106003 journal article.pdf (1.17 MB)
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 contribution
posted on 2023-05-18, 16:17 authored by Dear, BF, Staples, LG, Terides, MD, Karin, E, Zou, J, Johnston, L, Gandy, M, Fogliati, VJ, Wootton, BM, McEvoy, PM, Titov, NGeneralized 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 (Cohen’s d ≥ 1.48; avg. reduction ≥ 50%) and comorbid major depressive disorder (Cohen’s d ≥ 1.64; avg. reduction ≥ 45%), social anxiety disorder (Cohen’s d ≥ 0.80; avg. reduction ≥ 29%) and panic disorder (Cohen’s 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.
History
Publication title
Journal of Anxiety DisordersVolume
36Pagination
63-77ISSN
0887-6185Department/School
School of Psychological SciencesPublisher
Pergamon-Elsevier Science LtdPlace of publication
United KingdomRights statement
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/Repository Status
- Open