| 61. |
- Andersson, Gerhard, 1966-, et al.
(författare)
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Internet-Delivered Psychological Treatments
- 2016
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Ingår i: Annual review of clinical psychology. - : Annual Reviews. - 1548-5951 .- 1548-5943. ; 12, s. 157-179
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Tidskriftsartikel (refereegranskat)abstract
- During the past 15 years, much progress has been made in developing and testing Internet-delivered psychological treatments. In particular, therapist-guided Internet treatments have been found to be effective for a wide range of psychiatric and somatic conditions in well over 100 controlled trials. These treatments require (a) a secure web platform, (b) robust assessment procedures, (c) treatment contents that can be text based or offered in other formats, and (d) a therapist role that differs from that in face-to-face therapy. Studies suggest that guided Internet treatments can be as effective as face-to-face treatments, lead to sustained improvements, work in clinically representative conditions, and probably are cost-effective. Despite these research findings, Internet treatment is not yet disseminated in most places, and clinical psychologists should consider using modern information technology and evidence-based treatment programs as a complement to their other services, even though there will always be clients for whom face-to-face treatment is the best option.
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| 62. |
- Andersson, Gerhard
(författare)
-
Internet-Delivered Psychological Treatments for Tinnitus: A Brief Historical Review
- 2022
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Ingår i: American Journal of Audiology. - : AMER SPEECH-LANGUAGE-HEARING ASSOC. - 1059-0889 .- 1558-9137. ; 31:3, s. 1013-1018
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Forskningsöversikt (refereegranskat)abstract
- Objectives: Internet-delivered psychological treatments were developed more than 20 years ago, and tinnitus was among the first target conditions. The aim of this review article is to describe the history of Internet treatments for tinnitus and to comment on the evidence base. Challenges for future research and implementations will be mentioned. Method: A narrative historical review was conducted. Findings: There are now several studies including controlled trials on Internet interventions based on cognitive behavior therapy (ICBT) for tinnitus. Effects in controlled trials are moderate to large with regard to tinnitus annoyance. While the treatment format now exists in four languages, there is a large treatment versus demand gap as very few clients with tinnitus receive ICBT. There is a lack of research on related conditions with the exception of hearing loss. However, there is substantial support for Internet interventions for comorbid conditions such as insomnia and depression but not specifically in association with tinnitus. Conclusions: ICBT is a promising treatment approach for tinnitus and will hopefully increase access to evidence-based treatment to reduce tinnitus distress. More research is needed for related conditions such as hyperacusis and larger trials on tinnitus.
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| 63. |
- Andersson, Gerhard, et al.
(författare)
-
Internet-Delivered Treatments for Social Anxiety Disorder
- 2014
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Ingår i: The Wiley Blackwell Handbook of Social Anxiety Disorder. - Chichester, UK : John Wiley & Sons. - 9781119968603 - 9781118653920 ; , s. 579-587
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Bokkapitel (refereegranskat)abstract
- 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.
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| 64. |
- Andersson, Gerhard, 1966-
(författare)
-
Internet interventions : Past, present and future
- 2018
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Ingår i: Internet Interventions. - : Elsevier. - 2214-7829. ; 12, s. 181-188
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Tidskriftsartikel (refereegranskat)abstract
- Internet interventions have been around now for about 20 years. While the field still suffers from a scattered terminology a large number of programs and studies exist. In the present paper I present an overview of my experiences of studying internet-supported cognitive-behaviour therapy (ICBT), but also mention other approaches including the use of smartphones. The paper covers the history of ICBT, short-term effects in controlled trials for a range of conditions, long-term effects, comparisons against face-to-face therapy, effectiveness studies, prediction studies, how the treatment is perceived, critique, and finally future directions. I conclude that we have now reached a stage in which we have numerous evidence-based treatments and procedures, and increasingly internet interventions including ICBT are disseminated.
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| 65. |
- Andersson, Gerhard, 1966-, 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. - : SAGE Publications. - 0706-7437 .- 1497-0015. ; 64:7, s. 465-470
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Forskningsöversikt (refereegranskat)abstract
- 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.
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| 66. |
- Andersson, Gerhard, et al.
(författare)
-
Internet Interventions in Clinical Psychology
- 2022. - 2
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Ingår i: Comprehensive Clinical Psychology. - : Elsevier. - 9780128222324 ; , s. 194-205
-
Bokkapitel (refereegranskat)abstract
- The internet and modern information technology have influenced society and also the practice of clinical psychology. In this chapter, we describe how internet-delivered psychological assessment and treatment procedures work and provide an updated review of the evidence. Therapist-supported internet interventions, mainly derived from cognitive behavior therapy treatment protocols, have been developed and tested in a large number of controlled trials and also for a range of psychiatric and somatic problems and conditions. There are clear indications that internet interventions can be as effective as seeing a therapist face-to-face, that long-term effects can be obtained, and that it has been possible to transfer internet interventions to more regular service provision (e.g., effectiveness trials).
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| 67. |
- Andersson, Gerhard, et al.
(författare)
-
Internetbaserad behandling inom allt fler diagnosområden
- 2013
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Ingår i: Psykologtidningen. - Stockholm : Sveriges Psykologförbund. - 0280-9702. ; 59:9, s. 30-33
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Forskningsöversikt (övrigt vetenskapligt/konstnärligt)abstract
- 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.
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| 68. |
- Andersson, Gerhard, et al.
(författare)
-
Internet‐delivered psychological treatments : from innovation to implementation
- 2019
-
Ingår i: World Psychiatry. - : Wiley. - 1723-8617 .- 2051-5545. ; 18:1, s. 20-28
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Tidskriftsartikel (refereegranskat)abstract
- Internet interventions, and in particular Internet‐delivered cognitive behaviour therapy (ICBT), have existed for at least 20 years. Here we review the treatment approach and the evidence base, arguing that ICBT can be viewed as a vehicle for innovation. ICBT has been developed and tested for several psychiatric and somatic conditions, and direct comparative studies suggest that therapist‐guided ICBT is more effective than a waiting list for anxiety disorders and depression, and tends to be as effective as face‐to‐face CBT. Studies on the possible harmful effects of ICBT are also reviewed: a significant minority of people do experience negative effects, although rates of deterioration appear similar to those reported for face‐to‐face treatments and lower than for control conditions. We further review studies on change mechanisms and conclude that few, if any, consistent moderators and mediators of change have been identified. A recent trend to focus on knowledge acquisition is considered, and a discussion on the possibilities and hurdles of implementing ICBT is presented. The latter includes findings suggesting that attitudes toward ICBT may not be as positive as when using modern information technology as an adjunct to face‐to‐face therapy (i.e., blended treatment). Finally, we discuss future directions, including the role played by technology and machine learning, blended treatment, adaptation of treatment for minorities and non‐Western settings, other therapeutic approaches than ICBT (including Internet‐delivered psychodynamic and interpersonal psychotherapy as well as acceptance and commitment therapy), emerging regulations, and the importance of reporting failed trials.
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| 69. |
- Andersson, Gerhard, 1966-, et al.
(författare)
-
Lars-Göran Öst
- 2013
-
Ingår i: Cognitive Behaviour Therapy. - : Informa UK Limited. - 1650-6073 .- 1651-2316. ; 42:4, s. 260-264
-
Tidskriftsartikel (refereegranskat)abstract
- Lars-Göran Öst is one of the most eminent clinical researchers in the field of cognitive behaviour therapy (CBT) and a founder of CBT in Sweden. He has recently retired from his position as professor in clinical psychology at Stockholm University, Sweden. In this paper, we sketch a brief description of the body of work by Öst. Examples of his innovative and pioneering new treatment methods include the one-session treatment for specific phobias, as well as applied relaxation for a range of anxiety disorders and health conditions. While Öst remains active in the field, he has contributed significantly to the development and dissemination of CBT in Sweden as well as in the world.
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| 70. |
- Andersson, Gerhard, et al.
(författare)
-
Long-term effects of internet-supported cognitive behaviour therapy
- 2018
-
Ingår i: Expert Review of Neurotherapeutics. - : Informa UK Limited. - 1473-7175 .- 1744-8360. ; 18:1, s. 21-28
-
Forskningsöversikt (refereegranskat)abstract
- Introduction: Internet-supported and therapist-guided cognitive behaviour therapy (ICBT) is effective for a range of problems in the short run, but less is known about the long-term effects with follow-ups of two years or longer.Areas covered: This paper reviews studies in which the long-term effects of guided ICBT were investigated. Following literature searches in PubMed and other sources meta-analytic statistics were calculated for 14 studies involving a total of 902 participants, and an average follow-up period of three years. Studies were from Sweden (n = 11) or the Netherlands (n = 3). Long-term outcome studies were found for panic disorder, social anxiety disorder, generalized anxiety disorder, depression, mixed anxiety and depression, obsessive-compulsive disorder, pathological gambling, stress and chronic fatigue. The duration of the treatments was usually short (8–15 weeks). The pre-to follow-up effect size was Hedge’s g = 1.52, but with a significant heterogeneity. The average symptom improvement across studies was 50%. Treatment seeking in the follow-up period was not documented and few studies mentioned negative effects.Expert commentary: While effects may be overestimated, it is likely that therapist-supported ICBT can have enduring effects. Long-term follow-up data should be collected for more conditions and new technologies like smartphone-delivered treatments.
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