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Effects of a transdiagnostic unguided Internet intervention ('velibra') for anxiety disorders in primary care: results of a randomized controlled trial

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Effects of a transdiagnostic unguided Internet intervention ('velibra') for anxiety disorders in primary care: results of a randomized controlled trial. / Berger, T; Urech, A; Krieger, T; Stolz, T; Schulz, A; Vincent, A; Moser, C T; Moritz, S; Meyer, B.

in: PSYCHOL MED, Jahrgang 47, Nr. 1, 01.2017, S. 67-80.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Berger, T, Urech, A, Krieger, T, Stolz, T, Schulz, A, Vincent, A, Moser, CT, Moritz, S & Meyer, B 2017, 'Effects of a transdiagnostic unguided Internet intervention ('velibra') for anxiety disorders in primary care: results of a randomized controlled trial', PSYCHOL MED, Jg. 47, Nr. 1, S. 67-80. https://doi.org/10.1017/S0033291716002270

APA

Berger, T., Urech, A., Krieger, T., Stolz, T., Schulz, A., Vincent, A., Moser, C. T., Moritz, S., & Meyer, B. (2017). Effects of a transdiagnostic unguided Internet intervention ('velibra') for anxiety disorders in primary care: results of a randomized controlled trial. PSYCHOL MED, 47(1), 67-80. https://doi.org/10.1017/S0033291716002270

Vancouver

Berger T, Urech A, Krieger T, Stolz T, Schulz A, Vincent A et al. Effects of a transdiagnostic unguided Internet intervention ('velibra') for anxiety disorders in primary care: results of a randomized controlled trial. PSYCHOL MED. 2017 Jan;47(1):67-80. https://doi.org/10.1017/S0033291716002270

Bibtex

@article{7ae92c914fef4bce818c62025d8b1683,
title = "Effects of a transdiagnostic unguided Internet intervention ('velibra') for anxiety disorders in primary care: results of a randomized controlled trial",
abstract = "BACKGROUND: Internet-based cognitive-behavioural treatment (ICBT) for anxiety disorders has shown some promise, but no study has yet examined unguided ICBT in primary care. This randomized controlled trial (RCT) investigated whether a transdiagnostic, unguided ICBT programme for anxiety disorders is effective in primary care settings, after a face-to-face consultation with a physician (MD). We hypothesized that care as usual (CAU) plus unguided ICBT would be superior to CAU in reducing anxiety and related symptoms among patients with social anxiety disorder (SAD), panic disorder with or without agoraphobia (PDA) and/or generalized anxiety disorder (GAD).METHOD: Adults (n = 139) with at least one of these anxiety disorders, as reported by their MD and confirmed by a structured diagnostic interview, were randomized. Unguided ICBT was provided by a novel transdiagnostic ICBT programme ('velibra'). Primary outcomes were generic measures, such as anxiety and depression symptom severity, and diagnostic status at post-treatment (9 weeks). Secondary outcomes included anxiety disorder-specific measures, quality of life, treatment adherence, satisfaction, and general psychiatric symptomatology at follow-up (6 months after randomization).RESULTS: CAU plus unguided ICBT was more effective than CAU at post-treatment, with small to medium between-group effect sizes on primary (Cohen's d = 0.41-0.47) and secondary (Cohen's d = 0.16-0.61) outcomes. Treatment gains were maintained at follow-up. In the treatment group, 28.2% of those with a SAD diagnosis, 38.3% with a PDA diagnosis, and 44.8% with a GAD diagnosis at pretreatment no longer fulfilled diagnostic criteria at post-treatment.CONCLUSIONS: The unguided ICBT intervention examined is effective for anxiety disorders when delivered in primary care.",
keywords = "Adult, Anxiety Disorders, Cognitive Therapy, Female, Humans, Internet, Male, Middle Aged, Outcome Assessment (Health Care), Primary Health Care, Journal Article, Randomized Controlled Trial",
author = "T Berger and A Urech and T Krieger and T Stolz and A Schulz and A Vincent and Moser, {C T} and S Moritz and B Meyer",
year = "2017",
month = jan,
doi = "10.1017/S0033291716002270",
language = "English",
volume = "47",
pages = "67--80",
journal = "PSYCHOL MED",
issn = "0033-2917",
publisher = "Cambridge University Press",
number = "1",

}

RIS

TY - JOUR

T1 - Effects of a transdiagnostic unguided Internet intervention ('velibra') for anxiety disorders in primary care: results of a randomized controlled trial

AU - Berger, T

AU - Urech, A

AU - Krieger, T

AU - Stolz, T

AU - Schulz, A

AU - Vincent, A

AU - Moser, C T

AU - Moritz, S

AU - Meyer, B

PY - 2017/1

Y1 - 2017/1

N2 - BACKGROUND: Internet-based cognitive-behavioural treatment (ICBT) for anxiety disorders has shown some promise, but no study has yet examined unguided ICBT in primary care. This randomized controlled trial (RCT) investigated whether a transdiagnostic, unguided ICBT programme for anxiety disorders is effective in primary care settings, after a face-to-face consultation with a physician (MD). We hypothesized that care as usual (CAU) plus unguided ICBT would be superior to CAU in reducing anxiety and related symptoms among patients with social anxiety disorder (SAD), panic disorder with or without agoraphobia (PDA) and/or generalized anxiety disorder (GAD).METHOD: Adults (n = 139) with at least one of these anxiety disorders, as reported by their MD and confirmed by a structured diagnostic interview, were randomized. Unguided ICBT was provided by a novel transdiagnostic ICBT programme ('velibra'). Primary outcomes were generic measures, such as anxiety and depression symptom severity, and diagnostic status at post-treatment (9 weeks). Secondary outcomes included anxiety disorder-specific measures, quality of life, treatment adherence, satisfaction, and general psychiatric symptomatology at follow-up (6 months after randomization).RESULTS: CAU plus unguided ICBT was more effective than CAU at post-treatment, with small to medium between-group effect sizes on primary (Cohen's d = 0.41-0.47) and secondary (Cohen's d = 0.16-0.61) outcomes. Treatment gains were maintained at follow-up. In the treatment group, 28.2% of those with a SAD diagnosis, 38.3% with a PDA diagnosis, and 44.8% with a GAD diagnosis at pretreatment no longer fulfilled diagnostic criteria at post-treatment.CONCLUSIONS: The unguided ICBT intervention examined is effective for anxiety disorders when delivered in primary care.

AB - BACKGROUND: Internet-based cognitive-behavioural treatment (ICBT) for anxiety disorders has shown some promise, but no study has yet examined unguided ICBT in primary care. This randomized controlled trial (RCT) investigated whether a transdiagnostic, unguided ICBT programme for anxiety disorders is effective in primary care settings, after a face-to-face consultation with a physician (MD). We hypothesized that care as usual (CAU) plus unguided ICBT would be superior to CAU in reducing anxiety and related symptoms among patients with social anxiety disorder (SAD), panic disorder with or without agoraphobia (PDA) and/or generalized anxiety disorder (GAD).METHOD: Adults (n = 139) with at least one of these anxiety disorders, as reported by their MD and confirmed by a structured diagnostic interview, were randomized. Unguided ICBT was provided by a novel transdiagnostic ICBT programme ('velibra'). Primary outcomes were generic measures, such as anxiety and depression symptom severity, and diagnostic status at post-treatment (9 weeks). Secondary outcomes included anxiety disorder-specific measures, quality of life, treatment adherence, satisfaction, and general psychiatric symptomatology at follow-up (6 months after randomization).RESULTS: CAU plus unguided ICBT was more effective than CAU at post-treatment, with small to medium between-group effect sizes on primary (Cohen's d = 0.41-0.47) and secondary (Cohen's d = 0.16-0.61) outcomes. Treatment gains were maintained at follow-up. In the treatment group, 28.2% of those with a SAD diagnosis, 38.3% with a PDA diagnosis, and 44.8% with a GAD diagnosis at pretreatment no longer fulfilled diagnostic criteria at post-treatment.CONCLUSIONS: The unguided ICBT intervention examined is effective for anxiety disorders when delivered in primary care.

KW - Adult

KW - Anxiety Disorders

KW - Cognitive Therapy

KW - Female

KW - Humans

KW - Internet

KW - Male

KW - Middle Aged

KW - Outcome Assessment (Health Care)

KW - Primary Health Care

KW - Journal Article

KW - Randomized Controlled Trial

U2 - 10.1017/S0033291716002270

DO - 10.1017/S0033291716002270

M3 - SCORING: Journal article

C2 - 27655039

VL - 47

SP - 67

EP - 80

JO - PSYCHOL MED

JF - PSYCHOL MED

SN - 0033-2917

IS - 1

ER -