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Internet-based self-help using automatic messages and support on demand for generalized anxiety disorder: an open pilot study
Stockholms universitet, Samhällsvetenskapliga fakulteten, Psykologiska institutionen, Klinisk psykologi.ORCID-id: 0000-0002-2172-8813
2020 (Engelska)Ingår i: Digital Psychiatry, E-ISSN 2575-517X, Vol. 3, nr 1, s. 12-19Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Generalized anxiety disorder (GAD) is a disabling and often chronic condition. Internet-based treatments for GAD have been shown to be effective, but many studies include weekly contact with a therapist with the aim to increase adherence and clinical outcomes. The current study evaluated a less therapist-intensive alternative: support on demand and automatic messages. Thirty-three participants with GAD went through a self-help program targeting excessive worry. Treatment lasted 9 weeks and consisted of seven modules. Participants received short messages with reminders and encouragement. Therapist support was given when asked for. The intervention led to significant and large within-group effects on the primary outcome, Penn State Worry Questionnaire (PSWQ; Cohen’s d = 1.17), as well as on secondary outcomes such as Generalized Anxiety Disorder Questionnaire-IV (GAD-Q-IV; Cohen’s d = 2.71) and Patient Health Questionaire-9 (PHQ-9; Cohen’s d = 1.05). The exception was a small effect on quality of life (d = −0.34). Twenty-four (74.9%) were satisfied with the treatment and one dropped out. Therapist support was used by 65.6%. Limitations include lack of control condition and a small sample. While preliminary, the findings suggest that self-guided internet interventions can work and be acceptable when automated messages and support on demand is provided.

Ort, förlag, år, upplaga, sidor
2020. Vol. 3, nr 1, s. 12-19
Nyckelord [en]
Internet, treatment, generalized anxiety disorder, acceptance, mindfulness
Nationell ämneskategori
Psykologi
Forskningsämne
psykologi
Identifikatorer
URN: urn:nbn:se:su:diva-187751DOI: 10.1080/2575517X.2020.1822730OAI: oai:DiVA.org:su-187751DiVA, id: diva2:1509870
Tillgänglig från: 2020-12-14 Skapad: 2020-12-14 Senast uppdaterad: 2022-02-25Bibliografiskt granskad

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Carlbring, Per

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