scholarly journals Internet-delivered Cognitive-Behavioral Therapy for Generalized Anxiety Disorder: Its Effectiveness in Nationwide Routine Care (Preprint)

10.2196/29384 ◽  
2021 ◽  
Author(s):  
Ville Ritola ◽  
Jari Lipsanen ◽  
Satu Pihlaja ◽  
Eero-Matti Gummerus ◽  
Jan-Henry Stenberg ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Cognitive Behavioral Therapy ◽  
Generalized Anxiety Disorder ◽  
Behavioral Therapy ◽  
Routine Care ◽  
Cognitive Behavioral ◽  
Generalized Anxiety

Internet-delivered Cognitive-Behavioral Therapy for Generalized Anxiety Disorder: Its Effectiveness in Nationwide Routine Care (Preprint)

2021 ◽  
Author(s):  
Ville Ritola ◽  
Jari Lipsanen ◽  
Satu Pihlaja ◽  
Eero-Matti Gummerus ◽  
Jan-Henry Stenberg ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Cognitive Behavioral Therapy ◽  
Generalized Anxiety Disorder ◽  
Behavioral Therapy ◽  
Symptomatic Relief ◽  
Routine Care ◽  
Cognitive Behavioral ◽  
Computer Assisted ◽  
Generalized Anxiety ◽  
State Worry

BACKGROUND Internet-delivered, therapist-supported Cognitive Behavioral Therapy (iCBT) is efficacious for Generalized Anxiety Disorder (GAD), but few studies have as yet reported its effectiveness in routine care. OBJECTIVE To examine whether a new 12-session iCBT program for GAD is effective in nationwide routine care. METHODS The program was free-of-charge for patients and its completion time was unrestricted. A specialized iCBT clinic delivered iCBT to 1,099 physician-referred patients. We measured symptoms with online questionnaires. The primary measure of anxiety was the GAD-7; secondary measures were, for pathological worry, the Penn State Worry Questionnaire (PSWQ) and, for anxiety and impairment, the Overall Anxiety Severity and Impairment Scale (OASIS). RESULTS Patients completed a mean 7.8 (65.1%) of 12 sessions, and 44.1% of patients completed all sessions. Effect size in the whole sample for GAD-7 was large (d=0.96; 95%CI: 0.87-1.05). For completers, effect sizes were very large, d=1.34 (95%CI: 1.25-1.53) for GAD-7, d=1.14 (95%CI:1.00-1.27) for PSWQ, and 1.23 (95%CI:1.09-1.37) for OASIS. Patients who dropped out also benefited from the treatment. Greater symptomatic relief (GAD-7) was associated with more completed sessions, older age, and being referred from private or occupational care. Of 894 patients with baseline GAD-7 score ≥10, those achieving a reliable recovery amounted to 421 (47.1%). CONCLUSIONS This nationwide, free-of-charge, therapist-supported HUS-iCBT for GAD was effective in routine care, but further research must establish comparative effectiveness and optimize the design of iCBT for GAD for different patient groups and individual patients. CLINICALTRIAL Nationwide internet-delivered computer-assisted cognitive-behavioral therapy (iCBT) for psychiatric disorders. https://www.isrctn.com/ISRCTN55123131

scholarly journals Сognitive-behavioral therapy in generalized anxiety disorder

2017 ◽  
Vol 2 (1) ◽  
pp. 020117
Author(s):  
Hanna Burda
Keyword(s):  
Anxiety Disorder ◽  
Cognitive Behavioral Therapy ◽  
Generalized Anxiety Disorder ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Common Disease ◽  
Generalized Anxiety ◽  
First Line ◽  
Meaningful Improvement ◽  
Line Method

Generalized anxiety disorder - is a common disease, which is quite difficult diagnosed and treated. Cognitive-behavioral therapy is indicated to patients with GAD as a first-line method. This article provides an overview of the principles, advantages and evidence of the effectiveness of this type of therapy. Although cognitive behavioral therapy has advantage over other types of therapy for GAD, this issue requires further research, because there are problems such as a high percentage of patients interrupting therapy and relatively low percentage of clinically meaningful improvement.

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