Internet-Based Guided Self-Help for Several Anxiety Disorders: A Randomized Controlled Trial Comparing a Tailored With a Standardized Disorder-Specific Approach

被引:114
作者
Berger, Thomas [1 ]
Boettcher, Johanna [2 ]
Caspar, Franz [1 ]
机构
[1] Univ Bern, Dept Clin Psychol & Psychotherapy, CH-3012 Bern, Switzerland
[2] Free Univ Berlin, Dept Clin Psychol & Psychotherapy, Berlin, Germany
关键词
Internet-based treatment; anxiety disorders; guided self-help; randomized controlled trial; COGNITIVE-BEHAVIOR THERAPY; SOCIAL PHOBIA; PANIC DISORDER; POSTTRAUMATIC-STRESS; MENTAL-DISORDERS; DEPRESSION; INVENTORY; CBT; METAANALYSIS; BURDEN;
D O I
10.1037/a0032527
中图分类号
B849 [应用心理学];
学科分类号
040203 [应用心理学];
摘要
Internet-delivered self-help with minimal therapist guidance has shown promising results for a number of diagnoses. Most of the evidence comes from studies evaluating standardized disorder-specific treatments. A recent development in the field includes transdiagnostic and tailored Internet-based treatments that address comorbid symptoms and a broader range of patients. This study evaluated an Internet-based tailored guided self-help treatment, which targeted symptoms of social anxiety disorder, panic disorder with or without agoraphobia, and generalized anxiety disorder. The tailored treatment was compared both with standardized disorder-specific Internet-based treatment and with a wait-list control group. Both active treatment conditions were based on cognitive-behavioral therapy and lasted for 8 weeks. A total of 132 individuals meeting diagnostic criteria for at least one of the anxiety disorders were randomly assigned to 1 of the 3 conditions. Both treatment groups showed significant symptom reductions as compared with the wait-list control group on primary disorder-unspecific measures of anxiety, depression, and general symptomatology and on secondary anxiety disorder-specific measures. Based on the intention-to-treat sample, mean between-group effect sizes were d = 0.80 for the tailored treatment and d = 0.82 for the standardized treatment, versus wait-list controls. Treatment gains were maintained at 6-month follow-up. No differences were found between the 2 active treatment conditions on any of the measures, including a telephone-administered diagnostic interview conducted at posttreatment. The findings suggest that both Internet-based tailored guided self-help treatments and Internet-based standardized treatments are promising treatment options for several anxiety disorders.
引用
收藏
页码:207 / 219
页数:13
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