A meta-analysis of computerized cognitive-behavioral therapy for the treatment of DSM-5 anxiety disorders.

@article{Adelman2014AMO,
  title={A meta-analysis of computerized cognitive-behavioral therapy for the treatment of DSM-5 anxiety disorders.},
  author={Caroline B. Adelman and Kaitlyn E. Panza and Christine A. Bartley and Allyson C Bontempo and Michael H. Bloch},
  journal={The Journal of clinical psychiatry},
  year={2014},
  volume={75 7},
  pages={
          e695-704
        }
}
OBJECTIVE Access to qualified cognitive-behavioral therapy (CBT) remains a major barrier to improving clinical outcomes in anxiety disorders. The current meta-analysis examined the efficacy of computerized CBT (cCBT) for anxiety disorders and the durability of treatment gains during follow-up. DATA SOURCES We searched PubMed and references from included trials and previous meta-analyses in the area. STUDY SELECTION We included randomized controlled trials assessing the efficacy of cCBT for… 

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References

SHOWING 1-10 OF 69 REFERENCES
A Meta-Analytic Review of Adult Cognitive-Behavioral Treatment Outcome Across the Anxiety Disorders
TLDR
When comparing across diagnoses, outcomes for generalized anxiety disorder and posttraumatic stress disorder were superior to those for social anxiety disorder, but no other differences emerged.
Computer Therapy for the Anxiety and Depressive Disorders Is Effective, Acceptable and Practical Health Care: A Meta-Analysis
TLDR
Computerized CBT for anxiety and depressive disorders, especially via the internet, has the capacity to provide effective acceptable and practical health care for those who might otherwise remain untreated.
A meta-analysis of the effects of internet- and computer-based cognitive-behavioral treatments for anxiety.
TLDR
There was preliminary support for the use of ICT for panic disorder and phobia and large, well-designed, placebo-controlled trials are needed to confirm and extend the results of this meta-analysis.
The efficacy of an internet-based cognitive-behavioral therapy intervention for child anxiety disorders.
TLDR
Internet delivery of CBT for child anxiety offers promise as a way of increasing access to treatment for this population and future research is needed to examine ways to increase treatment compliance and further enhance the impact of treatment.
Guided Internet-Delivered Cognitive Behavior Therapy for Generalized Anxiety Disorder: A Randomized Controlled Trial
TLDR
The authors conclude that Internet-delivered CBT with therapist support can reduce symptoms and problems related to GAD.
A randomized controlled trial of online versus clinic-based CBT for adolescent anxiety.
TLDR
Online delivery of CBT, with minimal therapist support, is equally efficacious as clinic-based, face-to-face therapy in the treatment of anxiety disorders among adolescents, with benefits of reduced therapist time and greater accessibility for families who have difficulty accessing clinic- based CBT.
A RCT of a Transdiagnostic Internet-Delivered Treatment for Three Anxiety Disorders: Examination of Support Roles and Disorder-Specific Outcomes
TLDR
This transdiagnostic iCBT course for anxiety appears to be efficacious, associated with significant change for three target disorders, and is efficacious when guided by either a Clinician or Coach.
...
1
2
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4
5
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