Can the patient decide which modules to endorse?: an open trial of tailored internet treatment of anxiety disorders

Andersson, GerhardKarolinska Institutet,Linköpings universitet,Filosofiska fakulteten,Institutionen för beteendevetenskap och lärande,Department of Behavioural Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Linköping, Sweden and Department of Clinical Neuroscience, Psychiatry Section, Karolinska Institutet, Stockholm, Sweden (författare)

Can the patient decide which modules to endorse? : an open trial of tailored internet treatment of anxiety disorders

Internet-delivered cognitive behaviour therapy commonly consists of disorder-specific modules that are based on face-to-face manuals. A recent development in the field is to tailor the treatment according to patient profile, which has the potential to cover comorbid conditions in association with anxiety and mood disorders. However, it could be that the patients themselves are able to decide what modules to use. The authors tested this in an open pilot trial with 27 patients with mixed anxiety disorders. Modules were introduced with a brief description, and patients could choose which modules to use. The exception was the two first modules and the last, which involved psychoeducation and relapse prevention. The treatment period lasted for 10 weeks. Results showed large within-group effect sizes, with an average Cohen’s d of 0.88. In a structured clinical interview, a majority (54%) had significantly improved 10 weeks after commencing treatment. Only one person dropped out. On the basis of results of this preliminary study, the authors suggest that the role of choice and tailoring should be further explored in controlled trials and that patient choice could be incorporated into Internet-delivered treatment packages.

Estling, FannyDepartment of Behavioural Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Linköping, Sweden (författare)
Jakobsson, EbbaLinköpings universitet,Filosofiska fakulteten,Institutionen för beteendevetenskap och lärande,Department of Behavioural Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Linköping, Sweden (författare)
Cuijpers, PimLinköpings universitet,Filosofiska fakulteten,Institutionen för beteendevetenskap och lärande,Department of Clinical Psychology, Vrjie Universiteit, Amsterdam, the Netherlands (författare)
Carlbring, Per,1972-Linköpings universitet,Umeå universitet,Institutionen för psykologi,Institutionen för beteendevetenskap och lärande,Filosofiska fakulteten(Swepub:liu)perca10 (författare)
Linköpings universitetFilosofiska fakulteten (creator_code:org_t)

Ingår i:Cognitive Behaviour Therapy: Routledge, Taylor and Francis Group1:40, s. 57-641650-60731651-2316

Av författaren/redakt...: Andersson, Gerha ...; Estling, Fanny; Jakobsson, Ebba; Cuijpers, Pim; Carlbring, Per, ...

Om ämnet

Av lärosätet: Umeå universitet; Linköpings universitet; Karolinska Institutet

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