disorder-7 item scales, with corresponding between-groups effect sizes (Cohen’s d) at post treatment of .56, .58, and .52, respectively. The clinician spent a mean time of 84.76 min (SD ¼ 50.37) per person over the program. Participants rated the procedure as highly acceptable, and gains were sustained at follow-up. These results provide preliminary support for the efficacy of transdiagnostic iCBT in the treatment of anxiety and depressive disorders. 2011 Journal Article http://hdl.handle.net/20.500.11937/36981 Elsevier restricted
spellingShingle Randomised controlled trial (RCT)
Anxiety
(iCBT)
Treatment
Internet
Internet cognitive behavioural therapy
Depression - Transdiagnostic
Titov, N.
Dear, B.
Schwencke, G.
Andrews, G.
Johnston, L.
Craske, M.
McEvoy, Peter
Transdiagnostic internet treatment for anxiety and depression: A randomised controlled trial
title Transdiagnostic internet treatment for anxiety and depression: A randomised controlled trial
title_full Transdiagnostic internet treatment for anxiety and depression: A randomised controlled trial
title_fullStr Transdiagnostic internet treatment for anxiety and depression: A randomised controlled trial
title_full_unstemmed Transdiagnostic internet treatment for anxiety and depression: A randomised controlled trial
title_short Transdiagnostic internet treatment for anxiety and depression: A randomised controlled trial
title_sort transdiagnostic internet treatment for anxiety and depression: a randomised controlled trial
topic Randomised controlled trial (RCT)
Anxiety
(iCBT)
Treatment
Internet
Internet cognitive behavioural therapy
Depression - Transdiagnostic
url http://hdl.handle.net/20.500.11937/36981