Internet-Based Cognitive Behavioral Therapy for Psychological Distress Associated With the COVID-19 Pandemic: A Pilot Randomized Controlled Trial

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Aminoff, VictoriaLinköpings universitet,Centrum för social och affektiv neurovetenskap,Medicinska fakulteten,Institutionen för beteendevetenskap och lärande,Filosofiska fakulteten (författare)

Internet-Based Cognitive Behavioral Therapy for Psychological Distress Associated With the COVID-19 Pandemic : A Pilot Randomized Controlled Trial

Artikel/kapitelEngelska2021

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2021-06-14
Frontiers Media S.A.2021
electronicrdacarrier

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LIBRIS-ID:oai:DiVA.org:liu-178053
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-178053URI
https://doi.org/10.3389/fpsyg.2021.684540DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:146949042URI

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Språk:engelska
Sammanfattning på:engelska

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Funding: This study was sponsored in part by a university grant to GA and by grants from the Swedish Research Council.
Background: The COVID-19 pandemic has been associated with various negative psychological consequences. This is a challenge for the society as regular psychological services cannot be offered to the same extent as before the pandemic. In addition to the requirement of social distancing, there is a need to adjust psychological treatment components like exposure to avoid increasing the spread of the infection. Internet-delivered cognitive behavior therapy (ICBT) has an established evidence base for a range of psychiatric problems and has been suggested as one possible approach to deal with the situation. This study aimed to conduct a randomized controlled pilot trial during the summer of 2020 with a broad focus on psychological distress and a treatment approach that tailors the intervention based on symptom profile and preferences.Methods: Following the advertisement and interview, we included 52 participants with elevated levels of psychological distress. They were randomly allocated to either a 7-week-long individually tailored ICBT (n = 26) or a wait-list control condition (n = 26). Measures of depression and quality of life were used as primary outcomes. We also included secondary outcome measures of anxiety, insomnia, trauma, stress, anger, and alcohol use. For screening, we used the CoRonavIruS Health Impact Survey (CRISIS). Results: Overall moderate to large between-group effects were found at post-treatment in favor of the treatment on measures of both depression [Beck Depression Inventory (BDI); Cohens d = 0.63; Patient Health Questionnaire (PHQ-9): d = 0.62] and anxiety [Generalized Anxiety Disorder-7-item scale (GAD-7); d = 0.82]. This was also observed for stress symptoms [Perceived Stress Scale (PSS-14); d = 1.04]. No effects were seen on measures of quality of life, insomnia, symptoms of post-traumatic stress, and anger. There was an effect on alcohol use [Alcohol Use Disorder Identification Test (AUDIT); d = 0.54], which was not of clinical relevance.Conclusion: Individually tailored ICBT shows initial promise as a way to reduce psychological problems in association with the COVID-19 pandemic. A possible limitation was that the trial was conducted when the effects of the pandemic were decreasing and when fewer people were affected by the restrictions (e.g., the summer of 2020).

Ämnesord och genrebeteckningar

SAMHÄLLSVETENSKAP Psykologi Tillämpad psykologi hsv//swe
SOCIAL SCIENCES Psychology Applied Psychology hsv//eng
COVID-19
anxiety
controlled trial
depression
internet-based cognitive behavior therapy

Biuppslag (personer, institutioner, konferenser, titlar ...)

Sellén, MalinLinköpings universitet,Institutionen för beteendevetenskap och lärande,Filosofiska fakulteten(Swepub:liu)n/a (författare)
Sörliden, EliseLinköpings universitet,Institutionen för beteendevetenskap och lärande,Filosofiska fakulteten(Swepub:liu)n/a (författare)
Ludvigsson, Mikael,1976-Linköpings universitet,Centrum för social och affektiv neurovetenskap,Medicinska fakulteten,Institutionen för hälsa, medicin och vård,Region Östergötland, Medicinska och geriatriska akutkliniken,Region Östergötland, Psykiatriska kliniken i Linköping(Swepub:liu)miklu38 (författare)
Berg, Matilda,1989-Linköpings universitet,Psykologi,Filosofiska fakulteten(Swepub:liu)matbe89 (författare)
Andersson, Gerhard,Fil dr, Med dr,1966-Karolinska Institutet,Linköpings universitet,Psykologi,Filosofiska fakulteten,Institutionen för biomedicinska och kliniska vetenskaper,Medicinska fakulteten,Department of Clinical Neuroscience, Karolinska Institute, Sweden,Internet, health and clinical psychology research group(Swepub:liu)geran87 (författare)
Linköpings universitetCentrum för social och affektiv neurovetenskap (creator_code:org_t)

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Ingår i:Frontiers in Psychology: Frontiers Media S.A.121664-1078

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