Treating anxiety and depression in older adults: randomised controlled trial comparing guided v. self-guided internet-delivered cognitive-behavioural therapy

Nickolai Titov; Vincent J Fogliati; Lauren G Staples; Milena Gandy; Luke Johnston; Bethany Wootton; Olav Nielssen; Blake F Dear

doi:10.1192/bjpo.bp.115.002139

Treating anxiety and depression in older adults: randomised controlled trial comparing guided v. self-guided internet-delivered cognitive-behavioural therapy

Nickolai Titov, Vincent J Fogliati, Lauren G Staples, Milena Gandy, Luke Johnston, Bethany Wootton, Olav Nielssen, Blake F Dear

Research output: Contribution to journal › Article › peer-review

78 Citations (Scopus)

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Abstract

BACKGROUND: Symptoms of anxiety and depression are prevalent in older adults.

AIMS: To compare clinician-guided and self-guided versions of a transdiagnostic internet-delivered cognitive-behavioural therapy (iCBT) intervention for adults aged 60 years and above.

METHOD: Adults (n=433) with symptoms of anxiety and depression were randomly allocated to: (1) clinician-guided treatment (n=153); (2) initial clinician interview followed by self-guided treatment (n=140); or (3) self-guided treatment without interview (n=140).

RESULTS: Large reductions (d ≥1.00) in symptoms of depression and anxiety were observed across groups, and sustained at follow-up. No differences were observed in clinical outcomes or satisfaction ratings. Age did not affect outcomes.

CONCLUSIONS: Carefully developed iCBT interventions may significantly reduce symptoms of anxiety and depression in older adults when delivered in either clinician-guided or self-guided formats.

DECLARATION OF INTEREST: N.T. and B.F.D. developed the Wellbeing Plus Course but derive no financial benefit from it.

Original language	English
Pages (from-to)	50-58
Number of pages	9
Journal	BJPsych Open
Volume	2
Issue number	1
DOIs	https://doi.org/10.1192/bjpo.bp.115.002139
Publication status	Published - Jan 2016

Bibliographical note

Copyright the Author(s) 2016. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

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10.1192/bjpo.bp.115.002139

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title = "Treating anxiety and depression in older adults: randomised controlled trial comparing guided v. self-guided internet-delivered cognitive-behavioural therapy",

abstract = "BACKGROUND: Symptoms of anxiety and depression are prevalent in older adults.AIMS: To compare clinician-guided and self-guided versions of a transdiagnostic internet-delivered cognitive-behavioural therapy (iCBT) intervention for adults aged 60 years and above.METHOD: Adults (n=433) with symptoms of anxiety and depression were randomly allocated to: (1) clinician-guided treatment (n=153); (2) initial clinician interview followed by self-guided treatment (n=140); or (3) self-guided treatment without interview (n=140).RESULTS: Large reductions (d ≥1.00) in symptoms of depression and anxiety were observed across groups, and sustained at follow-up. No differences were observed in clinical outcomes or satisfaction ratings. Age did not affect outcomes.CONCLUSIONS: Carefully developed iCBT interventions may significantly reduce symptoms of anxiety and depression in older adults when delivered in either clinician-guided or self-guided formats.DECLARATION OF INTEREST: N.T. and B.F.D. developed the Wellbeing Plus Course but derive no financial benefit from it.COPYRIGHT AND USAGE: {\textcopyright} 2016 The Royal College of Psychiatrists. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.",

author = "Nickolai Titov and Fogliati, {Vincent J} and Staples, {Lauren G} and Milena Gandy and Luke Johnston and Bethany Wootton and Olav Nielssen and Dear, {Blake F}",

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AU - Gandy, Milena

AU - Johnston, Luke

AU - Wootton, Bethany

AU - Nielssen, Olav

AU - Dear, Blake F

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Treating anxiety and depression in older adults: randomised controlled trial comparing guided v. self-guided internet-delivered cognitive-behavioural therapy

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Treating anxiety and depression in older adults: randomised controlled trial comparing guided v. self-guided internet-delivered cognitive-behavioural therapy

Abstract

Bibliographical note

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Understanding what works: Examining innovative internet-delivered self-help treatments for chronic pain

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