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51.
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52.
  • Andersson, Gerhard, 1966-, et al. (författare)
  • Internet-based self-help for depression : Randomised controlled trial
  • 2005
  • Ingår i: British Journal of Psychiatry. - 0007-1250 .- 1472-1465. ; 187:NOV., s. 456-461
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>Background: Major depression can be treated by means of cognitive-behavioural therapy, but as skilled therapists are in short supply there is a need for self-help approaches. Many individuals with depression use the internet for discussion of symptoms and to share their experience. Aims: To investigate the effects of an internet-administered self-help programme including participation in a monitored, web-based discussion group, compared with participation in web-based discussion group only. Method: A randomised controlled trial was conducted to compare the effects of internet-based cognitive-behavioural therapy with minimal therapist contact (plus participation in a discussion group) with the effects of participation in a discussion group only. Results: Internet-based therapy with minimal therapist contact, combined with activity in a discussion group, resulted in greater reductions of depressive symptoms compared with activity in a discussion group only (waiting-list control group). At 6 months' follow-up, improvement was maintained to a large extent. Conclusions: Internet-delivered cognitive-behavioural therapy should be pursued further as a complement or treatment alternative for mild-to-moderate depression.</p>
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53.
  • Andersson, Gerhard, et al. (författare)
  • Internet-Based Self-Help Versus One-Session Exposure in the Treatment of Spider Phobia : A Randomized Controlled Trial
  • 2009
  • Ingår i: Cognitive Behaviour Therapy. - 1650-6073 .- 1651-2316. ; 38:2, s. 114-120
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>The authors compared guided Internet-delivered self-help with one session of live-exposure treatment in a sample of spider-phobic patients. A total of 30 patients were included following screening on the Internet and a structured clinical interview. The Internet treatment consisted of five weekly text modules, which were presented on a web page, a video in which exposure was modelled, and support provided via Internet. The live-exposure treatment was delivered in a 3-hr session following a brief orientation session. The main outcome measure was the behavioural approach test (BAT), and as secondary measures the authors used questionnaires measuring anxiety symptoms and depression. Results showed that the groups did not differ at posttreatment or follow-up, with the exception of the proportion showing clinically significant change on the BAT. At posttreatment 46.2% of the Internet group and 85.7% in the live-exposure group achieved this change. At follow-up the corresponding figures were 66.7% for the Internet group and 72.7% for the live treatment. Within-group effect sizes for the spider phobia questionnaire were large (<em>d</em> = 1.84 and 2.58 for the Internet and live-exposure groups, respectively, at posttreatment). The authors conclude that guided Internet-delivered exposure treatment is a promising new approach in the treatment of spider phobia.</p>
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54.
  • Andersson, Gerhard, et al. (författare)
  • Internet-Based Self-Help Versus One-Session Exposure in the Treatment of Spider Phobia : A Randomized Controlled Trial
  • 2009
  • Ingår i: Cognitive Behaviour Therapy. - Routledge. - 1650-6073 .- 1651-2316. ; 38:2, s. 114-120
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>The authors compared guided Internet-delivered self-help with one session of live-exposure treatment in a sample of spider-phobic patients. A total of 30 patients were included following screening on the Internet and a structured clinical interview. The Internet treatment consisted of five weekly text modules, which were presented on a web page, a video in which exposure was modelled, and support provided via Internet. The live-exposure treatment was delivered in a 3-hr session following a brief orientation session. The main outcome measure was the behavioural approach test (BAT), and as secondary measures the authors used questionnaires measuring anxiety symptoms and depression. Results showed that the groups did not differ at posttreatment or follow-up, with the exception of the proportion showing clinically significant change on the BAT. At posttreatment 46.2% of the Internet group and 85.7% in the live-exposure group achieved this change. At follow-up the corresponding figures were 66.7% for the Internet group and 72.7% for the live treatment. Within-group effect sizes for the spider phobia questionnaire were large (<em>d</em> = 1.84 and 2.58 for the Internet and live-exposure groups, respectively, at posttreatment). The authors conclude that guided Internet-delivered exposure treatment is a promising new approach in the treatment of spider phobia.</p>
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55.
  • Andersson, Gerhard, 1966-, et al. (författare)
  • Internet-based self-help with therapist feedback and in vivo group exposure for social phobia : A randomized controlled trial
  • 2006
  • Ingår i: Journal of Consulting and Clinical Psychology. - 0022-006X .- 1939-2117. ; 74:4, s. 677-686
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>Sixty-four individuals with social phobia (social anxiety disorder) were assigned to a multimodal cognitive-behavioral treatment package or to a waiting list control group. Treatment consisted of a 9-week, Internet-delivered, self-help program that was combined with 2 group exposure sessions in real life and minimal therapist contact via e-mail. Results were analyzed on an intention-to-treat basis, including all randomized participants. From pre- to posttest, treated participants in contrast to controls showed significant improvement on most measured dimensions (social anxiety scales, general anxiety and depression levels, quality of life). The overall within- and between-groups effect sizes were Cohen's d = 0.87 and 0.70, respectively. Treatment gains were maintained at 1-year follow-up. The results from this study support the continued use and development of Internet-distributed, self-help programs for people diagnosed with social phobia. Copyright 2006 by the American Psychological Association.</p>
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56.
  • Andersson, Gerhard, et al. (författare)
  • Internet-Based Vs. Face-To-Face Cognitive Behaviour Therapy for Psychiatric and Somatic Disorders : a Systematic Review and Meta-Analysis
  • 2014
  • Ingår i: Abstracts from the 44th Congress of the European Association for Behavioural &amp; Cognitive Therapies. - Utrecht : EABCT.
  • Konferensbidrag (refereegranskat)abstract
    • <p>Internet-delivered cognitive behaviour therapy (ICBT) has been tested in many research trials but to a lesser extent been directly compared against face-to-face delivered cognitive behaviour therapy (CBT). We conducted a systematic review and meta-analysis on trials in which guided ICBT was directly compared against face-to-face CBT within the same trial. Studies on psychiatric and somatic conditions were included. Systematic searches resulted in 13 studies (total N=1053) that met all review criteria and were included in the review. There were 3 studies on social anxiety disorder, 3 on panic disorder, 2 on depressive symptoms, 2 on body dissatisfaction, 1 on tinnitus, 1 on male sexual dysfunction, and 1 on spider phobia. Face-to-face CBT was either in the individual format (n=6 ) or in the group format (n=7). We also assessed quality and risk of bias. Results showed a pooled effect size at post-treatment across of Hedges g = -0.01 (95% CI, -0.13 to 0.12), indicating that ICBT and face-to-face treatment produce equivalent overall effects. Study quality did not affect outcomes. While the overall results indicate equivalence, there are still few studies for each psychiatric and somatic condition and many for which guided ICBT has not been compared against face-to-face treatment. Thus, more research is needed to establish equivalence of the two treatment formats.</p>
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57.
  • Andersson, Gerhard, et al. (författare)
  • Internet-Delivered Treatments for Social Anxiety Disorder
  • 2014
  • Ingår i: The Wiley Blackwell Handbook of Social Anxiety Disorder. - Chichester, UK : John Wiley & Sons. - 9781119968603 - 9781118653920 ; s. 579-587
  • Bokkapitel (refereegranskat)abstract
    • <p>In this chapter we review the literature on internet-delivered treatment for social anxiety disorder (SAD). There are several different treatment programs that have been tested in randomized controlled trials and evidence now suggests that guided internet-based cognitive behavior therapy (ICBT) can be as effective as face-to-face therapy, that therapists may need less training than in face-to-face treatment, and that ICBT works in representative clinical settings, thereby supporting effectiveness. Moreover, there are studies to suggest that ICBT has enduring effects up to five years after treatment and that it is cost-effective. Since there are advantages with internet treatments, this treatment option should be considered as a complement or alternative to face-to-face treatments for SAD. Treatment mechanisms, including moderators and mediators of outcome, remain to be investigated.</p>
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58.
  • Andersson, Gerhard, et al. (författare)
  • Internet Interventions for Adults with Anxiety and Mood Disorders : A Narrative Umbrella Review of Recent Meta-Analyses
  • 2019
  • Ingår i: Canadian journal of psychiatry. - 0706-7437. ; 64:7, s. 465-470
  • Forskningsöversikt (refereegranskat)abstract
    • <p>Internet-delivered cognitive behaviour therapy (ICBT) has existed for 20 years and there are now several controlled trials for a range of problems. In this paper, we focused on recent meta-analytic reviews of the literature and found moderate to large effects reported for panic disorder, social anxiety disorder, generalized anxiety disorder, posttraumatic stress disorder, and major depression. In total, we reviewed 9 recent meta-analytic reviews out of a total of 618 meta-analytic reviews identified using our search terms. In these selected reviews, 166 studies were included, including overlap in reviews on similar conditions. We also covered a recent review on transdiagnostic treatments and 2 reviews on face-to-face v. internet treatment. The growing number of meta-analytic reviews of studies now suggests that ICBT works and can be as effective as face-to-face therapy.</p>
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59.
  • Andersson, Gerhard, et al. (författare)
  • Internetbaserad behandling inom allt fler diagnosområden
  • 2013
  • Ingår i: Psykologtidningen. - Stockholm : Sveriges Psykologförbund. - 0280-9702. ; 59:9, s. 30-33
  • Forskningsöversikt (övrigt vetenskapligt)abstract
    • <p>Under de senaste 15 åren har en intensiv forskning bedrivits kring internetbaserad psykologisk behandling och svenska forskare har i hög grad deltagit i utvecklingen. Här ger Gerhard Andersson och Per Carlbring, båda professorer i klinisk psykologi, en introduktion till internetbaserad psykologisk behandling och en bild av kunskapsläget just nu.</p>
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60.
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