The DOI matches its Crossref record; 52 of the 55 references it cites were found in a registry or an index.
Cost-effectiveness of Internet-based cognitive behavior therapy vs. cognitive behavioral group therapy for social anxiety disorder: Results from a randomized controlled trial
Abstract
Social anxiety disorder (SAD) is highly prevalent and associated with a substantial societal economic burden, primarily due to high costs of productivity loss. Cognitive behavior group therapy (CBGT) is an effective treatment for SAD and the most established in clinical practice. Internet-based cognitive behavior therapy (ICBT) has demonstrated efficacy in several trials in recent years. No study has however investigated the cost-effectiveness of ICBT compared to CBGT from a societal perspective, i.e. an analysis where both direct and indirect costs are included. The aim of the present study was to investigate the cost-effectiveness of ICBT compared to CBGT from a societal perspective using a prospective design. We conducted a randomized controlled trial where participants with SAD were randomized to ICBT (n=64) or CBGT (n=62). Economic data were assessed at pre-treatment, immediately following treatment and six months after treatment. Results showed that the gross total costs were significantly reduced at six-month follow-up, compared to pre-treatment in both treatment conditions. As both treatments were equivalent in reducing social anxiety and gross total costs, ICBT was more cost-effective due to lower intervention costs. We conclude that ICBT can be more cost-effective than CBGT in the treatment of SAD and that both treatments reduce societal costs for SAD.
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“Previous effective CBT interventions for health anxiety have been approximately 12 modules [24,25].”
From A Cognitive Behavioral Therapy Chatbot (Otis) for Health Anxiety Management: Mixed Methods Pilot Study (2022) · cites this paper as [25]
In the citing paper
“Psychological therapies have been consistently shown as effective in helping individuals of all ages to deal with distress”
From A review of cyberbullying and suggestions for online psychological therapy (2015) · cites this paper as Hedman et al., 2011
In the citing paper
“in recent years, internet-based psychological treatment is gaining momentum and showing positive affects for a range of clinical populations (e.g., Hedman et al., 2011;Vernmark et al., 2010)”
From A review of cyberbullying and suggestions for online psychological therapy (2015) · cites this paper as Hedman et al., 2011
In the citing paper
“numerous studies have found ICBT to be cost-effective and to be a real means of promoting access to psychological therapies for the general public (Carlbring and Andersson, 2006;Hedman et al., 2011)”
From A review of cyberbullying and suggestions for online psychological therapy (2015) · cites this paper as Hedman et al., 2011
In the citing paper
“Previous research has indicated that Internet-based therapy for social phobia might be cost-effective relative to face-to-face therapy [35,36].”
From Short-term effectiveness of web-based guided self-help for phobic outpatients: randomized controlled trial. (2014) · cites this paper as [35]
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Self-citation
Metadata
- Authors
- Hedman, E., Andersson, E., Ljótsson, B., Andersson, G., Rück, C., & Lindefors, N.
- Affiliations
- Karolinska Institutet (SE)
- Linköping University (SE)
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2011-11
- Volume
- 49
- Issue
- 11
- Pages
- 729-736
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2047366764
- Cited by
- 183
- References
- 55
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 8 · 2023: 10 · 2022: 13 · 2021: 17 · 2020: 8 · 2019: 9 · 2018: 12 · 2017: 12 · 2016: 15 · 2015: 17 · 2014: 24 · 2013: 19 · 2012: 8
- FWCI
- 22.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Stockholms Läns Landsting
- 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 › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- social anxiety disorder, internet-based cognitive behavioral therapy, cost-effectiveness, social costs, productivity loss, economic burden, treatment costs
- MeSH terms
- Adolescent, Adult, Anxiety Disorders, Cost-Benefit Analysis, Female, Humans, Male, Middle Aged, Patient Compliance, Psychotherapy, Group, Quality of Life, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Health Care Costs, Internet, Patient Preference
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