The DOI matches its Crossref record; 89 of the 89 references it cites were found in a registry or an index.
Self‐help and minimal‐contact therapies for anxiety disorders: Is human contact necessary for therapeutic efficacy?
Open accessAbstract
Self-help materials, brief therapies, and treatments involving minimal therapist contact have all been proposed as effective and low-cost interventions for anxiety disorders. However, research also suggests that the therapeutic alliance is a central predictor of therapy outcome. Interestingly, amounts of therapist contact within and across "self-help" interventions vary greatly. It is therefore unclear how much therapist contact is necessary for a positive anxiety disorder treatment outcome. The present article reviews the literature on anxiety disorder treatments using self-help, self-administered, and decreased therapist-contact interventions. Treatment studies are grouped together by anxiety diagnosis as well as amount of therapist contact. It is concluded that self-administered treatments are most effective for motivated clients seeking treatment for simple phobias. Predominantly self-help therapies are efficacious for panic disorder and mixed anxiety samples. On the other hand, minimal-contact therapies have demonstrated efficacy for the greatest variety of anxiety diagnoses.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Bibliotherapy has been found to be efficacious by several systematic reviews or meta-analyses in the treatment of emotional, physical, and mental health problems among adults.22,28–32”
In the citing paper
“Newman et al30 reviewed bibliotherapy for anxiety disorders and concluded that bibliotherapy demonstrated efficacy for the greatest variety of anxiety diagnoses.”
In the citing paper
“Researchers have suggested that minimal phone contact with a therapist is vital in encouraging higher rates of program completion.30”
In the citing paper
“These experiences were consistent with the findings from bibliotherapy studies of anxiety disorders in other populations, where predictors of positive treatment outcome have included participants’ motivation for treatment, compliance with program materials, and less complex/severe initial presentations.27,30,44”
Citations
Cites
Relation between working alliance and outcome in psychotherapy: A meta-analysis
Horvath, A. O., & Symonds, B. D. (1991) · Journal of Counseling Psychology · doi:10.1037/0022-0167.38.2.139 · Cited by 2,673
A psychophysiological analysis of fear modification using an automated desensitization procedure
Lang, P. J., Melamed, B. G., & Hart, J. (1970) · Journal of Abnormal Psychology · doi:10.1037/h0029875 · Cited by 463
A meta‐analysis of bibliotherapy studies
Marrs, R. W. (1995) · American Journal of Community Psychology · doi:10.1007/bf02507018 · Cited by 366 · cited 4×
“74) and are comparable to therapist-administered interventions (Gould & Clum, 1993; Marrs, 1995).”
BackgroundResultInfluentialBehavioral bibliotherapy: a review of self-help behavior therapy manuals
Glasgow, R. E., & Rosen, G. M. (1978) · Psychological Bulletin · doi:10.1037/0033-2909.85.1.1 · Cited by 351
A meta-analysis of self-help treatment approaches
Gould, R. A., & Clum, G. A. (1993) · Clinical Psychology Review · doi:10.1016/0272-7358(93)90039-o · Cited by 337
Clomipramine, self-exposure and therapist-aided exposure for obsessive–compulsive rituals
Marks, I. M., Lelliott, P., Basoglu, M., Noshirvani, H., Monteiro, W., Cohen, D., & Kasvikis, Y. (1988) · British Journal of Psychiatry · doi:10.1192/bjp.152.4.522 · Cited by 255
One-session therapist-directed exposure vs. self-exposure in the treatment of spider phobia
Öst, L.-G., Salkovskis, P. M., & Hellström, K. (1991) · Behavior Therapy · doi:10.1016/s0005-7894(05)80374-0 · Cited by 220 · cited 2×
“Results of this research found that SA treatments yielded significant benefits, with only a few exceptions (i.e., Girodo & Henry, 1976; Hellstrom & Öst, 1995; Öst et al., 1991).”
BackgroundNewman, M. G., Kenardy, J. A., Herman, S., & Taylor, C. B. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.65.1.178 · Cited by 213
Self-citationSelf-treatment of agoraphobia by exposure
Ghosh, A., & Marks, I. M. (1987) · Behavior Therapy · doi:10.1016/s0005-7894(87)80047-3 · Cited by 203
A comparison of bibliotherapy and group therapy in the treatment of panic disorder.
Lidren, D. M., Watkins, P. L., Gould, R. A., Clum, G. A., Asterino, M., & Tulloch, H. L. (1994) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.62.4.865 · Cited by 184
Flagged first, then by citations
Research works printed but not linked: 5
- Bordin E.S., 1994, The working alliance: Theory, research, and practice, 13
- Heimberg R.G., 1991, A manual for conducting cognitive‐behavioral group therapy for social phobia
- Henry W.P., 1994, The working alliance: Theory, research, and practice, 51
- Lambert M.J., 1992, Handbook of psychotherapy integration, 94
- 10.1037/0022-006X.45.5.730 · DOI
Cited by
Sorted by citations
Items 201–206 of 206
Efficacy of low intensity interventions for mental health problems in children and young people
Bennett, S. D. (2022) · Oxford University Press eBooks · doi:10.1093/med-psych/9780198867791.003.0003
The Effect of Bibliotherapy on Social Anxiety
Güler, H., & Kurtoğlu, M. B. (2025) · OPUS Toplum Araştırmaları Dergisi · doi:10.26466/opusjsr.1617141
Gruppbehandling av panikångest med KBT ur ett patientperspektiv
Ragnebrink, K. (2007) · DiVA (Mälardalen University College)
Evidence So Far on Psychoeducation
Strayhorn, J. M., Chai, K. Y. Y., & Zhang‐James, Y. (2026) · SpringerBriefs in modern perspectives on disability research. · doi:10.1007/978-981-92-0922-4_8
Palmili, L. (2013) · UPT. Syiah Kuala University Library (Syiah Kuala University)
Bower, P. (2010) · Cambridge University Press eBooks · doi:10.1017/cbo9780511861147.009
Metadata
- Authors
- Newman, M. G., Erickson, T., Przeworski, A., & Dzus, E.
- Affiliations
- Pennsylvania State University (US)
- Seattle Pacific University (US)
- Corresponding author
- Newman, Michelle G.
- Venue
- Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2003-02-10
- Volume
- 59
- Issue
- 3
- Pages
- 251-274
- ISSN
- 0021-9762 (ISSN-L)
- 1097-4679
- OpenAlex
- W2169583035
- Cited by
- 206
- References
- 89
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 4 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 2 · 2019: 7 · 2018: 13 · 2017: 6 · 2016: 6 · 2015: 11 · 2014: 16 · 2013: 14 · 2012: 13
- FWCI
- 1.89
- Type
- journal article
- Language
- en
- Open access
- green
- papers.ssrn.com
- Locations
- Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- SSRN Electronic Journal (submittedVersion)
- Funders
- National Institute of Mental Health (MH-58593, R01MH058593)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- anxiety disorders, self-help intervention, therapist contact, therapeutic relationship, self-administered therapy, panic disorder, specific phobia, treatment efficacy, brief psychotherapy
- MeSH terms
- Anxiety Disorders, Humans, Motivation, Patient Education as Topic, Professional-Patient Relations, Self Care, Self-Help Groups, Treatment Outcome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review