eCite Digital Repository

An evaluation of the effectiveness of a Transdiagnostic Bibliotherapy Program for anxiety and related disorders: results from two studies using a benchmarking approach


Wootton, BM and Steinman, SA and Czerniawski, A and Norris, K and Baptie, C and Diefenbach, G and Tolin, DF, An evaluation of the effectiveness of a Transdiagnostic Bibliotherapy Program for anxiety and related disorders: results from two studies using a benchmarking approach, Cognitive Therapy and Research, 42, (5) pp. 565-580. ISSN 0147-5916 (2018) [Refereed Article]

Copyright Statement

Copyright 2018 Springer Science+Business Media, LLC, part of Springer Nature

DOI: doi:10.1007/s10608-018-9921-x


Anxiety and related disorders are common and cognitive behavior therapy (CBT) has been demonstrated to be an effective treatment for these disorders. However, patients face many barriers to accessing this treatment. Remote delivery of treatment using bibliotherapy-administered CBT (BCBT) has the potential to increase accessibility to evidence-based treatment for patients with anxiety and related disorders. This study investigated the effectiveness of a transdiagnostic BCBT intervention in two open trials. While the BCBT intervention in both studies were identical, the first study was unguided (i.e., no clinician support provided), and the second study was guided (i.e., patients were provided with brief clinician support via telephone). Twenty-three participants with mixed anxiety disorders completed the first Study (unguided treatment) and results exhibited significant reductions on the primary outcome measure with within-group effect sizes of d = 1.29 (95% CI 0.64–1.91) at post-treatment and d = 1.52 (95% CI 0.84–2.15) at 3-month follow up. Forty-one participants with various anxiety and related disorders completed Study 2 (guided intervention) and results were similar to Study 1 with large within-group effect sizes seen at post-treatment (d = 0.95; 95% CI 0.49–1.40) and 3-month follow up (d = 0.87; 95% CI 0.41–1.31). In both studies participants found the intervention to be highly acceptable, and benchmarking analyses indicated that the outcomes were largely consistent with those of controlled trials. These are the first studies to investigate the effectiveness of a transdiagnostic BCBT program for the treatment of anxiety and related disorders and the results demonstrate preliminary support for this treatment methodology.

Item Details

Item Type:Refereed Article
Keywords:bibliotherapy, anxiety, cognitive behaviour therapy, effectiveness, benchmarking
Research Division:Psychology
Research Group:Clinical and health psychology
Research Field:Health psychology
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Mental health
UTAS Author:Wootton, BM (Dr Bethany Wootton)
UTAS Author:Czerniawski, A (Miss Alana Czerniawski)
UTAS Author:Norris, K (Professor Kimberley Norris)
ID Code:127127
Year Published:2018
Web of Science® Times Cited:2
Deposited By:Psychology
Deposited On:2018-07-12
Last Modified:2019-03-21

Repository Staff Only: item control page