The DOI matches its Crossref record; 56 of the 58 references it cites were found in a registry or an index.
Transdiagnostic Internet treatment for anxiety disorders: A randomized controlled trial
Abstract
Clinician-guided Internet-based cognitive behavioural therapy (iCBT) programs are clinically effective at treating specific anxiety disorders. The present study examined the efficacy of a transdiagnostic Internet-based cognitive behavioural treatment (iCBT) program to treat more than one anxiety disorder within the same program (the Anxiety Program). Eighty six individuals meeting diagnostic criteria for generalized anxiety disorder (GAD), panic disorder, and/or social phobia were randomly assigned to a treatment group, or to a waitlist control group. Treatment consisted of CBT based online educational lessons and homework assignments, weekly email or telephone contact from a clinical psychologist, access to a moderated online discussion forum, and automated emails. An intention-to-treat model using the baseline-observation-carried-forward principle was employed for data analyses. Seventy-five percent of treatment group participants completed all 6 lessons within the 8 week program. Post-treatment data was collected from 38/40 treatment group and 38/38 control group participants, and 3-month follow-up data was collected from 32/40 treatment group participants. Relative to controls, treatment group participants reported significantly reduced symptoms of anxiety as measured by the Generalized Anxiety Disorder - 7 Item, Social Phobia Screening Questionnaire, and the Panic Disorder Severity Rating Scale - Self Report Scale, but not on the Penn State Worry Questionnaire, with corresponding between-groups effect sizes (Cohen's d) at post-treatment of 0.78, 0.43, 0.43, and 0.20, respectively. The clinician spent a total mean time of 46min per person over the program, participants rated the procedure as moderately acceptable, and gains were sustained at follow-up. Modifications to the Anxiety program, based on post-treatment feedback from treatment group participants, were associated with improved outcomes in the control group. These results indicate that transdiagnostic programs for anxiety disorders may be successfully administered via the Internet.
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“One proposed solution has been to focus on the common transdiagnostic elements of CBT [31], and this has also been found to be effective when delivered via the internet [32].”
From The promise and pitfalls of the internet for cognitive behavioral therapy (2010) · cites this paper as [32]
In the citing paper
“In addition, a variety of self-directed or minimal intervention formats (e.g., bibliotherapy/self-help books, or internet/ computer-based programs with or without minimal therapist contact) have demonstrated significant improvements in anxiety symptoms [74-79].”
From Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders (2014) · cites this paper as [79]
In the citing paper
“Several studies have demonstrated the utility of internetbased or computer-based CBT programs [79,524-526].”
From Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders (2014) · cites this paper as [79]
In the citing paper
“ICBT has been shown to be significantly more effective than wait-list control [79,524,525], with benefits being maintained at long-term follow-up [525].”
From Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders (2014) · cites this paper as [79]
In the citing paper
“The results of this trial, with moderate to large effect sizes, are consistent with previous trials of iCBT for panic disorder [16] and transdiagnostic iCBT treatment for anxiety [37], which shares some features with our treatment approach.”
From Individually Tailored Internet-Based Treatment for Young Adults and Adults With Panic Attacks: Randomized Controlled Trial (2012) · cites this paper as [37]
Citations
Cites
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910
A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.10.1092 · Cited by 31,765
(1998) · The Journal of Clinical Psychiatry · Cited by 19,139
KESSLER, R. C., ANDREWS, G., COLPE, L. J., HIRIPI, E., MROCZEK, D. K., NORMAND, S.-L. T., WALTERS, E. E., & ZASLAVSKY, A. M. (2002) · Psychological Medicine · doi:10.1017/s0033291702006074 · Cited by 10,327
Self-citation(1995) · Cited by 6,909
The mini international neuropsychiatric interview
Lecrubier, Y., Sheehan, D. V., Hergueta, T., & Weiller, E. (1998) · European Psychiatry · doi:10.1016/s0924-9338(99)80239-9 · Cited by 5,899
Moher, D., Schulz, K. F., & Altman, D. G. (2001) · The Lancet · doi:10.1016/s0140-6736(00)04337-3 · Cited by 5,373
Development and validation of the Penn State Worry Questionnaire
Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990) · Behaviour Research and Therapy · doi:10.1016/0005-7967(90)90135-6 · Cited by 5,099
Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection
Kroenke, K., Spitzer, R. L., Williams, J. B. W., Monahan, P. O., & Löwe, B. (2007) · Annals of Internal Medicine · doi:10.7326/0003-4819-146-5-200703060-00004 · Cited by 4,741
Löwe, B., Decker, O., Müller, S., Brähler, E., Schellberg, D., Herzog, W., & Herzberg, P. Y. (2008) · Medical Care · doi:10.1097/mlr.0b013e318160d093 · Cited by 4,527
Moher, D. (2001) · JAMA · doi:10.1001/jama.285.15.1987 · Cited by 2,545
Psychometric properties of the credibility/expectancy questionnaire
Devilly, G. J., & Borkovec, T. D. (2000) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/s0005-7916(00)00012-4 · Cited by 2,295
Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis
SPEK, V., CUIJPERS, P., NYKLÍČEK, I., RIPER, H., KEYZER, J., & POP, V. (2007) · Psychological Medicine · doi:10.1017/s0033291706008944 · Cited by 1,586
Toward a unified treatment for emotional disorders
Barlow, D. H., Allen, L. B., & Choate, M. L. (2004) · Behavior Therapy · doi:10.1016/s0005-7894(04)80036-4 · Cited by 1,430
Internet-Based and Other Computerized Psychological Treatments for Adult Depression: A Meta-Analysis
Andersson, G., & Cuijpers, P. (2009) · Cognitive Behaviour Therapy · doi:10.1080/16506070903318960 · Cited by 1,368
Sheehan, D. V. (1984) · Medical Entomology and Zoology · Cited by 883
A Meta-Analytic Review of Adult Cognitive-Behavioral Treatment Outcome Across the Anxiety Disorders
Norton, P. J., & Price, E. C. (2007) · Journal of Nervous & Mental Disease · doi:10.1097/01.nmd.0000253843.70149.9a · Cited by 612
Improving access to psychological therapy: initial evaluation of two UK demonstration sites
Clark, D. M., Layard, R., Smithies, R., Richards, D. A., Suckling, R., & Wright, B. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.07.010 · Cited by 599
Internet-based self-help for depression: randomised controlled trial
Andersson, G., Bergström, J., Holländare, F., Carlbring, P., Kaldo, V., & Ekselius, L. (2005) · British Journal of Psychiatry · doi:10.1192/bjp.187.5.456 · Cited by 529
Ruminative thought style and depressed mood
Brinker, J. K., & Dozois, D. J. A. (2009) · Journal of Clinical Psychology · doi:10.1002/jclp.20542 · Cited by 435
Computer‐Aided Psychotherapy for Anxiety Disorders: A Meta‐Analytic Review
Cuijpers, P., Marks, I. M., van Straten, A., Cavanagh, K., Gega, L., & Andersson, G. (2009) · Cognitive Behaviour Therapy · doi:10.1080/16506070802694776 · Cited by 429
Titov, N., Andrews, G., Davies, M., McIntyre, K., Robinson, E., & Solley, K. (2010) · PLoS ONE · doi:10.1371/journal.pone.0010939 · Cited by 406
Self-citationReliability of the self-report version of the panic disorder severity scale
Houck, P. R., Spiegel, D. A., Shear, M. K., & Rucci, P. (2002) · Depression and Anxiety · doi:10.1002/da.10049 · Cited by 406
Vickers, A. J. (2005) · BMC Medical Research Methodology · doi:10.1186/1471-2288-5-35 · Cited by 400
Andersson, G., Carlbring, P., Holmström, A., Sparthan, E., Furmark, T., Nilsson-Ihrfelt, E., Buhrman, M., & Ekselius, L. (2006) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.74.4.677 · Cited by 382
Treatment of panic disorder: live therapy vs. self-help via the Internet
Carlbring, P., Nilsson-Ihrfelt, E., Waara, J., Kollenstam, C., Buhrman, M., Kaldo, V., Söderberg, M., Ekselius, L., & Andersson, G. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2004.10.002 · Cited by 372 · cited 1×
“, 2010), panic disorder (Carlbring et al., 2005; Kiropoulos et al., 2008; Klein, Richards, & Austin, 2006; Shandley et al., 2008; Wims, Titov, Andrews, & Choi, 2010), generalized anxiety disorder (Robinson et al.”
Social phobia in the general population: prevalence and sociodemographic profile
Furmark, T., Tillfors, M., Everz, P.-O., Marteinsdóttir, Í., Gefvert, O., & Fredrikson, M. (1999) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s001270050163 · Cited by 358
McEvoy, P. M., Nathan, P., & Norton, P. J. (2009) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.23.1.20 · Cited by 346
Carlbring, P., Brunt, S., Bohman, S., Austin, D., Richards, J., Öst, L.-G., & Andersson, G. (2007) · Computers in Human Behavior · doi:10.1016/j.chb.2005.05.002 · Cited by 319
Carlbring, P., Gunnarsdóttir, M., Hedensjö, L., Andersson, G., Ekselius, L., & Furmark, T. (2007) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.105.020107 · Cited by 299
Is internet-based CBT for panic disorder and agoraphobia as effective as face-to-face CBT?
Kiropoulos, L. A., Klein, B., Austin, D. W., Gilson, K., Pier, C., Mitchell, J., & Ciechomski, L. (2008) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2008.01.008 · Cited by 290
Clinician-Assisted Internet-Based Treatment is Effective for Panic: A Randomized Controlled Trial
Wims, E., Titov, N., Andrews, G., & Choi, I. (2010) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048671003614171 · Cited by 290 · cited 1×
“, 2008), and panic disorder (Wims et al., 2010).”
Self-citationRobinson, E., Titov, N., Andrews, G., McIntyre, K., Schwencke, G., & Solley, K. (2010) · PLoS ONE · doi:10.1371/journal.pone.0010942 · Cited by 277
Self-citationEfficacy of internet therapy for panic disorder
Klein, B., Richards, J. C., & Austin, D. W. (2006) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2005.07.001 · Cited by 236
Clinician-Assisted Internet-Based Treatment is Effective for Depression: Randomized Controlled Trial
Perini, S., Titov, N., & Andrews, G. (2009) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670902873722 · Cited by 231
Self-citationVernmark, K., Lenndin, J., Bjärehed, J., Carlsson, M., Karlsson, J., Öberg, J., Carlbring, P., Eriksson, T., & Andersson, G. (2010) · Behaviour Research and Therapy · doi:10.1016/j.brat.2010.01.005 · Cited by 226
Titov, N., Andrews, G., Choi, I., Schwencke, G., & Mahoney, A. (2008) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670802512107 · Cited by 221
Self-citationAndrews, G., Slade, T. N., & Issakidis, C. (2002) · The British Journal of Psychiatry · doi:10.1192/bjp.181.4.306 · Cited by 212
Self-citationInternet-based treatment for social phobia: A randomized controlled trial
Berger, T., Hohl, E., & Caspar, F. (2009) · Journal of Clinical Psychology · doi:10.1002/jclp.20603 · Cited by 198
Ruwaard, J., Schrieken, B., Schrijver, M., Broeksteeg, J., Dekker, J., Vermeulen, H., & Lange, A. (2009) · Cognitive Behaviour Therapy · doi:10.1080/16506070802408086 · Cited by 183
Shyness 1: Distance Treatment of Social Phobia Over the Internet
Titov, N., Andrews, G., Schwencke, G., Drobny, J., & Einstein, D. (2008) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670802119762 · Cited by 180
Self-citationThe Treatment of Anxiety Disorders: Clinician's Guide and Patient Manuals
Andrews, G., Creamer, M. C., Crino, R. D., Hunt, C. J., Lampe, L. A., & Page, A. C. (1994) · UWA Profiles and Research Repository (University of Western Australia) · Cited by 157
Self-citationImproving access to psychological therapies: Phase IV prospective cohort study
Richards, D. A., & Suckling, R. (2009) · British Journal of Clinical Psychology · doi:10.1348/014466509x405178 · Cited by 154
Titov, N., Andrews, G., Robinson, E., Schwencke, G., Johnston, L., Solley, K., & Choi, I. (2009) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670903179269 · Cited by 147
Self-citationCognitive behavioral therapy for panic disorder and comorbidity: More of the same or less of more?
Craske, M. G., Farchione, T. J., Allen, L. B., Barrios, V., Stoyanova, M., & Rose, R. (2007) · Behaviour Research and Therapy · doi:10.1016/j.brat.2006.09.006 · Cited by 140
Shyness 2: Treating Social Phobia Online: Replication and Extension
Titov, N., Andrews, G., & Schwencke, G. (2008) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670802119820 · Cited by 133
Self-citationComputer-Aided Psychological Treatments: Evolving Issues
Marks, I., & Cavanagh, K. (2009) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.032408.153538 · Cited by 133
Randomized Controlled Trial of Web-Based Treatment of Social Phobia Without Clinician Guidance
Titov, N., Andrews, G., Choi, I., Schwencke, G., & Johnston, L. (2009) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670903179160 · Cited by 122
Self-citationStatus of computerized cognitive behavioural therapy for adults
Titov, N. (2007) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670601109873 · Cited by 120 · cited 3×
“Titov et al. / Behaviour Research and Therapy 48 (2010) 890e899 891”
BackgroundInfluentialSelf-citationTitov, N., Andrews, G., Schwencke, G., Solley, K., Johnston, L., & Robinson, E. (2009) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670903179228 · Cited by 112
Self-citationVickers, A. J. (2005) · Psychosomatic Medicine · doi:10.1097/01.psy.0000172624.52957.a8 · Cited by 99
A Cognitive-Behavioral Group for Patients With Various Anxiety Disorders
Erickson, D. H., Janeck, A. S., & Tallman, K. (2007) · Psychiatric Services · doi:10.1176/ps.2007.58.9.1205 · Cited by 88
Shandley, K., Austin, D. W., Klein, B., Pier, C., Schattner, P., Pierce, D., & Wade, V. (2008) · Journal of Medical Internet Research · doi:10.2196/jmir.1033 · Cited by 84
Computer-administered interviews and rating scales.
Garb, H. N. (2007) · Psychological Assessment · doi:10.1037/1040-3590.19.1.4 · Cited by 77
Personality traits of patients with mood and anxiety disorders
Cuijpers, P., van Straten, A., & Donker, M. H. (2005) · Psychiatry Research · doi:10.1016/j.psychres.2004.10.006 · Cited by 75
Spinhoven, P., de Rooij, M., Heiser, W. J., Smit, J. H., & Penninx, B. W. J. H. (2009) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2009.05.002 · Cited by 45
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Advantages and limitations of Internet-based interventions for common mental disorders
Andersson, G., & Titov, N. (2014) · World Psychiatry · doi:10.1002/wps.20083 · Cited by 1,160
Self-citationKatzman, M. A., Bleau, P., Blier, P., Chokka, P., Kjernisted, K., Van Ameringen, M., & the Canadian Anxiety Guidelines Initiative Group on behalf of the Anxiety Disorders Association of Canada/Association Canadienne des troubles anxieux and McGill University (2014) · BMC Psychiatry · doi:10.1186/1471-244x-14-s1-s1 · Cited by 1,090
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Metadata
- Authors
- Titov, N., Andrews, G., Johnston, L., Robinson, E., & Spence, J.
- Affiliations
- UNSW Sydney (AU)
- St Vincent's Hospital Sydney (AU)
- Corresponding author
- Titov, Nickolai
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2010-09
- Volume
- 48
- Issue
- 9
- Pages
- 890-899
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W1993968385
- Cited by
- 196
- References
- 58
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 6 · 2023: 15 · 2022: 4 · 2021: 12 · 2020: 12 · 2019: 11 · 2018: 8 · 2017: 11 · 2016: 21 · 2015: 14 · 2014: 28 · 2013: 19 · 2012: 16
- FWCI
- 21.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- New South Wales Institute of Psychiatry
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- transdiagnostic treatment, internet-based cognitive behavioral therapy, anxiety disorders, generalized anxiety disorder, panic disorder, social anxiety disorder, treatment acceptability, symptom relief
- MeSH terms
- Adolescent, Adult, Aged, Analysis of Variance, Anxiety Disorders, Computer-Assisted Instruction, Female, Health Services Accessibility, Humans, Male, Middle Aged, Phobic Disorders, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Panic Disorder, Treatment Outcome, Telemedicine, Internet, Young Adult
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