| 1. |
- Dagöö, Jesper, et al.
(författare)
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Cognitive behavior therapy versus interpersonal psychotherapy for social anxiety disorder delivered via smartphone and computer: A randomized controlled trial
- 2014
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Ingår i: Journal of Anxiety Disorders. - : Elsevier BV. - 1873-7897 .- 0887-6185. ; 28:4, s. 410-417
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Tidskriftsartikel (refereegranskat)abstract
- In this study, a previously evaluated guided Internet-based cognitive behavior therapy for social anxiety disorder (SAD) was adapted for mobile phone administration (mCBT). The treatment was compared with a guided self-help treatment based on interpersonal psychotherapy (mIPT). The treatment platform could be accessed through smartphones, tablet computers, and standard computers. A total of 52 participants were diagnosed with SAD and randomized to either mCBT (n = 27) or mIPT (n = 25). Measures were collected at pre-treatment, during the treatment, post-treatment and 3-month follow-up. On the primary outcome measure, the Liebowitz Social Anxiety Scale - self-rated, both groups showed statistically significant improvements. However, mCBT performed significantly better than mIPT (between group Cohen's d = 0.64 in favor of mCBT). A larger proportion of the mCBT group was classified as responders at post-treatment (55.6% versus 8.0% in the mIPT group). We conclude that CBT for SAD can be delivered using modern information technology. IPT delivered as a guided self-help treatment may be less effective in this format. (c) 2014 Elsevier Ltd. All rights reserved.
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| 2. |
- Lindner, Philip, et al.
(författare)
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Virtual Reality exposure therapy for public speaking anxiety in routine care : a single-subject effectiveness trial
- 2021
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Ingår i: Cognitive Behaviour Therapy. - : Informa UK Limited. - 1650-6073 .- 1651-2316. ; 50:1, s. 67-87
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Tidskriftsartikel (refereegranskat)abstract
- Virtual Reality (VR) can be used as a therapeutic tool to conduct efficacious in-session exposure therapy by presenting virtual equivalents of phobic stimuli, yet past hardware restrictions hindered implementation in routine care and effectiveness studies. The current study examines the effectiveness of a VR-assisted treatment protocol for public speaking anxiety with demonstrated efficacy, this time in routine care, using affordable VR hardware. Participants (n = 23) were recruited via a private clinic and treated by one of four psychologists with only minimal VR-training. Using a single-subject design and dual-slope modeling (adjusting the treatment-onset slope for treatment effects), we found a significant, large decrease in self-rated public speaking anxiety following the primary three-hour session, similar in magnitude to the previous efficacy trial. Multilevel modeling of in-session process measures suggests that the protocol works as intended, by decreasing catastrophic belief expectancy and distress, and increasing perceived performance quality. Adherence to the online transition program that followed-encouraging in-vivo exposure-was relatively poor, yet symptoms decrease continued. No change was observed over the three-month follow-up period. We conclude that VR exposure therapy can be effective under routine care conditions and is an attractive approach for future, large-scale implementation and effectiveness trials.
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| 3. |
- Persson Asplund, Robert, et al.
(författare)
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A Randomized Controlled Trial of a Guided and Individualized, Web-Based, Stress Management Program for Stressed Managers
- 2014
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Ingår i: Book of Proceedings, 11th Conference of the European Academy of Occupational Health Psychology. - Nottingham, UK : European Academy of Occupational Health Psychology. - 9780992878603 ; , s. 125-126
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Purpose: Occupational stress is a common health issue and it causes significant problems for many individuals and rehabilitation of stress is costly to society. A substantial part of the total costs of stress and stress related disorders are due to work absenteeism, work impairment, and loss of work productivity. Occupational stress appears to be especially frequent among low and mid-level managers. Research has shown that web-based behavioral health programs are effective for treating anxiety, depression and other health related issues. These programs increase accessibility of evidence-based interventions to individuals who are not able or willing to receive such in-person treatments. Stress management training has empirical support, but little data exists on its efficacy with stressed managers when delivered via the internet. In light of these observations we are currently conducting a randomized controlled trial of a guided and individualized, web-based, stress management program (iSTRESS) for stressed managers.Methods: The participants are recruited by self-referral through advertisement in national newspapers and on the internet. The main inclusion criterion was stress as a primary diagnosis. Participants with comorbid diagnosis (anxiety, depression, insomnia) were also included as long as the stress diagnosis was considered primary. We aim to include a total of 100 participants and randomize them into two groups (iSTRESS or an attention control group) that will discuss stress-related topics in a web-based and moderated forum. Both programs will last for eight weeks and all participants will received a weekly mail contact with a psychologist. Participants will be evaluated on self-report measures, for stress (PSS), burnout (SMBQ), depression (MADRS), anxiety (BAI), insomnia (ISI) and other health-related issues. We will also measure health-economic aspects, such as: absenteeism, use of medication, and care.Results: Analyses will be based on both study completers and intention to treat. Final pre-post treatment results will be available in December and 3 month follow-up in March 2014. Preliminary result from a previous small sample pilot (n=8) trail on the iSTRESS-program showed promising results on measures of stress at post-assessment (7 points improvement on the Perceived Stress Scale, pre=25).Conclusions: To our knowledge this is the first controlled trail examining the efficacy of a web-based stress management program for managers. Final pre-post and 3 month follow-up treatment results will be available for presentation at the EAOHP 2014 conference.
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| 4. |
- Persson Asplund, Robert, et al.
(författare)
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Internet-based stress management for distressed managers : results from a randomised controlled trial
- 2018
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Ingår i: Occupational and Environmental Medicine. - : BMJ. - 1351-0711 .- 1470-7926. ; 75:2, s. 105-113
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Tidskriftsartikel (refereegranskat)abstract
- Objective The aim of this randomised controlled trial (RCT) was to evaluate the efficacy of a guided internet-based stress management intervention (iSMI) among distressed managers compared with a attention control group (AC) with full access to treatment-as-usual.Method A total sample of 117 distressed managers, mainly employed in the healthcare, IT, communication and educational sector, were randomised to either iSMI (n=59) or an AC group (n=58). The iSMI consisted of eight modules including cognitive behavioural stress management and positive management techniques. Participants received a minimal and weekly guidance from a psychologist or master-level psychology student focusing on support, feedback and adherence to the intervention. Self-report data were assessed at pre, post and 6 months after the intervention. The primary outcome was perceived stress (Perceived Stress Scale-14). The secondary outcomes included mental and work-related health outcomes.Results Participants in the iSMI intervention reported significantly less symptoms of perceived stress (d=0.74, 95% CI 0.30 to 1.19) and burnout (d=0.95, 95% CI 0.53 to 1.37) compared with controls, at postassessment. Significant medium-to-large effect sizes were also found for depression, insomnia and job satisfaction. Long-term effects (6 months) were seen on the mental health outcomes.Conclusion This is one of the first studies showing that iSMIs can be an effective, accessible and potentially time-effective approach of reducing stress and other mental-related and work-related health symptoms among distressed managers. Future studies are needed addressing distressed managers and the potential of indirect effects on employee stress and satisfaction at work.
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