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
2016 (English)In: Journal of Anxiety Disorders, ISSN 0887-6185, E-ISSN 1873-7897, Vol. 44, 27-35 p.Article in journal (Refereed) Published
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
Elsevier, 2016. Vol. 44, 27-35 p.
internet interventions, acceptance and commitment therapy, cognitive behavior therapy, therapist support, anxiety disorders, mHealth
Research subject Psychology
IdentifiersURN: urn:nbn:se:su:diva-134614DOI: 10.1016/j.janxdis.2016.09.012OAI: oai:DiVA.org:su-134614DiVA: diva2:1034625
The current study was made possible in part by a grant from the Swedish Research Council (2011-2913) and Forte (2013-1107).2016-10-122016-10-122016-10-13