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Effectiveness and c...
Effectiveness and cost-effectiveness of individually tailored Internet-delivered cognitive behavior therapy for anxiety disorders in a primary care population : A randomized controlled trial
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- Bergman Nordgren, Lise, 1983- (author)
- Linköpings universitet,Psykologi,Filosofiska fakulteten
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- Hedman, Erik (author)
- Karolinska Institutet,Department of Clinical Neuroscience, Psychiatry Section, Karolinska Institutet, Stockholm, Sweden
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- Etienne, Julie (author)
- Linköpings universitet,Institutionen för beteendevetenskap och lärande,Filosofiska fakulteten
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- Bodin, Jessica (author)
- Linköpings universitet,Institutionen för beteendevetenskap och lärande,Filosofiska fakulteten
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- Kadowaki, Asa (author)
- Östergötlands Läns Landsting
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- Eriksson, Stina (author)
- Umeå universitet,Institutionen för psykologi,Department of Psychology, Umeå University, Umeå, Sweden
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- Lindkvist, Emelie (author)
- Umeå universitet,Institutionen för psykologi,Department of Psychology, Umeå University, Umeå, Sweden
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- Andersson, Gerhard (author)
- Linköpings universitet,Karolinska Institutet,Psykologi,Filosofiska fakulteten,Department of Clinical Neuroscience, Psychiatry Section, Karolinska Institutet, Stockholm, Sweden
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- Carlbring, Per (author)
- Stockholms universitet,Psykologiska institutionen,Department of Psychology, Stockholm University, 106 91 Stockholm, Sweden
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(creator_code:org_t)
- Elsevier BV, 2014
- 2014
- English.
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In: Behaviour Research and Therapy. - : Elsevier BV. - 0005-7967 .- 1873-622X. ; 59, s. 1-11
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Abstract
Subject headings
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- A significant proportion of the general population suffers from anxiety disorders, often with comorbid psychiatric conditions. Internet-delivered cognitive behavior therapy (ICBT) has been found to be a potent treatment for patients with specific psychiatric conditions. The aim of this trial was to investigate the effectiveness and cost-effectiveness of ICBT when tailoring the treatment to address comorbidities and preferences for primary-care patients with a principal anxiety disorder. One hundred participants were recruited through their primary-care contact and randomized to either treatment or an active control group. The treatment consisted of 7-10 weekly individually assigned modules guided by online therapists. At post-treatment, 46% of the treatment group had achieved clinically significant improvement on the primary outcome measure (CORE-OM) and between-group effect sizes ranged from d = 0.20 to 0.86, with a mean effect of d = 0.59. At one-year follow-up, within-group effect sizes varied between d = 0.53 to 1.00. Cost analysis showed significant reduction of total costs for the ICBT group, the results were maintained at one-year follow-up and the incremental cost-effectiveness ratio favored ICBT compared to control group. Individually tailored ICBT is an effective and cost-effective treatment for primary-care patients with anxiety disorders with or without comorbidities. Trial Registration: Clinicaltrials.gov: NCT01390168.
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
- Primary care
- Anxiety
- Depression
- Comorbidity
- Internet-delivered cognitive behavior therapy
- Cognitive behavior
- Cost-effectiveness
Publication and Content Type
- ref (subject category)
- art (subject category)
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