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Internet-delivered cognitive therapy for PTSD: a development pilot series
Jennifer Wild1,2, Emma Warnock-Parkes1,3,4, Nick Grey4
1Department of Experimental Psychology, University of Oxford, Oxford, UK.
Internet-delivered cognitive therapy for posttraumatic stress disorder (CT-PTSD) shows high efficacy and acceptability, with no dropouts. This digital approach significantly reduces therapist time while maintaining treatment integrity for PTSD patients.
Area of Science:
- Psychology
- Digital Health
- Psychotherapy
Background:
- Face-to-face cognitive therapy for posttraumatic stress disorder (CT-PTSD) is effective but access is limited.
- Internet-delivered interventions show promise for improving access to evidence-based psychological treatments.
- Therapist-assisted online delivery can enhance the reach of cognitive behavioral therapy for PTSD.
Purpose of the Study:
- To develop an Internet version of CT-PTSD (iCT-PTSD).
- To significantly reduce therapist contact time.
- To maintain treatment integrity and patient retention rates.
Main Methods:
- Developed iCT-PTSD implementing core face-to-face CT-PTSD procedures.
- Included trauma memory techniques and appraisal restructuring.
- Assessed 10 PTSD patients remotely guided by therapists using standardized measures.
Main Results:
- Achieved 0% dropout rate among participants.
- Therapist time averaged 249 minutes per patient (treatment and review).
- 80% of patients showed clinically significant improvement and PTSD remission.
Conclusions:
- Internet-delivered CT-PTSD (iCT-PTSD) is acceptable and efficacious.
- Therapist time was reduced to less than 25% of face-to-face CT-PTSD.
- Randomized controlled trials are needed to further validate iCT-PTSD.
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