23 results on '"INTERNET in psychotherapy"'
Search Results
2. Randomized controlled trial of internet-delivered cognitive behaviour therapy comparing standard weekly versus optional weekly therapist support.
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Hadjistavropoulos, H.D., Schneider, L.H., Edmonds, M., Karin, E., Nugent, M.N., Dirkse, D., Dear, B.F., and Titov, N.
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INTERNET in psychotherapy , *COGNITIVE therapy , *PSYCHOTHERAPISTS , *ANXIETY treatment , *THERAPEUTICS , *MENTAL depression , *TREATMENT effectiveness , *PSYCHOTHERAPY , *RANDOMIZED controlled trials - Abstract
Internet-delivered cognitive behaviour therapy (ICBT) is effective for treating anxiety and depression. The relative benefits of offering standard weekly compared to optional weekly therapist support in conjunction with ICBT within routine care has not been examined. Patients seeking ICBT for depression and or anxiety in routine care were randomized to standard ( n = 92) or optional ( n = 88) weekly support. The optional approach resulted in therapists receiving half as many messages from (1.70 vs. 3.96) and sending half as many messages to patients (3.62 vs. 7.29). Optional Support was associated with lower completion rates (56.6% versus 82.4%), but, similar to Standard Support, resulted in large reductions on the GAD-7 (within Cohen’s d ≥ 1.08; avg. reduction ≥47%) and PHQ-9 (within Cohen’s d ≥ 0.82; avg. reduction ≥43%) at post-treatment and 3-month follow-up. Optional weekly support appears clinically effective and acceptable for many patients and may reduce costs, but safety requires monitoring given lower completion rates. [ABSTRACT FROM AUTHOR]
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- 2017
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3. The Effect of Guided Web-Based Cognitive Behavioral Therapy on Patients With Depressive Symptoms and Heart Failure: A Pilot Randomized Controlled Trial.
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Lundgren, Johan Gustav, Dahlström, Örjan, Andersson, Gerhard, Jaarsma, Tiny, Köhler, Anita Kärner, Johansson, Peter, and Kärner Köhler, Anita
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COGNITIVE therapy ,INTERNET in psychotherapy ,MENTAL depression ,THERAPEUTICS ,HEART failure patients ,SYMPTOMS ,QUALITY of life ,HEART failure treatment ,COMPARATIVE studies ,HEALTH behavior ,INTERNET ,RESEARCH methodology ,MEDICAL cooperation ,COMPUTERS in medicine ,QUESTIONNAIRES ,RESEARCH ,TELEMEDICINE ,PILOT projects ,EVALUATION research ,RANDOMIZED controlled trials - Abstract
Background: Depressive symptoms, and the associated coexistence of symptoms of anxiety and decreased quality of life (QoL), are common in patients with heart failure (HF). However, treatment strategies for depressive symptoms in patients with HF still remain to be established. Internet-based cognitive behavioral therapy (ICBT), as guided self-help CBT programs, has shown good effects in the treatment of depression. Until now, ICBT has not been evaluated in patients with HF with depressive symptoms.Objective: The aims of this study were to (1) evaluate the effect of a 9-week guided ICBT program on depressive symptoms in patients with HF; (2) investigate the effect of the ICBT program on cardiac anxiety and QoL; and (3) assess factors associated with the change in depressive symptoms.Methods: Fifty participants were randomized into 2 treatment arms: ICBT or a Web-based moderated discussion forum (DF). The Patient Health Questionnaire-9 was used to measure depressive symptoms, the Cardiac Anxiety Questionnaire (CAQ) was used to measure cardiac-related anxiety, and the Minnesota Living with Heart Failure questionnaire was used to measure QoL. Data were collected at baseline and at follow-up at the end of the 9-week intervention. Intention-to-treat analysis was used, and missing data were imputed by the Expectation-Maximization method. Between-group differences were determined by analysis of covariance with control for baseline score and regression to the mean.Results: No significant difference in depressive symptoms between the ICBT and the DF group at the follow-up was found, [F(1,47)=1.63, P=.21] and Cohen´s d=0.26. Secondary within-group analysis of depressive symptoms showed that such symptoms decreased significantly in the ICBT group from baseline to the follow-up (baseline M=10.8, standard deviation [SD]=5.7 vs follow-up M=8.6, SD=4.6, t(24)=2.6, P=.02, Cohen´s d=0.43), whereas in the DF group, there was no significant change (baseline M=10.6, SD=5.0, vs follow-up M=9.8, SD=4.3, t(24)=0.93, P=.36. Cohen´s d=0.18). With regard to CAQ and QoL no significant differences were found between the groups (CAQ [d(1,47)=0.5, P=.48] and QoL [F(1,47)=2.87, P=.09]). In the ICBT group in the CAQ subscale of fear, a significant within-group decrease was shown (baseline M=1.55 vs follow-up M=1.35, P=.04). In the ICBT group, the number of logins to the Web portal correlated significantly with improvement in depressive symptoms (P=.02), whereas higher age (P=.01) and male sex (P=.048) were associated with less change in depressive symptoms. This study is underpowered because of difficulties in the recruitment of patients.Conclusions: Guided ICBT adapted for persons with HF and depressive symptoms was not statistically superior to participation in a Web-based DF. However, within the ICBT group, a statically significant improvement of depressive symptoms was detected.Clinicaltrial: Clinicaltrials.gov NCT01681771; https://clinicaltrials.gov/ct2/show/NCT01681771 (Archived by WebCite at http://www.webcitation.org/6ikzbcuLN). [ABSTRACT FROM AUTHOR]- Published
- 2016
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4. Guided Internet-delivered cognitive behavioural therapy in patients with non-cardiac chest pain - a pilot randomized controlled study.
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Mourad, Ghassan, Strömberg, Anna, Jonsbu, Egil, Gustafsson, Mikael, Johansson, Peter, and Jaarsma, Tiny
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COGNITIVE therapy , *CHEST pain , *ANXIETY treatment , *INTERNET in psychotherapy , *AVOIDANCE (Psychology) , *FOLLOW-up studies (Medicine) , *PATIENTS , *ANXIETY diagnosis , *CHEST pain diagnosis , *CHEST pain treatment , *DIAGNOSIS of mental depression , *MENTAL depression , *ANXIETY , *COMPARATIVE studies , *EXERCISE , *FEAR , *INTERNET , *RESEARCH methodology , *MEDICAL cooperation , *COMPUTERS in medicine , *PATIENT education , *RESEARCH , *SENSES , *THERAPEUTICS , *TIME , *DISEASE relapse , *PILOT projects , *EVALUATION research , *RANDOMIZED controlled trials , *TREATMENT effectiveness , *RELAXATION techniques , *PSYCHOLOGY - Abstract
Background: Patients with recurrent episodes of non-cardiac chest pain may experience cardiac anxiety and avoidance behavior, leading to increased healthcare utilization. These patients might benefit from help and support to evaluate the perception and management of their chest pain. The purpose of this study was to test the feasibility of a short guided Internet-delivered cognitive behavioural therapy (CBT) program and explore the effects on cardiac anxiety, fear of body sensations, depressive symptoms, and chest pain in patients with non-cardiac chest pain, compared with usual care.Methods: A pilot randomized controlled study was conducted. Fifteen patients with non-cardiac chest pain with cardiac anxiety or fear of body sensations, aged 22-76 years, were randomized to intervention (n = 7) or control (n = 8) groups. The four-session CBT program contained psychoeducation, physical activity, and relaxation. The control group received usual care. Data were collected before and after intervention.Results: Five of seven patients in the intervention group completed the program, which was perceived as user-friendly with comprehensible language, adequate and varied content, and manageable homework assignments. Being guided and supported, patients were empowered and motivated to be active and complete the program. Patients in both intervention and control groups improved with regard to cardiac anxiety, fear of body sensations, and depressive symptoms, but no significant differences were found between the groups.Conclusions: The Internet-delivered CBT program seems feasible for patients with non-cardiac chest pain, but needs to be evaluated in larger groups and with a longer follow-up period.Trial Registration: Clinicaltrials.gov NCT02336880 . Registered on 8 January 2015. [ABSTRACT FROM AUTHOR]- Published
- 2016
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5. Internet-delivered cognitive behavioural therapy for children with anxiety disorders: A randomised controlled trial.
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Vigerland, Sarah, Ljótsson, Brjánn, Thulin, Ulrika, Öst, Lars-Göran, Andersson, Gerhard, and Serlachius, Eva
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INTERNET in psychotherapy , *COGNITIVE therapy , *ANXIETY disorders treatment , *ANXIETY disorders , *CHILD psychology , *RANDOMIZED controlled trials , *PATIENTS - Abstract
Background Cognitive behaviour therapy (CBT) has been shown to be an effective treatment for anxiety disorders in children, but few affected seek or receive treatment. Internet-delivered CBT (ICBT) could be a way to increase the availability of empirically supported treatments. Aims A randomised controlled trial was conducted to evaluate ICBT for children with anxiety disorders. Method Families (N = 93) with a child aged 8–12 years with a principal diagnosis of generalised anxiety disorder, panic disorder, separation anxiety, social phobia or specific phobia were recruited through media advertisement. Participants were randomised to 10 weeks of ICBT with therapist support, or to a waitlist control condition. The primary outcome measure was the Clinician Severity Rating (CSR) and secondary measures included child- and parent-reported anxiety. Assessments were made at pre-treatment, post-treatment and at three-month follow-up. Results At post-treatment, there were significant reductions on CSR in the treatment group, with a large between-group effect size (Cohen's d = 1.66). Twenty per cent of children in the treatment group no longer met criteria for their principal diagnosis at post-treatment and at follow-up this number had increased to 50%. Parent-reported child anxiety was significantly lower in the treatment group than in the waitlist group at post-treatment, with a small between-group effect size (Cohen's d = 0.45). There were no significant differences between the groups regarding child-ratings of anxiety at post-treatment. Improvements were maintained at three-month follow-up, although this should be interpreted cautiously due to missing data. Conclusions Within the limitations of this study, results suggest that ICBT with therapist support for children with anxiety disorders can reduce clinician- and parent-rated anxiety symptoms. Trial registration Clinicaltrials.gov: NCT01533402 . [ABSTRACT FROM AUTHOR]
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- 2016
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6. Internet-Based Therapy for Mild to Moderate Depression in Swedish Primary Care: Short Term Results from the PRIM-NET Randomized Controlled Trial.
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Kivi, Marie, Eriksson, Maria C. M., Hange, Dominique, Petersson, Eva-Lisa, Vernmark, Kristofer, Johansson, Boo, and Björkelund, Cecilia
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MENTAL depression , *INTERNET in psychotherapy , *RANDOMIZED controlled trials , *COGNITIVE therapy , *PRIMARY care , *ANTIDEPRESSANTS - Abstract
Depression presents a serious condition for the individual and a major challenge to health care and society. Internet-based cognitive behavior therapy (ICBT) is a treatment option supported in several trials, but there is as yet a lack of effective studies of ICBT in “real world” primary care settings. We examined whether ICBT differed from treatment-as-usual (TAU) in reducing depressive symptoms after 3 months. TAU comprised of visits to general practitioner, registered nurse, antidepressant drugs, waiting list for, or psychotherapy, or combinations of these alternatives. Patients, aged ≥ 18 years, who tentatively met criteria for mild to moderate depression at 16 primary care centers in the south-western region of Sweden were recruited and then assessed in a diagnostic interview. A total of 90 patients were randomized to either TAU or ICBT. The ICBT treatment included interactive elements online, a workbook, a CD with mindfulness and acceptance exercises, and minimal therapist contact. The treatment period lasted for 12 weeks after which both groups were assessed. The main outcome measure was Beck Depression Inventory-II (BDI-II). Additional measures were Montgomery Åsberg Depression Rating Scale – self rating version (MADRS-S) and Beck Anxiety Inventory (BAI). The analyses revealed no significant difference between the two groups at post treatment, neither on BDI-II, MADRS-S, nor BAI. Twenty patients (56%) in the ICBT treatment completed all seven modules. Our findings suggest that ICBT may be successfully delivered in primary care and that the effectiveness, after 3 months, is at par with TAU. [ABSTRACT FROM AUTHOR]
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- 2014
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7. Internet-Delivered CBT for Children with Specific Phobia: A Pilot Study.
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Vigerland, Sarah, Thulin, Ulrika, Ljótsson, Brjánn, Svirsky, Liv, Öst, Lars-Göran, Lindefors, Nils, Andersson, Gerhard, and Serlachius, Eva
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BEHAVIOR therapy , *COGNITIVE therapy , *PHOBIAS in children , *INTERNET in psychotherapy , *GROUP size , *FOLLOW-up studies (Medicine) , *THERAPEUTICS - Abstract
Background: Cognitive behavior therapy (CBT) has been shown to be an effective treatment for specific phobia in youth, but not all affected seek or receive treatment. Internet-delivered CBT could be a way to increase the availability of empirically supported treatments.Aims: An open trial was conducted to evaluate Internet-delivered CBT for children with specific phobia.Method: Children (N = 30) aged 8–12, and their parents, with a principal diagnosis of specific phobia were recruited through media advertisement. Participants received six weeks of Internet-delivered CBT with therapist support. The treatment was aimed for the parents and the children, with the first part being only for the parents. The primary outcome measure was the Clinician Severity Rating (CSR), and secondary measures included clinician-rated global functioning and child- and parent-reported anxiety and quality of life. All assessments were made at pretreatment, posttreatment, and three-month follow-up.Results: At posttreatment, there were significant reductions on the CSR, with a large within-group effect size (Cohen'sd = 1.0) and 35% of children no longer meeting criteria for specific phobia. Self-report measures from parents and children showed significant effects on anxiety, with small to moderate effect sizes. Effects were maintained at three-month follow-up.Conclusions: Results show that Internet-delivered CBT with therapist support for children with specific phobia has the potential to reduce symptom severity. Randomized controlled trials are needed to further evaluate this treatment format. [ABSTRACT FROM PUBLISHER]
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- 2013
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8. Using the Internet to Provide Psychodynamic Psychotherapy.
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Johansson, Robert, Frederick, Ronald J., and Andersson, Gerhard
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INTERNET in psychotherapy , *PSYCHODYNAMIC psychotherapy , *COGNITIVE therapy , *PSYCHOTHERAPY , *THERAPEUTICS , *MENTAL depression , *ANXIETY disorders treatment - Abstract
Over the last 15 years, there has been a substantial increase in research and clinical implementations of Internet-delivered, cognitive behavioral therapy (ICBT). Several studies on ICBT have been in the format of guided self-help where a therapist guides the patient throughout the whole treatment. ICBT is typically in the form of self-help material (e.g., text or video) which is provided to a client over the Internet with additional therapist contact by e-mail. ICBT has been shown to be effective for various conditions and, in some studies, has shown to be as effective as face-to-face cognitive behavioral therapy for mild to moderate depression, anxiety disorders, and somatic problems. Recently, the field has expanded to include other orientations including psychodynamic psychotherapy. Currently, there are three randomized controlled trials that have tested the efficacy of psychodynamic psychotherapy delivered in this format. The latest published trial focused on an affect-focused, psychodynamic psychotherapy delivered to a sample of participants with mixed depression and anxiety disorders. This article aims to provide a deeper understanding of the process of providing psychodynamic psychotherapy via the Internet. We will give a detailed description of our latest manual and show how psychotherapeutic work is conducted utilizing this text. Furthermore, we provide examples of dialogue between therapist and client from the online environment. Similarities and differences between psychodynamic psychotherapy delivered over the Internet and in face-to-face formats are discussed. [ABSTRACT FROM AUTHOR]
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- 2013
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9. Internet-Based Treatment of Pathological Gambling with a Three-Year Follow-Up.
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Carlbring, Per, Degerman, Nicklas, Jonsson, Jakob, and Andersson, Gerhard
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COMPULSIVE gambling , *INTERNET in psychotherapy , *FOLLOW-up studies (Medicine) , *COGNITIVE therapy , *REGRESSION analysis , *TELEPHONE in medicine , *PREDICTION (Psychology) , *THERAPEUTICS - Abstract
Effective therapies for pathological gambling exist, but their use is limited to about 10% of the target population. In an attempt to lower the barriers for help, Internet-based cognitive behavioural therapy (ICBT) has been shown to be effective when delivered to a non-depressed sample with pathological gambling. This study sought to extend this finding to a larger, more representative population, and also test a model to predict responder status. Following advertisement, a total of 284 participants started an 8-week ICBT programme with minimal therapist contact via e-mail and weekly telephone calls of less than 15 min. The average time spent on each participant, including telephone conversations, e-mail, and administration, was 4 h. In addition to a mixed effects model to evaluate the effectiveness of the treatment, two logistic regression analyses were performed with the following eight pre-defined response predictor variables: work-life satisfaction, primary gambling activity, debts due to gambling, social support, personal yearly salary, alcohol consumption, stage of change, and dissociative gambling. ICBT resulted in statistically significant reductions in the scores of pathological gambling, anxiety, and depression as well as an increase in quality of life compared to pre-treatment levels. Follow-ups carried out in the treatment group at 6, 18, and 36 months indicated that treatment effects were sustained. Using the eight predictor variable model rendered an acceptable predictive ability to identify responders both at post-test (AUC = .72,p < .01) and at 36-month follow-up (AUC = .70,p < .01). We conclude that ICBT for pathological gamblers, even if depressed, can be effective and that outcome can partly be predicted by pre-treatment characteristics. [ABSTRACT FROM AUTHOR]
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- 2012
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10. Internet-based prevention of posttraumatic stress symptoms in injured trauma patients: design of a randomized controlled trial.
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Mouthaan, Joanne, Sijbrandij, Marit, Reitsma, Johannes B., Gersons, Berthold P.R., and Olff, Miranda
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PREVENTION of post-traumatic stress disorder , *PATHOLOGICAL psychology , *INTERNET in psychotherapy , *EMOTIONAL trauma , *COGNITIVE therapy ,PSYCHIATRIC research - Abstract
Background: Injured trauma victims are at risk of developing Posttraumatic Stress Disorder (PTSD) and other post-trauma psychopathology. So far, interventions using cognitive behavioral techniques (CBT) have proven most efficacious in treating early PTSD in highly symptomatic individuals. No early intervention for the prevention of PTSD for all victims has yet proven effective. In the acute psychosocial care for trauma victims, there is a clear need for easily applicable, accessible, cost-efficient early interventions. Objective: To describe the design of a randomized controlled trial (RCT) evaluating the effectiveness of a brief Internet-based early intervention that incorporates CBT techniques with the aim of reducing acute psychological distress and preventing long-term PTSD symptoms in injured trauma victims. Method: In a two armed RCT, 300 injured trauma victims from two Level-1 trauma centers in Amsterdam, the Netherlands, will be assigned to an intervention or a control group. Inclusion criteria are: being 18 years of age or older, having experienced a traumatic event according to the diagnostic criteria of the DSM-IV and understanding the Dutch language. The intervention group will be given access to the intervention's website (www.traumatips.nl), and are specifically requested to login within the first month postinjury. The primary clinical study outcome is PTSD symptom severity. Secondary outcomes include symptoms of depression and anxiety, quality of life, and social support. In addition, a cost-effectiveness analysis of the intervention will be performed. Data are collected at one week post-injury, prior to first login (baseline), and at 1, 3, 6 and 12 months. Analyses will be on an intention-to-treat basis. Discussion: The results will provide more insight into the effects of preventive interventions in general, and Internet-based early interventions specifically, on acute stress reactions and PTSD, in an injured population, during the acute phase after trauma. We will discuss possible strengths and limitations. [ABSTRACT FROM AUTHOR]
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- 2010
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11. Treating people you never see: internet-based treatment of the internalising mental disorders.
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Andrews, Gavin and Titov, Nickolai
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INTERNET in psychotherapy , *ALTERNATIVE treatment for mental illness , *COGNITIVE therapy , *BEHAVIOR therapy , *SELF-help materials - Abstract
In the article the authors reflect on the use of internet-based therapy for patients suffering from internalising disorders including major depression, generalised anxiety disorder and social phobia. Internet cognitive behaviour therapy (CBT) for internalising disorders can be self-guided or performed with clinician assistance. Patient compliance, ethical issues and patient safety are also discussed.
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- 2010
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12. Internet-based support for infertile patients: a randomized controlled study.
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Haemmerli K, Znoj H, and Berger T
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INFERTILITY , *MENTAL health , *INTERNET in psychotherapy , *COGNITIVE therapy , *BEHAVIOR therapy , *HUMAN reproductive technology - Abstract
This study aimed to evaluate the efficacy and patient acceptance of the first German-language Internet-based treatment for infertile patients . Infertile patients ( N = 124) were randomly assigned to either an 8-week Internet-based cognitive-behavioral treatment, or to a waiting-list control group. Participants were assessed at treatment start, post-treatment, and at a 5-month follow-up. Outcome measures included mental health and pregnancy rate. From pre- to posttest, treated participants in contrast to controls did not show significant improvement, although between-group effect sizes were in favor of the intervention group on all mental health measures (Cohen's d ranged from 0.16 to 0.38). The intervention significantly reduced the depression level of clinically distressed and depressed participants. No effects were found regarding pregnancy rate. The treatment was assessed as positive or very positive by 80% of the participants; this finding coupled with the high demand for such support confirm that Internet-based interventions are a promising new approach for infertile patients that needs more development and testing. [ABSTRACT FROM AUTHOR]
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- 2010
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13. Randomized controlled trial of web-based treatment of social phobia without clinician guidance
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Titov, Nickolai
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- 2009
14. An RCT comparing effect of two types of support on severity of symptoms for people completing Internet-based cognitive behaviour therapy for social phobia
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Titov, Nickolai
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- 2009
15. Clinician-assisted Internet-based treatment is effective for generalized anxiety disorder : randomized controlled trial
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Titov, Nickolai
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- 2009
16. Shyness programme : longer term benefits, cost-effectiveness, and acceptability
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Titov, Nickolai
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- 2009
17. Internet-based cognitive-behavioral therapy for complicated grief
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Wagner, Birgit, University of Zurich, and Wagner, Birgit
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Counseling ,Computer Network Resources ,Psychotherapy ,Cognitive Therapy ,UZHDISS UZH Dissertations ,Grief Therapy ,Psychological Aspects ,Grief ,Internet In Psychotherapy ,Bereavement - Published
- 2006
18. A 5-Year follow-up of internet-based cognitive behavior therapy for social anxiety disorder.
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Hedman, Erik, Furmark, Tomas, Carlbring, Per, Ljótsson, Brjánn, Rück, Christian, Lindefors, Nils, Andersson, Gerhard, Ljótsson, Brjánn, and Rück, Christian
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COGNITIVE therapy ,SOCIAL anxiety ,INTERNET in psychotherapy ,SELF-report inventories ,PSYCHODIAGNOSTICS ,THERAPEUTICS - Abstract
Background: Internet-based cognitive behavior therapy (CBT) has been shown to be a promising method to disseminate cognitive behavior therapy for social anxiety disorder (SAD). Several trials have demonstrated that Internet-based CBT can be effective for SAD in the shorter term. However, the long-term effects of Internet-based CBT for SAD are less well known.Objective: Our objective was to investigate the effect of Internet-based CBT for SAD 5 years after completed treatment.Method: We conducted a 5-year follow-up study of 80 persons with SAD who had undergone Internet-based CBT. The assessment comprised a diagnostic interview and self-report questionnaires. The main outcome measure was the Liebowitz Social Anxiety Scale-Self-Report (LSAS-SR). Additional measures of social anxiety were the Social Interaction Anxiety Scale (SIAS) and the Social Phobia Scale (SPS). Attrition rates were low: 89% (71/80) of the participants completed the diagnostic interview and 80% (64/80) responded to the questionnaires.Results: Mixed-effect models analysis showed a significant effect of time on the three social anxiety measures, LSAS-SR, SIAS, and SPS (F(3,98-102) = 16.05 - 29.20, P < .001) indicating improvement. From baseline to 5-year follow-up, participants' mean scores on the LSAS-SR were reduced from 71.3 (95% confidence interval [CI] 66.1-76.5) to 40.3 (95% CI 35.2 - 45.3). The effect sizes of the LSAS-SR were large (Cohen's d range 1.30 - 1.40, 95% CI 0.77 - 1.90). Improvements gained at the 1-year follow-up were sustained 5 years after completed treatment.Conclusions: Internet-based CBT for SAD is a treatment that can result in large and enduring effects.Trial Registration: Clinicaltrials.gov NCT01145690; http://clinicaltrials.gov/ct2/show/NCT01145690 (Archived by WebCite at http://www.webcitation.org/5ygRxDLfK). [ABSTRACT FROM AUTHOR]- Published
- 2011
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19. Does the Quality of the Working Alliance Predict Treatment Outcome in Online Psychotherapy for Traumatized Patients?
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Knaevelsrud, Christine and Maercker, Andreas
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COGNITIVE therapy ,INTERNET in psychotherapy ,TREATMENT of post-traumatic stress disorder ,VIRTUAL communications ,COMMUNICATION in psychiatry ,THERAPEUTIC alliance - Abstract
Background: The provision of online counseling and online therapy is steadily increasing. The results of a number of controlled trials investigating the efficacy of online approaches indicate that some of these new treatment alternatives might indeed be effective. Yet, little is known about how the therapeutic relationship (or working alliance) evolves over the Internet and whether it influences treatment outcome as it does in traditional face-to-face therapy. The working alliance has been defined as the extent to which a patient and a therapist work collaboratively and purposefully and connect emotionally. Objective: The aim of the study was to investigate the quality and predictive relevance of the therapeutic alliance for patients receiving a short-term, Internet-based, cognitive-behavioral therapy program for posttraumatic stress reactions. Methods: After rigorous screening for exclusion criteria of high dissociative tendencies, risk of psychosis, and suicidal tendencies, 48 patients, who had experienced a traumatic event in the past, were included in the online treatment study. The short form of the Working Alliance Inventory (WAI-S) was administered at the fourth treatment session. The relevance of the therapeutic relationship for treatment outcome was assessed in terms of residual gain from pretreatment assessment to the end of treatment. The revised Impact of Event Scale (IES-R) and the depression and anxiety subscales of the Brief Symptom Inventory (BSI) were used to assess treatment outcome. Results: A total of 48 participants were included in the analysis. Overall, high alliance scores were found. In contrast to previous studies of conventional face-to-face therapy, there was only a low to modest association (.13 to .33) between the quality of the therapeutic relationship and treatment outcome. Conclusion: High alliance scores indicate that it was possible to establish a stable and positive therapeutic relationship online. However, the therapeutic relationship was found to be a less relevant predictor of the therapy outcome than in face-to-face approaches. We discuss whether this finding can be attributed to methodological reasons such as the restricted range of alliance ratings obtained or the time of administration of the WAI-S, or whether the therapeutic relationship might be less relevant to the treatment outcome of online therapy approaches. [ABSTRACT FROM AUTHOR]
- Published
- 2006
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20. Commentary.
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Polly, David W.
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INTERNET in psychotherapy , *INTERNET in medicine , *COGNITIVE therapy , *PSYCHOTHERAPY , *BACKACHE , *BONE surgery , *JOINT surgery , *SURGERY - Abstract
Comments on the study which found an Internet-delivered cognitive-behavioral intervention with telephone support treatment to improve some coping skills in patients with chronic low back pain. Enhancement of patient interaction and potential decrease of the burden on care providers; Possibility of undetected differences in some of the outcomes due to the limited sample size; Effect of not including typical rating scales for back pain on the study.
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- 2005
21. AN INTERNET-DELIVERED COGNITIVE-BEHAVIORAL INTERVENTION WITH TELEPHONE SUPPORT IMPROVED SOME COPING SKILLS IN PATIENTS WITH CHRONIC LOW BACK PAIN.
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INTERNET in psychotherapy , *INTERNET in medicine , *COGNITIVE therapy , *PSYCHOTHERAPY , *LUMBAR pain , *BACK diseases , *BONE surgery , *JOINT surgery - Abstract
Examines the impact of an Internet-delivered cognitive-behavioral intervention with telephone support treatment on the coping skills of patients with chronic low back pain. Aim of the program to teach patients to identify more active ways of coping with pain to improve functioning; Inclusion of psychological and physical components in the program; Improvement in patients in the Internet group than in the control group with regard to the Coping Strategies Questionnaire subscales.
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- 2005
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22. I'M FEELING BLUE. CAN ONLINE THERAPY HELP?
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INTERNET in psychotherapy ,COGNITIVE therapy - Abstract
The article presents an answer to the question of whether internet-based cognitive behavioral therapy would work in treating problems like depression, referencing a study published in the "Journal of Affective Disorders" periodical, it also discusses the advantages and disadvantages of this method.
- Published
- 2013
23. Social phobia success.
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SOCIAL phobia , *COGNITIVE therapy , *BEHAVIOR therapy , *INTERNET in psychotherapy , *TELEPHONE in psychotherapy , *THERAPEUTICS - Abstract
The article deals with a new study from Sweden which claims that social phobia can be successfully treated using a combination of self-help cognitive behavioral therapy (CBT) delivered via the Internet and weekly ten-minute telephone support. According to the author, adherence to treatment was high, 93 percent finished the nine-week regime and improvements were maintained a year later.
- Published
- 2007
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