Guided internet-based CBT for common mental disorders

被引:74
作者
Andersson G. [1 ,2 ]
Carlbring P. [4 ]
Ljótsson B. [2 ,3 ]
Hedman E. [2 ,5 ]
机构
[1] Department of Behavioural Sciences and Learning, Swedish Institute for Disability Research, Linköping University
[2] Division of Psychiatry, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm
[3] Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm
[4] Department of Psychology, Stockholm University, Stockholm
[5] Department of Clinical Neuroscience, Osher Center for Integrative Medicine, Karolinska Institutet, Stockholm
关键词
Anxiety disorders; Guided self-help; Internet; Mood disorders;
D O I
10.1007/s10879-013-9237-9
中图分类号
学科分类号
摘要
The Internet has become a part of most people's lives in many parts of the world. Since the late 1990s there has been an intensive research activity in which psychological treatments, such as cognitive behavior therapy (CBT), have been found to be effective when delivered via the Internet. Most research studies indicate that the effects are larger when some form of guidance is provided from a therapist, and unguided treatments tend to lead to more dropout and smaller effects. Guided Internet treatments often consists of book length text materials, but can also include other components such as audio files and video clips. Homework assignment is often included and feedback is given for completed homework. Guided Internet-based CBT (iCBT) has been found to work for problems such as depression, panic-, social anxiety-, and generalized anxiety disorders. There are many research trials in which participants have been recruited via media, and there has been less research conducted in representative clinical settings. Most research has been conducted on adults and in university settings with nationwide recruitment. There is a need for treatments and studies on older adults, children and adolescents. In conclusion, dissemination of the research findings on guided iCBT to regular clinical settings is warranted. © 2013 Springer Science+Business Media New York.
引用
收藏
页码:223 / 233
页数:10
相关论文
共 92 条
[1]  
Almlov J., Carlbring P., Kallqvist K., Paxling B., Cuijpers P., Andersson G., Therapist effects in guided Internet-delivered CBT for anxiety disorders, Behavioural and Cognitive Psychotherapy, 39, pp. 311-322, (2011)
[2]  
Andersson G., Using the Internet to provide cognitive behaviour therapy, Behaviour Research and Therapy, 47, pp. 175-180, (2009)
[3]  
Andersson G., Bergstrom J., Hollandare F., Carlbring P., Kaldo V., Ekselius L., Internet-based self-help for depression: A randomised controlled trial, British Journal of Psychiatry, 187, pp. 456-461, (2005)
[4]  
Andersson G., Carlbring P., Berger T., Almlov J., Cuijpers P., What makes Internet therapy work?, Cognitive Behaviour Therapy, 38, S1, pp. 55-60, (2009)
[5]  
Andersson G., Carlbring P., Cuijpers P., Internet interventions: Moving from efficacy to effectiveness, E-Journal of Applied Psychology, 5, pp. 18-24, (2009)
[6]  
Andersson G., Carlbring P., Furmark T., Therapist experience and knowledge acquisition in Internet-delivered CBT for social anxiety disorder: A randomized controlled trial, PLoS ONE, 7, 5, (2012)
[7]  
Andersson G., Carlbring P., Grimlund A., Predicting treatment outcome in Internet versus face to face treatment of panic disorder, Computers in Human Behavior, 24, pp. 1790-1801, (2008)
[8]  
Andersson G., Carlbring P., Holmstrom A., Sparthan E., Furmark T., Nilsson-Ihrfelt E., Buhrman M., Ekselius L., Internet-based self-help with therapist feedback and in vivo group exposure for social phobia: A randomized controlled trial, Journal of Consulting and Clinical Psychology, 74, pp. 677-686, (2006)
[9]  
Andersson E., Enander J., Andren P., Hedman E., Ljotsson B., Hursti T., Bergstrom J., Kaldo V., Lindefors N., Andersson G., Ruck C., Internet-based cognitive behaviour therapy for obsessive-compulsive disorder: A randomised controlled trial, Psychological Medicine, 42, pp. 2193-2203, (2012)
[10]  
Andersson G., Estling F., Jakobsson E., Cuijpers P., Carlbring P., Can the patient decide which modules to endorse? An open trial of tailored Internet treatment of anxiety disorders, Cognitive Behaviour Therapy, 40, pp. 57-64, (2011)