Internet videoconferencing delivered cognitive behaviour therapy for generalized anxiety disorder: A randomized controlled trial

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2024-06-11 DOI:10.1111/bjc.12482
Vesna Trenoska Basile, Toby Newton-John, Sarah McDonald, Bethany M. Wootton
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Abstract

Objective

Generalized anxiety disorder (GAD) is a chronic mental health condition that results in significant individual and societal burden. Cognitive-behaviour therapy (CBT) therapy is an effective treatment for GAD, however, many individuals experience logistical barriers when accessing evidence-based care. Remote treatments may help to reduce these barriers, however, currently, there are few studies examining the efficacy of high-intensity remote methods for GAD treatment. The current study aims to examine the efficacy of CBT delivered via videoconferencing (VCBT) for GAD using a randomized controlled trial design comparing an immediate treatment group to a waitlist control.

Method

Seventy-eight adults (M age = 36.92; SD = 12.92; 84.4% female) with GAD were enrolled in the study.

Results

Those in the treatment group demonstrated a statistically significant reduction in GAD symptoms from pre-treatment to post-treatment (d = 1.03) and pre-treatment to 3-month follow-up (d = 1.50). Large between-group effect sizes were also observed at post-treatment (d = .80). Twenty-five participants (64.10%) in the VCBT group no longer met diagnostic criteria for GAD at post-treatment, and 26/39 (66.67%) no longer met criteria at 3-month follow-up. Ninety-six per cent of participants were satisfied with the treatment.

Conclusion

The results contribute towards advancing our knowledge on the efficacy and acceptability of VCBT for patients with GAD.

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互联网视频会议认知行为疗法治疗广泛性焦虑症:随机对照试验。
目的:广泛性焦虑症(GAD)是一种慢性精神疾病,会给个人和社会带来沉重负担。认知行为疗法(CBT)是治疗广泛性焦虑症的有效方法,但许多人在接受循证治疗时会遇到后勤障碍。远程治疗可能有助于减少这些障碍,然而,目前很少有研究探讨高强度远程方法治疗 GAD 的疗效。本研究旨在采用随机对照试验设计,比较即时治疗组和候补对照组,考察通过视频会议(VCBT)提供的 CBT 治疗 GAD 的疗效:78名患有焦虑症的成年人(年龄=36.92;标准差=12.92;84.4%为女性)参加了研究:结果:治疗组的 GAD 症状从治疗前到治疗后(d = 1.03)以及从治疗前到 3 个月随访(d = 1.50)均有统计学意义上的显著减少。在治疗后也观察到了较大的组间效应大小(d = .80)。VCBT 组中有 25 名参与者(64.10%)在治疗后不再符合 GAD 诊断标准,有 26/39 名参与者(66.67%)在 3 个月的随访中不再符合标准。96%的参与者对治疗表示满意:这些结果有助于增进我们对 VCBT 治疗 GAD 患者的疗效和可接受性的了解。
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来源期刊
CiteScore
7.20
自引率
4.30%
发文量
567
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