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High-intensity ther...
High-intensity therapist-guided internet-based cognitive behavior therapy for alcohol use disorder: a pilot study
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- Sundstrom, C. (author)
- Karolinska Institutet,Karolinska Institutet;Stockholm Cty Council
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- Kraepelien, M. (author)
- Karolinska Institutet,Karolinska Institutet;Stockholm Cty Council
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- Eék, Niels, 1980 (author)
- Gothenburg University,Göteborgs universitet,Psykologiska institutionen,Department of Psychology,University of Gothenburg
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- Fahlke, Claudia, 1964 (author)
- Gothenburg University,Göteborgs universitet,Psykologiska institutionen,Department of Psychology,University of Gothenburg
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- Kaldo, Viktor (author)
- Karolinska Institutet,Karolinska Institutet;Stockholm Cty Council,DISA
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- Berman, Anne H. (author)
- Uppsala universitet,Karolinska Institutet,Karolinska Institutet;Stockholm Cty Council;Stockholm Center for Dependency Disorders,Institutionen för psykologi
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(creator_code:org_t)
- 2017-05-26
- 2017
- English.
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In: Bmc Psychiatry. - : Springer Science and Business Media LLC. - 1471-244X. ; 17
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Abstract
Subject headings
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- Background: A large proportion of individuals with alcohol problems do not seek psychological treatment, but access to such treatment could potentially be increased by delivering it over the Internet. Cognitive behavior therapy (CBT) is widely recognized as one of the psychological treatments for alcohol problems for which evidence is most robust. This study evaluated a new, therapist-guided internet-based CBT program (entitled ePlus) for individuals with alcohol use disorders. Methods: Participants in the study (n = 13) were recruited through an alcohol self-help web site (www.alkoholhjalpen.se) and, after initial internet screening, were diagnostically assessed by telephone. Eligible participants were offered access to the therapist-guided 12-week program. The main outcomes were treatment usage data (module completion, treatment satisfaction) as well as glasses of alcohol consumed the preceding week, measured with the self-rated Timeline Followback (TLFB). Participant data were collected at screening (T0), immediately pre-treatment (T1), post-treatment (T2) and 3 months post-treatment (T3). Results: Most participants were active throughout the treatment and found it highly acceptable. Significant reductions in alcohol consumption with a large within-group effect size were found at the three-month follow-up. Secondary outcome measures of craving and self-efficacy, as well as depression and quality of life, also showed significant improvements with moderate to large within-group effect sizes. Conclusions: Therapist-guided internet-based CBT may be a feasible and effective alternative for people with alcohol use disorders. In view of the high acceptability and the large within-group effect sizes found in this small pilot, a randomized controlled trial investigating treatment efficacy is warranted.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Psychology (hsv//eng)
Keyword
- Cognitive behavior therapy
- Alcohol use disorders
- Alcohol dependence
- Internet-based psychotherapy
- randomized controlled-trial
- identification test dudit
- quality-of-life
- psychometric properties
- drug-use
- self-help
- change questionnaire
- problematic alcohol
- relapse prevention
- general-population
- Psychiatry
- Cognitive behavior therapy
- Psykologi
Publication and Content Type
- ref (subject category)
- art (subject category)
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