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Remote cognitive-behavioral therapy for generalized anxiety disorder: A preliminary meta-analysis
Vesna Trenoska Basile1, Toby Newton-John1, Bethany M Wootton1
1Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Ultimo, New South Wales, Australia.
Journal of Clinical Psychology
|April 11, 2022
Summary
Remote cognitive behavioral therapy (CBT) is effective for generalized anxiety disorder (GAD), offering a solution to access barriers. This meta-analysis confirms its efficacy, supporting its use in stepped care models.
Area of Science:
- Mental Health
- Psychiatry
- Clinical Psychology
Background:
- Generalized anxiety disorder (GAD) presents significant individual, societal, and economic challenges.
- Face-to-face cognitive behavioral therapy (CBT) is effective but faces logistical access barriers.
- Remote treatment delivery offers a viable solution to overcome these barriers.
Approach:
- A meta-analytic approach synthesized current literature on remote CBT for GAD.
- An electronic database search identified relevant studies.
- 10 studies, encompassing 11 remote conditions and 1071 participants, were included in the meta-analysis.
Key Points:
- Remote CBT for GAD demonstrated large within-group effect sizes from pretreatment to posttreatment (g = 1.30).
- Both low and high intensity remote CBT interventions yielded large effect sizes, with no significant difference between formats.
- Medium effect sizes were observed between groups at posttreatment (g = 0.76).
Conclusions:
- Remote CBT is an efficacious treatment for GAD.
- Findings support the integration of remote methods into stepped care for GAD.
- This approach broadens access to evidence-based mental health interventions.
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