Cited by 189Digital Mental Health InterventionsPosttraumatic Stress Disorder ResearchAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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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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Amstadter, Ananda B., Broman-Fulks, Joshua, Zinzow, Heidi, Ruggiero, Kenneth J., Cercone, Jen·2009·Clinical Psychology Review

DOI 10.1016/j.cpr.2009.04.001PMC PMC2704915

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Abstract

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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Self-citation

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.
ORCID: Amstadter, Ananda B.
Zinzow, Heidi
Ruggiero, Kenneth J.
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2009-07
Volume: 29
Issue: 5
Pages: 410-420
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2009.04.001
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
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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Internet-based interventions for traumatic stress-related mental health problems: A review and suggestion for future research

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