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

IF 3.8 3区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Clinical Psychology 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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引用次数: 0

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.

Abstract Image

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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。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-

CiteScore

5.80

自引率

3.20%

发文量

期刊介绍： The British Journal of Clinical Psychology publishes original research, both empirical and theoretical, on all aspects of clinical psychology: - clinical and abnormal psychology featuring descriptive or experimental studies - aetiology, assessment and treatment of the whole range of psychological disorders irrespective of age group and setting - biological influences on individual behaviour - studies of psychological interventions and treatment on individuals, dyads, families and groups