Transdiagnostic internet treatment for anxiety and depression

A randomised controlled trial

Nickolai Titov*, Blake F. Dear, Genevieve Schwencke, Gavin Andrews, Luke Johnston, Michelle G. Craske, Peter McEvoy

*Corresponding author for this work

Research output: Contribution to journalArticle

161 Citations (Scopus)

Abstract

Disorder-specific cognitive behavioural therapy programs delivered over the internet (iCBT) with clinician guidance are effective at treating specific anxiety disorders and depression. The present study examined the efficacy of a transdiagnostic iCBT protocol to treat three anxiety disorders and/or depression within the same program (the Wellbeing Program). Seventy-seven individuals with a principal diagnosis of major depression, generalised anxiety disorder, panic disorder, and/or social phobia were randomly assigned to a Treatment or Waitlist Control group. Treatment consisted of CBT-based online educational lessons and homework assignments, weekly email or telephone contact from a clinical psychologist, access to a moderated online discussion forum, and automated emails. Eighty one percent of Treatment group participants completed all 8 lessons within the 10 week program. Post-treatment data were collected from 34/37 Treatment group and 35/37 Control group participants, and 3-month follow-up data were collected from 32/37 Treatment group participants. Relative to Controls, Treatment group participants reported significantly reduced symptoms of anxiety and depression as measured by the Depression Anxiety and Stress Scales-21 item, Patient Health Questionnaire-9 item, and Generalised Anxiety Disorder-7 item scales, with corresponding between-groups effect sizes (Cohen's d) at post treatment of.56,.58, and.52, respectively. The clinician spent a mean time of 84.76. min (SD = 50.37) per person over the program. Participants rated the procedure as highly acceptable, and gains were sustained at follow-up. These results provide preliminary support for the efficacy of transdiagnostic iCBT in the treatment of anxiety and depressive disorders.

Original languageEnglish
Pages (from-to)441-452
Number of pages12
JournalBehaviour Research and Therapy
Volume49
Issue number8
DOIs
Publication statusPublished - Aug 2011
Externally publishedYes

Fingerprint Dive into the research topics of 'Transdiagnostic internet treatment for anxiety and depression: A randomised controlled trial'. Together they form a unique fingerprint.

Cite this