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…
54 Citations
Evaluating the Use of a Computerized CBT Program for Outpatients on a Waitlist in a University CBT Unit
- PsychologyJournal of psychiatric practice
- 2019
Offering a general cCBT program to waiting list patients may not confer an advantage over referring them to an online workbook, at least in terms of symptom reduction.
Internet-delivered cognitive behavior therapy for children and adolescents: A systematic review and meta-analysis.
- PsychologyClinical psychology review
- 2016
Internet-Delivered Cognitive Behavioral Therapy for Anxiety Disorders in Open Community Versus Clinical Service Recruitment: Meta-Analysis
- Psychology, MedicineJournal of medical Internet research
- 2019
iCBT was effective in samples recruited in clinical practice, but effect sizes were smaller than those found in trials with an open recruitment method for studies with waitlist control comparators, suggesting the impact of iCBT may not be as positive as for study participants recruited from the community.
Cognitive behavioral therapy (CBT) anxiety management and reasoning bias modification in young adults with anxiety disorders: A real-world study of a therapist-assisted computerized (TACCBT) program Vs. “person-to-person” group CBT
- PsychologyInternet interventions
- 2020
Computer-Assisted Cognitive-Behavior Therapy in Medical Care Settings
- Medicine, PsychologyCurrent Psychiatry Reports
- 2018
CCBT offers promise for overcoming barriers to delivering effective psychotherapy in medical settings and is recommended for next steps for researchers include more definitive studies of the influence of clinician support, investigations focused on implementation in clinical practices, cost-benefit analyses, and use of technological advances.
Randomized Trial of a Tailored Cognitive-Behavioral Therapy Mobile Application for Anxiety in Patients with Incurable Cancer.
- Psychology, MedicineThe oncologist
- 2019
The CBT app was more beneficial than health education for patients with severe baseline anxiety and the health education program were associated with improvements in anxiety, mood, and QOL, but these outcomes did not differ between study groups.
Engagement and outcomes for a computerised cognitive–behavioural therapy intervention for anxiety and depression in African Americans
- Psychology, MedicineBJPsych Open
- 2017
Computerised cognitive-behavioural therapy may be an efficient and scalable first-step to improving minority mental health and reducing disparities in access to evidence-based healthcare.
Internet Interventions for Adults with Anxiety and Mood Disorders: A Narrative Umbrella Review of Recent Meta-Analyses
- PsychologyCanadian journal of psychiatry. Revue canadienne de psychiatrie
- 2019
The growing number of meta-analytic reviews of studies now suggests that ICBT works and can be as effective as face-to-face therapy.
Computer-Assisted Cognitive-Behavior Therapy and Mobile Apps for Depression and Anxiety
- Psychology, MedicineCurrent Psychiatry Reports
- 2019
Assessment of computer-assisted cognitive-behavior therapy and mobile applications finds that these newer methods of delivering or augmenting treatment and making recommendations on the clinical use of computer tools in psychotherapy of depression and anxiety appear to have adequate quality, security, and efficacy.
Cognitive-behavioural therapy for a variety of conditions: an overview of systematic reviews and panoramic meta-analysis.
- Psychology, MedicineHealth technology assessment
- 2021
A modest effect was found in favour of cognitive-behavioural therapy for health-related quality of life and a general effect for depression outcomes was not produced as a result of considerable heterogeneity across reviews and conditions.
References
SHOWING 1-10 OF 69 REFERENCES
A Meta-Analytic Review of Adult Cognitive-Behavioral Treatment Outcome Across the Anxiety Disorders
- PsychologyThe Journal of nervous and mental disease
- 2007
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
- Psychology, MedicinePloS one
- 2010
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.
- PsychologyJournal of clinical psychology
- 2009
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.
Is cognitive-behavioral therapy more effective than other therapies? A meta-analytic review.
- PsychologyClinical psychology review
- 2010
The efficacy of an internet-based cognitive-behavioral therapy intervention for child anxiety disorders.
- PsychologyJournal of pediatric psychology
- 2009
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
- PsychologyCognitive behaviour therapy
- 2011
The authors conclude that Internet-delivered CBT with therapist support can reduce symptoms and problems related to GAD.
Transdiagnostic Internet treatment for anxiety disorders: A randomized controlled trial.
- PsychologyBehaviour research and therapy
- 2010
A randomized controlled trial of online versus clinic-based CBT for adolescent anxiety.
- PsychologyJournal of consulting and clinical psychology
- 2011
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
- Psychology, MedicinePloS one
- 2011
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.
Web-based therapist-assisted cognitive behavioral treatment of panic symptoms: a randomized controlled trial with a three-year follow-up.
- Psychology, MedicineJournal of anxiety disorders
- 2010