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Therapist-assisted Internet-delivered cognitive behavior therapy for depression and anxiety: Translating evidence into clinical practice
University of Regina, Canada.
University of Regina, Canada.
University of Regina, Canada.
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences.
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2014 (English)In: Journal of Anxiety Disorders, ISSN 0887-6185, E-ISSN 1873-7897, Vol. 28, no 8, 884-893 p.Article in journal (Refereed) Published
Abstract [en]

This dissemination study examined the effectiveness of therapist-assisted Internet-delivered Cognitive Behavior Therapy (ICBT) when offered in clinical practice. A centralized unit screened and coordinated ICBT delivered by newly trained therapists working in six geographically dispersed clinical settings. Using an open trial design, 221 patients were offered 12 modules of ICBT for symptoms of generalized anxiety (n=112), depression (n=83), or panic (n=26). At baseline, midpoint and post-treatment, kpatients completed self-report measures. On average, patients completed 8 of 12 modules. Latent growth curve modeling identified significant reductions in depression, anxiety, stress and impairment (d=.65-.78), and improvements in quality of life (d=.48-.66). Improvements in primary symptoms were large (d=.91-1.25). Overall, therapist-assisted ICBT was effective when coordinated across settings in clinical practice, but further attention should be given to strategies to improve completion of treatment modules.

Place, publisher, year, edition, pages
Elsevier , 2014. Vol. 28, no 8, 884-893 p.
Keyword [en]
Internet-delivered; Therapist-assisted; Cognitive behavior therapy; Depression; Generalized anxiety; Panic
National Category
Basic Medicine
Identifiers
URN: urn:nbn:se:liu:diva-113370DOI: 10.1016/j.janxdis.2014.09.018ISI: 000346540200019PubMedID: 25445078OAI: oai:DiVA.org:liu-113370DiVA: diva2:781560
Available from: 2015-01-16 Created: 2015-01-16 Last updated: 2017-12-05

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