A randomized controlled feasibility trial of internet-delivered guided self-help for generalized anxiety disorder (GAD) among university students in India.

IF 2.6 2区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Pub Date : 2021-12-01 DOI:10.1037/pst0000383

Michelle G Newman, Nitya Kanuri, Gavin N Rackoff, Nicholas C Jacobson, Megan Jones Bell, C Barr Taylor

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引用次数: 10

Abstract

Online guided self-help may be an effective and scalable intervention for symptoms of generalized anxiety disorder (GAD) among university students in India. Based on an online screen for GAD administered at 4 Indian universities, 222 students classified as having clinical (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria) or subthreshold (Generalized Anxiety Disorder Questionnaire, Fourth Edition, score ≥ 5.7) GAD were randomly assigned to receive either 3 months of guided self-help cognitive-behavioral therapy (n = 117) or a waitlist control condition (n = 105). Guided self-help participants recorded high program usage on average across all participants enrolled (M = 9.99 hr on the platform; SD = 20.87). Intent-to-treat analyses indicated that participants in the guided self-help condition experienced significantly greater reductions than participants in the waitlist condition on GAD symptom severity (d = -.40), worry (d = -.43), and depressive symptoms (d = -.53). No usage variables predicted symptom change in the guided self-help condition. Participants on average reported that the program was moderately helpful, and a majority (82.1%) said they would recommend the program to a friend. Guided self-help appears to be a feasible and efficacious intervention for university students in India who meet clinical or subthreshold GAD criteria. The trial is registered with ClinicalTrials.gov (NCT02410265). (PsycInfo Database Record (c) 2021 APA, all rights reserved).

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印度大学生网络引导自助治疗广泛性焦虑障碍(GAD)的随机对照可行性试验

在线自助指导可能是印度大学生广泛性焦虑障碍(GAD)症状的有效和可扩展的干预措施。基于4所印度大学对广泛性焦虑症的在线筛查，222名被归类为临床(精神障碍诊断与统计手册，第五版，标准)或亚阈值(广泛性焦虑障碍问卷，第四版，评分≥5.7)广泛性焦虑症的学生被随机分配接受3个月的指导自助认知行为治疗(n = 117)或候补对照条件(n = 105)。在所有参与者中，有指导的自助参与者平均记录了较高的程序使用率(M = 9.99小时;Sd = 20.87)。意向治疗分析表明，指导自助条件下的参与者在GAD症状严重程度(d = - 0.40)、担忧(d = - 0.43)和抑郁症状(d = - 0.53)方面的减少显著大于等待名单条件下的参与者。在指导自助条件下，没有使用变量预测症状变化。参与者平均表示该项目有一定的帮助，大多数人(82.1%)表示他们会向朋友推荐该项目。引导自助似乎是一个可行和有效的干预大学生在印度谁符合临床或阈下广泛性焦虑症标准。该试验已在ClinicalTrials.gov注册(NCT02410265)。(PsycInfo Database Record (c) 2021 APA，版权所有)。

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来源期刊

Psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

4.60

自引率

12.00%

发文量

期刊介绍： Psychotherapy Theory, Research, Practice, Training publishes a wide variety of articles relevant to the field of psychotherapy. The journal strives to foster interactions among individuals involved with training, practice theory, and research since all areas are essential to psychotherapy. This journal is an invaluable resource for practicing clinical and counseling psychologists, social workers, and mental health professionals.