Worry-specific versus self-tailored internet-based treatments for generalized anxiety disorder, with scheduled support or support on demand: A pilot factorial design trial
Studies suggest that internet-delivered cognitive behaviour therapy (ICBT) can be effective when treating generalized anxiety disorder (GAD). This pilot factorial design study examined the effects of two types of ICBT (worry-specific and self-tailored treatment), and two support types (scheduled wee...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-04-01
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| Series: | Internet Interventions |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214782922000380 |
| _version_ | 1811257637496422400 |
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| author | Mats Dahlin Andreas Johansson Harry Romare Per Carlbring Gerhard Andersson |
| author_facet | Mats Dahlin Andreas Johansson Harry Romare Per Carlbring Gerhard Andersson |
| author_sort | Mats Dahlin |
| collection | DOAJ |
| description | Studies suggest that internet-delivered cognitive behaviour therapy (ICBT) can be effective when treating generalized anxiety disorder (GAD). This pilot factorial design study examined the effects of two types of ICBT (worry-specific and self-tailored treatment), and two support types (scheduled weekly support and support on demand), on measures of worry, anxiety, and depressive symptoms. Participants (N = 85) were randomized into four treatment groups. Post-treatment measures were completed by 76.5% after eight weeks (n = 65). Intention to treat analysis showed significant improvements, with moderate to large within-group effects on the primary outcome measure, Penn State Worry Questionnaire (Cohen's d = 0.77–1.43). Minor to large effects on the secondary measures were found in all groups (Cohen's d = 0.13–1.66). No significant differences in outcome measures were found between the groups. Receiving scheduled support and self-tailored treatment was rated as more positive than receiving support on demand and the worry-specific program. A limitation is the low number of participants. The pilot results suggest that GAD can be treated with both worry-specific and self-tailored treatments, and that ICBT can be supported both with scheduled and support on demand. |
| first_indexed | 2024-04-12T17:59:24Z |
| format | Article |
| id | doaj.art-8a73812c3cf048a3b66d50fda84c5aab |
| institution | Directory Open Access Journal |
| issn | 2214-7829 |
| language | English |
| last_indexed | 2024-04-12T17:59:24Z |
| publishDate | 2022-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Internet Interventions |
| spelling | doaj.art-8a73812c3cf048a3b66d50fda84c5aab2022-12-22T03:22:12ZengElsevierInternet Interventions2214-78292022-04-0128100531Worry-specific versus self-tailored internet-based treatments for generalized anxiety disorder, with scheduled support or support on demand: A pilot factorial design trialMats Dahlin0Andreas Johansson1Harry Romare2Per Carlbring3Gerhard Andersson4Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden; Psykologpartners, Private practice, Linköping, SwedenDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, SwedenDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, SwedenDepartment of Psychology, Stockholm University, Stockholm, SwedenDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden; Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden; Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden; Corresponding author at: Department of Behavioural Sciences and Learning, Linköping University, SE-581 83 Linköping, Sweden.Studies suggest that internet-delivered cognitive behaviour therapy (ICBT) can be effective when treating generalized anxiety disorder (GAD). This pilot factorial design study examined the effects of two types of ICBT (worry-specific and self-tailored treatment), and two support types (scheduled weekly support and support on demand), on measures of worry, anxiety, and depressive symptoms. Participants (N = 85) were randomized into four treatment groups. Post-treatment measures were completed by 76.5% after eight weeks (n = 65). Intention to treat analysis showed significant improvements, with moderate to large within-group effects on the primary outcome measure, Penn State Worry Questionnaire (Cohen's d = 0.77–1.43). Minor to large effects on the secondary measures were found in all groups (Cohen's d = 0.13–1.66). No significant differences in outcome measures were found between the groups. Receiving scheduled support and self-tailored treatment was rated as more positive than receiving support on demand and the worry-specific program. A limitation is the low number of participants. The pilot results suggest that GAD can be treated with both worry-specific and self-tailored treatments, and that ICBT can be supported both with scheduled and support on demand.http://www.sciencedirect.com/science/article/pii/S2214782922000380Internet-delivered treatmentGeneralized anxiety disorderSupport on demandFactorial designSelf-tailored treatmentWorry-specific treatment |
| spellingShingle | Mats Dahlin Andreas Johansson Harry Romare Per Carlbring Gerhard Andersson Worry-specific versus self-tailored internet-based treatments for generalized anxiety disorder, with scheduled support or support on demand: A pilot factorial design trial Internet Interventions Internet-delivered treatment Generalized anxiety disorder Support on demand Factorial design Self-tailored treatment Worry-specific treatment |
| title | Worry-specific versus self-tailored internet-based treatments for generalized anxiety disorder, with scheduled support or support on demand: A pilot factorial design trial |
| title_full | Worry-specific versus self-tailored internet-based treatments for generalized anxiety disorder, with scheduled support or support on demand: A pilot factorial design trial |
| title_fullStr | Worry-specific versus self-tailored internet-based treatments for generalized anxiety disorder, with scheduled support or support on demand: A pilot factorial design trial |
| title_full_unstemmed | Worry-specific versus self-tailored internet-based treatments for generalized anxiety disorder, with scheduled support or support on demand: A pilot factorial design trial |
| title_short | Worry-specific versus self-tailored internet-based treatments for generalized anxiety disorder, with scheduled support or support on demand: A pilot factorial design trial |
| title_sort | worry specific versus self tailored internet based treatments for generalized anxiety disorder with scheduled support or support on demand a pilot factorial design trial |
| topic | Internet-delivered treatment Generalized anxiety disorder Support on demand Factorial design Self-tailored treatment Worry-specific treatment |
| url | http://www.sciencedirect.com/science/article/pii/S2214782922000380 |
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