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| 2. |
- Andersson, Gerhard, et al.
(författare)
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Factorial Trial Design in Internet Intervention Research
- 2019
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Ingår i: Proceedings of the 9th World Congress of Behavioural & Cognitive Therapies. - Tübingen : dgvt-Verlag. - 9783871598517 ; , s. 155-156
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Numerous controlled trials have been published on the effects of internet-delivered psychological treatments for a range of problems and disorders. Generally, trials adhere to the CONSORT statement and include control groups. Often this is attention control, waitlist but also alternative treatments. In experimental psychology factorial designs is the common way to investigate research questions but in psychotherapy research this is rare given the need for large samples in order to have sufficient power to detect differntial effects of independent variables (like for example different versions of a treatment). With the advent of internet-delivered CBT (ICBT) this has changes and it is now possible to run trials with larger samples. At the same time there is really no need for more studies showing that a treatment is better than just waiting (for some areas at least like depression). In this talk we will present result from three completed factorial design trials in which we have manipulated support form (on demand versus scheduled in one trial and chat-support versus just email in another), and also other aspects like learning support and choice of treatment. The talk will end with a discussion on future directions of ICBT research with regards to design of trials.
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| 3. |
- Andersson, Gerhard, et al.
(författare)
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Förord
- 2013
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Ingår i: Internetbehandling med KBT. - Stockholm : Natur och kultur. - 9789127132771
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Internetbaserad KBT ger tillgång till fungerande behandling för psykisk ohälsa på patientens villkor. Metoden har utvecklats i snabb takt genom utbredda forskningsinsatser, där Sverige kan betraktas som världsledande inom området.Internetbehandling med KBT ger en grundlig genomgång av behandlingsarbetet med betoning på praktiska aspekter och tillämpningen i olika verksamheter. Särskilt fokus ligger på att skapa ett fungerande behandlingsupplägg, praktiska förberedelser, behandlarens roll och viktiga terapeutfärdigheter samt hur vanliga svårigheter hanteras. Läsaren får också en teoretisk orientering, kunskap om befintligt forskningsstöd och vilka fördelar metoden har för patienter, behandlare och verksamheter. Fallexempel, checklistor och annat praktiskt material gör boken till ett mycket användbart hjälpmedel.
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| 4. |
- Andersson, Gerhard, et al.
(författare)
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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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| 5. |
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| 6. |
- Andersson, Gerhard, 1966-, et al.
(författare)
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Special Issue in Honour of Lars-Göran Öst : Editorial
- 2013
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Ingår i: Cognitive Behaviour Therapy. - : Informa UK Limited. - 1650-6073 .- 1651-2316. ; 42:4, s. 259-259
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 7. |
- Blom, Kerstin, et al.
(författare)
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Effectiveness of two guided Internet treatments in a routine care setting at the eMeistring clinic, Norwegian public health care : Panic disorder and major depression
- 2018
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Ingår i: Abstract book. ; , s. 34-34
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Goals: To investigate the effectiveness of therapist-guided internet treatment for panic disorder (PD), and major depression (MD), in a routine care setting, the eMeistring clinic, within the public health care in Norway. Methods: Approximately 300 patients are included in two effectiveness studies, one per treatment (PD, MD). Assessment points are pretreatment, posttreatment and 6 months follow-up. Within group effect sizes, responder and remission rates are investigated. All analyses are Internet to treat. Results: Effect sizes for PD were large, d = 1.24 pre - post and 1.39 pre - 6 months follow-up. 56 % had recovered or were improved at posttreatment. Results for MD are preliminary and will be presented at the conference. Conclusion: Final conclusions will be presented at the conference. Results so far indicate that the treatments, after implementation into routine care in Norwegian public health care, are equally effective as in preceding effectiveness and randomized efficacy trials. The results so far thereby strengthen the notion that therapist guided Internet-based treatments are a viable alternative to other modes of treatment delivery.
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| 8. |
- Blomkvist, Anna, et al.
(författare)
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Should I Stay or Should I Go? Relationship satisfaction and the influence of attachment
- 2019
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Romantic relationships have been argued to function as attachment relationships, and the level of satisfaction with the relationship have been associated with one’s attachment style. Both attachment avoidance and anxiety have shown to be reliable predictors of relationship dissatisfaction. In this study, which were part of a screening process for couples’ therapy, 660 participants (330 both heterosexual and homosexual couples) completed a questionnaire regarding their attachment style (Experience of Close Relationships) and relationship satisfaction (Dyadic Adjustment Scale). Through structural equation modelling we found that relationship satisfaction was linked to both attachment avoidance (? = -.26) and anxiety (? = -.15) of one own, but only to partner avoidance (? = -.12). These findings are to some extent contradictory to previous research regarding the effect of partner attachment, by showing that specifically avoidance but not anxiety is linked to dissatisfaction.
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| 9. |
- Boettcher, Johanna, et al.
(författare)
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Innovations in the Treatment of Social Anxiety Disorder
- 2017
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Social anxiety disorder (SAD) is a very common and disabling mental disorder. Cognitive-behaviour therapy (CBT) is first-line treatment and has a strong empirical basis. However, not all patients benefit from CBT. About one third of the treated patients do not respond to a sufficient degree (Rodebaugh, Holaway, & Heimberg, 2004). Additionally, access to CBT is often limited. Only a small minority of patients with SAD receives adequate, evidence-based treatment (e.g. Issakidis & Andrews, 2002). Hence, there is a pressing need to optimize existing treatment approaches and to lower treatment barriers. The planned symposium will present different approaches on how to make CBT more efficient and more available for patients with SAD. Treatments that are facilitated via the Internet have the potential to reach patients who are otherwise unlikely to receive adequate treatment (e.g. patients in remote areas, patients fearing stigmatization, patients too shy to initiate face-to-face contact). At the same time, technology-based interventions also help to bring important therapeutic techniques into practice. The first two talks will therefore focus on innovations in the field of Internet-based CBT for SAD and will present strategies to facilitate exposure exercises. Johanna Boettcher will present two studies on a newly developed app for SAD. In a gamified approach, the app guides and motivates patients to conduct exposure exercises in their natural environment. The second presentation will introduce virtual reality (VR) exposure therapy for social fears. Per Carlbring will present data on a RCT, evaluating the impact of a three-hour VR exposure session on public speaking anxiety. The third talk will present a different angle on how to improve treatment outcomes. Emma Warnock- Parks will outline how video-feedback can be optimized in the treatment of socially anxious patients in order to increase its impact on patients’ symptomatology. She will present data on the beneficial effect of video feedback on patients’ distorted self-images and will show ways how to make this technique even more powerful. Optimizing intervention techniques and contexts is one way to improve treatment of SAD. It is also important to consider external factors that may influence treatment adherence or outcome. In the last talk, Ulrike Willutzki will present data on a long-time neglected topic in SAD. She will demonstrate how the well-meant support of patients’ spouses can contribute to the maintenance of the disorder. She will discuss how partners can be educated and become involved in treatment helping the patient to overcome anxiety in difficult social situations. The planned symposium will offer four different strategies that can be implemented to improve cognitive-behavioural treatment techniques and to further the access to CBT. The symposium therefore contributes to a better understanding on how CBT for SAD can become more efficient in alleviating patients’ suffering.
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| 10. |
- Boettcher, Johanna, et al.
(författare)
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Primun non nocere : Side effects in psychological treatments
- 2018
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Psychological treatments help patients overcome mental health problems. Thousands of studies document the positive effects of psychotherapeutic interventions. The potential of these same interventions to cause harm, on the other hand, has scarcely been subject to scientific investigation. The nature and frequency of side effects of psychological treatments are largely unknown. The present symposium aims at shedding light on some important questions concerning negative effects: How should side effects be defined? What are typical side effects? How frequent are side effects in different treatment formats? And how can side effects be effectively measured? In the first presentation, Michael Linden will speak about side effects in group therapy and will report data from two different group therapy formats. Johanna Boettcher will focus on side effects of individual therapy for depression. She will present data from a large trial of Internet-based therapy and will summarize a qualitative analysis of the patients’ experience of negative effects. Steve Hollon will talk specifically about one particular side effect, the deterioration of targeted symptoms. He will report results of an individual patient data meta-analysis and compare rates of deterioration in cognitive-behaviour therapy and pharmacotherapy. Finally, Alexander Rozental will present a new questionnaire for the assessment of negative effects and will demonstrate its psychometric properties in a Rasch analysis.
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