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Guided and unguided Acceptance and Commitment Therapy for social anxiety disorder and/or panic disorder provided via the Internet and a smartphone application: A randomized controlled trial
Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology. Karolinska Institutet, Sweden.ORCID iD: 0000-0002-3061-501X
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2016 (English)In: Journal of Anxiety Disorders, ISSN 0887-6185, E-ISSN 1873-7897, Vol. 44, p. 27-35Article in journal (Refereed) Published
Abstract [en]

Acceptance and Commitment Therapy (ACT) can be effective in treating anxiety disorders, yet there has been no study on Internet-delivered ACT for social anxiety disorder (SAD) and panic disorder (PD), nor any study investigating whether therapist guidance is superior to unguided self-help when supplemented with a smartphone application. In the current trial, n = 152 participants diagnosed with SAD and/or PD were randomized to therapist-guided or unguided treatment, or a waiting-list control group. Both treatment groups used an Internet-delivered ACT-based treatment program and a smartphone application. Outcome measures were self-rated general and social anxiety and panic symptoms. Treatment groups saw reduced general (d = 0.39) and social anxiety (d = 0.70), but not panic symptoms (d = 0.05) compared to the waiting-list group, yet no differences in outcomes were observed between guided and unguided interventions. We conclude that Internet-delivered ACT is appropriate for treating SAD and potentially PD. Smartphone applications may partially compensate for lack of therapist support.

Place, publisher, year, edition, pages
2016. Vol. 44, p. 27-35
Keywords [en]
internet interventions, acceptance and commitment therapy, cognitive behavior therapy, therapist support, anxiety disorders, mHealth
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:su:diva-134614DOI: 10.1016/j.janxdis.2016.09.012ISI: 000389732800003OAI: oai:DiVA.org:su-134614DiVA, id: diva2:1034625
Note

The current study was made possible in part by a grant from the Swedish Research Council (2011-2913) and Forte (2013-1107).

Available from: 2016-10-12 Created: 2016-10-12 Last updated: 2019-12-09Bibliographically approved

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