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Does cognitive flexibility predict treatment gains in Internet-delivered psychological treatment of social anxiety disorder, depression, or tinnitus?
Stockholm University, Sweden; Karolinska Institute, Sweden.
Stockholm University, Sweden.
Linköping University, Department of Behavioural Sciences and Learning. Linköping University, Faculty of Arts and Sciences.
Linköping University, Department of Behavioural Sciences and Learning. Linköping University, Faculty of Arts and Sciences.
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2016 (English)In: PeerJ, ISSN 2167-8359, E-ISSN 2167-8359, Vol. 4, no e1934Article in journal (Refereed) PublishedText
Abstract [en]

Little is known about the individual factors that predict outcomes in Internet-administered psychological treatments. We hypothesized that greater cognitive flexibility (i.e. the ability to simultaneously consider several concepts and tasks and switch effortlessly between them in response to changes in environmental contingencies) would provide a better foundation for learning and employing the cognitive restructuring techniques taught and exercised in therapy, leading to greater treatment gains. Participants in three trials featuring Internet-administered psychological treatments for depression (n = 36), social anxiety disorder (n = 115) and tinnitus (n = 53) completed the 64-card Wisconsin Card Sorting Test (WCST) prior to treatment. We found no significant associations between perseverative errors on the WCST and treatment gains in any group. We also found low accuracy in the classification of treatment responders. We conclude that lower cognitive flexibility, as captured by perseverative errors on the WCST, should not impede successful outcomes in Internet-delivered psychological treatments.

Place, publisher, year, edition, pages
PEERJ INC , 2016. Vol. 4, no e1934
Keyword [en]
Wisconsin Card Sorting Test; Perseveration; Prediction; Psychotherapy; Internet
National Category
Basic Medicine
URN: urn:nbn:se:liu:diva-128749DOI: 10.7717/peerj.1934ISI: 000374374300010PubMedID: 27114881OAI: diva2:931943
Available from: 2016-05-31 Created: 2016-05-30 Last updated: 2016-06-21

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Flodman, ErikHebert, AmandaPoysti, StephanieJohansson, RobertAndersson, Gerhard
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