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Internet-based psyc...
Internet-based psychodynamic versus cognitive behavioral guided self-help for generalized anxiety disorder : A randomized controlled trial
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- Andersson, Gerhard (author)
- Karolinska Institutet,Linköpings universitet,Psykologi,Filosofiska fakulteten,Department of Behavioural Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Division of Psychiatry, Department of Clinical Neuroscience, Karolinska Institutet
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- Paxling, Björn (author)
- Linköpings universitet,Institutionen för beteendevetenskap och lärande,Filosofiska fakulteten,Department of Clinical Psychology and EMGO Institute, Vrije Universiteit, Amsterdam , The Netherlands and Department of Behavioural Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Linköping
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- Roch-Norlund, Pie (author)
- Stockholms universitet,Psykologiska institutionen
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- Östman, Gunnar (author)
- Stockholms universitet,Psykologiska institutionen
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- Norgren, Anna (author)
- Stockholms universitet,Psykologiska institutionen
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- Almlöv, Jonas (author)
- Linköpings universitet,Institutionen för beteendevetenskap och lärande,Filosofiska fakulteten,Department of Behavioural Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Linköping
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- Georén, Lisa (author)
- Uppsala universitet,Institutionen för psykologi
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- Breitholtz, Elisabeth (author)
- Stockholms universitet,Psykologiska institutionen
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- Dahlin, Mats (author)
- Psykologpartners, Linköping
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- Cuijpers, Pim (author)
- Department of Clinical Psychology and EMGO Institute, Vrije Universiteit, Amsterdam , The Netherlands,Vrije University, Amsterdam, The Netherlands
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- Carlbring, Per (author)
- Umeå universitet,Institutionen för psykologi,Umeå University
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- Silverberg, Farrell (author)
- Philadelphia School of Psychoanalysis and Private Practice, Philadelphia, Pa. , USA
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(creator_code:org_t)
- 2012-09-06
- 2012
- English.
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In: Psychotherapy and Psychosomatics. - Basel, Switzerland : Karger. - 0033-3190 .- 1423-0348. ; 81:6, s. 344-355
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Abstract
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- Background: Guided Internet-based cognitive behavior therapy (ICBT) has been tested in many trials and found to be effective in the treatment of anxiety and mood disorders. Generalized anxiety disorder (GAD) has also been treated with ICBT, but there are no controlled trials on guided Internet-based psychodynamic treatment (IPDT). Since there is preliminary support for psychodynamic treatment for GAD, we decided to test if a psychodynamically informed self-help treatment could be delivered via the Internet. The aim of the study was to investigate the efficacy of IPDT for GAD and to compare against ICBT and a waiting list control group.Method: A randomized controlled superiority trial with individuals diagnosed with GAD comparing guided ICBT (n = 27) and IPDT (n = 27) against a no treatment waiting list control group (n = 27). The primary outcome measure was the Penn State Worry Questionnaire.Results: While there were no significant between-group differences immediately after treatment on the main outcome measure, both IPDT and ICBT resulted in improvements with moderate to large within-group effect sizes at 3 and 18 months follow-up on the primary measure in the completer analyses. The differences against the control group, although smaller, were still significant for both PDT and CBT when conforming to the criteria of clinically significant improvement. The active treatments did not differ significantly. There was a significant group by time interaction regarding GAD symptoms, but not immediately after treatment.Conclusions: IPDT and ICBT both led to modest symptom reduction in GAD, and more research is needed.Copyright (C) 2012 S. Karger AG, Basel
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
Keyword
- Guided self-help
- Generalized anxiety disorder
- Psychodynamic therapy
- Cognitive behavior therapy
- Psychology
- psykologi
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Andersson, Gerha ...
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Paxling, Björn
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Roch-Norlund, Pi ...
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Östman, Gunnar
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Norgren, Anna
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Almlöv, Jonas
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show more...
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Georén, Lisa
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Breitholtz, Elis ...
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Dahlin, Mats
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Cuijpers, Pim
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Carlbring, Per
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Silverberg, Farr ...
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show less...
- About the subject
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Psychology
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Psychiatry
- Articles in the publication
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Psychotherapy an ...
- By the university
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Umeå University
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Linköping University
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Karolinska Institutet
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Uppsala University
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Stockholm University