Related Experiment Videos
Internet-based psychodynamic versus cognitive behavioral guided self-help for generalized anxiety disorder: a
Gerhard Andersson1, Björn Paxling, Pie Roch-Norlund
1Department of Clinical Psychology and EMGO Institute, Vrije Universiteit, Amsterdam, The Netherlands. Gerhard.Andersson@liu.se
Psychotherapy and Psychosomatics
|September 12, 2012
Summary
Guided Internet-based psychodynamic treatment (IPDT) and Internet-based cognitive behavior therapy (ICBT) showed modest symptom reduction for generalized anxiety disorder (GAD) at long-term follow-up. Both treatments were more effective than a waiting list control group.
Area of Science:
- Psychiatry
- Psychology
- Digital Health
Background:
- Guided Internet-based cognitive behavior therapy (ICBT) is effective for anxiety and mood disorders.
- Generalized anxiety disorder (GAD) has been treated with ICBT, but not guided Internet-based psychodynamic treatment (IPDT).
- Preliminary support for psychodynamic treatment for GAD suggests potential for an Internet-delivered intervention.
Purpose of the Study:
- To investigate the efficacy of guided IPDT for GAD.
- To compare IPDT against ICBT and a waiting list control group for GAD treatment.
Main Methods:
- A randomized controlled superiority trial was conducted with individuals diagnosed with GAD.
- Participants were allocated to guided ICBT (n=27), guided IPDT (n=27), or a no-treatment waiting list control group (n=27).
- The primary outcome measure was the Penn State Worry Questionnaire.
Main Results:
- No significant immediate between-group differences were found on the primary outcome measure.
- Both IPDT and ICBT demonstrated moderate to large within-group effect sizes at 3 and 18 months follow-up.
- Active treatments did not significantly differ, and both showed clinically significant improvement compared to the control group.
Conclusions:
- Guided IPDT and ICBT both resulted in modest symptom reduction for GAD.
- Further research is warranted to explore the potential of these Internet-delivered interventions for GAD.
Related Concept Videos
01:22Behavior Therapy
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
01:25Cognitive Therapy
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
01:30Generalized Anxiety Disorder
Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...
01:24Rational Emotive Behavior Therapy
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert Ellis's...
01:28Self-Help Support Groups
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
01:18Anxiety: Overview
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.