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Internet-based interventions for traumatic stress-related mental health problems: A review and suggestion for future research
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Exposure to potentially traumatic events is a common occurrence. Most individuals exposed to such an event are resilient or recover rapidly, although some individuals develop psychological problems that warrant treatment. However, a small percentage of individuals seek traditional treatment, thereby calling for novel approaches or methodologies of treatment. The present paper provides a comprehensive and critical review of the extant literature on computerized and internet-based interventions (IBIs) for traumatic stress-related conditions (i.e., panic disorder, posttraumatic stress disorder/complicated grief, depression, comorbid anxiety and depression, alcohol abuse, smoking cessation). Generally, computerized or IBIs for depression and anxiety are yielding effect sizes that are comparable to traditional psychosocial treatment. Interventions aimed at alcohol and smoking cessation generally have lower effect sizes than do IBIs for anxiety and depression. Most interventions reviewed in this paper included common components (e.g., were developed through a cognitive behavioral framework and included psychoeducation, cognitive restructuring, goal setting, exposure). Therefore, it is possible that these shared features may in part account for symptom reduction. Little is known regarding mechanisms of change. Future directions for novel web-based approaches to treatment are provided.
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“An online self-help prevention program is cost-effective, anonymous, and can be tailored to the needs of different groups in various formats (written, video, audio), so it would be convenient for participants and may increase their engagement (Amstadter, Broman-Fulks, Zinzow, Ruggiero, & Cercone, 2009;Levin, Hayes, Pistorello, & Seeley, 2016).”
From Online Self-Help Acceptance and Commitment Therapy Module for College Students with Higher Gaming Disorder During COVID-19: A Pilot Study (2023) · cites this paper as Amstadter, Broman-Fulks, Zinzow, Ruggiero, & Cercone, 2009
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“Recent reviews have shown that e-therapies are both effective [1-3] and growing in popularity.”
From A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies (2011) · cites this paper as [2]
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Grubaugh, A. L., Gros, K. S., Davidson, T. M., Frueh, B. C., & Ruggiero, K. J. (2014) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/a0035772 · Cited by 13
Self-citationBrown, M., Hooper, N., James, P., Scott, D., Bodger, O. G., & John, A. M. (2020) · JMIR Formative Research · doi:10.2196/18586 · Cited by 12
Yuen, E. K., Gros, K., Welsh, K. E., McCauley, J. L., Resnick, H. S., Danielson, C., Price, M. S., & Ruggiero, K. (2015) · Health Informatics Journal · doi:10.1177/1460458215579292 · Cited by 15
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Metadata
- Authors
- Amstadter, A. B., Broman-Fulks, J., Zinzow, H., Ruggiero, K. J., & Cercone, J.
- Affiliations
- Medical University of South Carolina (US)
- Charlie Norwood VA Medical Center (US)
- Corresponding author
- Amstadter, Ananda B.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2009-07
- Volume
- 29
- Issue
- 5
- Pages
- 410-420
- ISSN
- 0272-7358 (ISSN-L)
- PMC
- PMC2704915
- OpenAlex
- W2138142806
- Cited by
- 189
- References
- 67
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 4 · 2023: 4 · 2022: 8 · 2021: 7 · 2020: 12 · 2019: 7 · 2018: 14 · 2017: 18 · 2016: 19 · 2015: 17 · 2014: 13 · 2013: 18 · 2012: 14
- FWCI
- 1.67
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Figshare (submittedVersion)
- Appalachian State University
- Funders
- National Institute of Mental Health (MH081056, P60MH082598, MH082598, MH77149, MH 083469, F32MH083469, R01MH081056, R34MH077149)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- online intervention, computer-based intervention, traumatic stress, post-traumatic stress disorder, complicated grief, panic disorder, depression, anxiety, alcohol abuse, smoking cessation, cognitive behavioral therapy, psychoeducation, cognitive restructuring, exposure therapy, mechanisms of change, effect size
- MeSH terms
- Mental Disorders, Humans, Psychotherapy, Stress, Psychological, Internet
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