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Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for generalized anxiety disorder and comorbid disorders: A randomized controlled trial

Citation

Dear, BF and Staples, LG and Terides, MD and Karin, E and Zou, J and Johnston, L and Gandy, M and Fogliati, VJ and Wootton, BM and McEvoy, PM and Titov, N, Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for generalized anxiety disorder and comorbid disorders: A randomized controlled trial, Journal of Anxiety Disorders, 36 pp. 63-77. ISSN 0887-6185 (2015) [Refereed Article]


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Copyright 2015 The Authors Licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) https://creativecommons.org/licenses/by-nc-nd/4.0/

DOI: doi:10.1016/j.janxdis.2015.09.003

Abstract

Generalized anxiety disorder (GAD) can be treated effectively with either disorder-specific cognitive behavior therapy (DS-CBT) or transdiagnostic CBT (TD-CBT). The relative benefits of DS-CBT and TD-CBT for GAD and the relative benefits of delivering treatment in clinician guided (CG-CBT) and self-guided (SG-CBT) formats have not been examined. Participants with GAD (n†=†338) were randomly allocated to receive an internet-delivered TD-CBT or DS-CBT intervention delivered in either CG-CBT or SG-CBT formats. Large reductions in symptoms of GAD (Cohenís d†≥†1.48; avg. reduction†≥†50%) and comorbid major depressive disorder (Cohenís d†≥†1.64; avg. reduction†≥†45%), social anxiety disorder (Cohenís d†≥†0.80; avg. reduction†≥†29%) and panic disorder (Cohenís d†≥†0.55; avg. reduction†≥†33%) were found across the conditions. No substantive differences were observed between DS-CBT and TD-CBT or CG-CBT and SG-CBT, highlighting the public health potential of carefully developed TD-CBT and SG-CBT.

Item Details

Item Type:Refereed Article
Keywords:generalized anxiety disorder, anxiety disorders, treatment, transdiagnostic, disorder-specific, self-guided, clinician-guided, internet, 24-Month follow-up, randomized controlled trial
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Mental Health
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Mental Health
Author:Wootton, BM (Dr Bethany Wootton)
ID Code:106003
Year Published:2015
Web of Science® Times Cited:17
Deposited By:Psychology
Deposited On:2016-01-22
Last Modified:2016-08-15
Downloads:16 View Download Statistics

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