Internet-based cognitive behavior therapy for depression, social anxiety disorder, and panic disorder: Effectiveness and predictors of response in a teaching clinic

Niles, Andrea N.San Francisco VA Med Ctr, CA USA; Univ Calif San Francisco, CA USA (författare)

Internet-based cognitive behavior therapy for depression, social anxiety disorder, and panic disorder : Effectiveness and predictors of response in a teaching clinic

Funding Agencies|Advanced Womens Health Fellowship at the San Francisco VA Medical Center
Though therapist-guided Internet-based cognitive behavior therapy (ICBT) appears to be efficacious for depression, social anxiety disorder, and panic disorder, relatively little is known about real-world settings and predictors of treatment effects derived from cognitive-behavioral theory. We examined treatment effectiveness and predictors of improvement in a prospective cohort study where patients took part in 10 weeks of ICBT for depression (n = 114), social anxiety disorder (n = 150), or panic disorder (n = 106) at a teaching clinic. Patients self-reported symptoms before, during, and after treatment. Effect sizes were large for improvement in the primary symptom domain of each treatment group: depression (d = 1.48), social anxiety disorder (d = 1.01), and panic disorder (d = 1.15). In ICBT for depression, having no previous experience of psychological treatment (r = 0.21), and more frequent baseline negative automatic thoughts (r = 0.20) predicted larger improvement. In ICBT for panic disorder, having more baseline safety behaviors (r = 0.25) predicted larger improvement. Predictors remained significant when baseline symptoms were included in the statistical models. We conclude that ICBT can be effective in a real-world teaching clinic, and that patients with greater deficits at baseline benefit the most.

Axelsson, ErlandKarolinska Institutet (författare)
Andersson, ErikKarolinska Inst, Sweden (författare)
Hedman-Lagerlöf, ErikKarolinska Institutet (författare)
Carlbring, PerStockholms universitet,Klinisk psykologi,University of Southern Denmark, Denmark,Stockholm Univ, Sweden; Univ Southern Denmark, Denmark(Swepub:su)pecar (författare)
Andersson, Gerhard,Fil dr, Med dr,1966-Karolinska Institutet,Linköpings universitet,Psykologi,Filosofiska fakulteten,Karolinska Inst, Sweden(Swepub:liu)geran87 (författare)
Johansson, RobertStockholms universitet,Klinisk psykologi,Karolinska Institutet, Sweden,Karolinska Inst, Sweden; Stockholm Univ, Sweden(Swepub:su)rojo4696 (författare)
Widén, SaraKarolinska Inst, Sweden (författare)
Driessen, JensABC Psykol AB, Sweden (författare)
Santoft, FredrikKarolinska Institutet (författare)
Ljótsson, BrjánnKarolinska Institutet (författare)
Karolinska InstitutetSan Francisco VA Med Ctr, CA USA; Univ Calif San Francisco, CA USA (creator_code:org_t)

Av författaren/redakt...: Niles, Andrea N.; Axelsson, Erland; Andersson, Erik; Hedman-Lagerlöf, ...; Carlbring, Per; Andersson, Gerha ...; visa fler...; Johansson, Rober ...; Widén, Sara; Driessen, Jens; Santoft, Fredrik; Ljótsson, Brjánn; visa färre...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Psykiatri

Av lärosätet: Stockholms universitet; Linköpings universitet; Karolinska Institutet

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