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

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    34 Citations (Scopus)
    42 Downloads (Pure)

    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: © 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.

    Original languageEnglish
    Pages (from-to)50-58
    Number of pages9
    JournalBJPsych Open
    Volume2
    Issue number1
    DOIs
    Publication statusPublished - 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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