Experiences of undergoing Internet-based cognitive behavior therapy for procrastination: A qualitative study
Open accessAbstract
Internet interventions constitute a promising and cost-effective treatment alternative for a wide range of psychiatric disorders and somatic conditions. Several clinical trials have provided evidence for its efficacy and effectiveness, and recent research also indicate that it can be helpful in the treatment of conditions that are debilitating, but do not necessarily warrant more immediate care, for instance, procrastination, a self-regulatory failure that is associated with decreased well-being and mental health . However, providing treatment interventions for procrastination via the Internet is a novel approach, making it unclear how the participants themselves perceive their experiences. The current study thus investigated participants' own apprehension of undergoing Internet-based cognitive behavior therapy for procrastination by distributing open-ended questions at the post-treatment assessment, for instance, “What did you think about the readability of the texts”, “How valuable do you believe that this treatment has been for you?”, and “The thing that I am most displeased with (and how it could be improved) is …”. In total, 75 participants (50%) responded, and the material was examined using thematic analysis. The results indicate that there exist both positive and negative aspects of the treatment program. Many participants increased their self-efficacy and were able to gain momentum on many tasks and assignments that had been deferred in their everyday life. Meanwhile…
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Such differences were previously observed in a transdiagnostic intervention, as all participants received the same program.
“Such differences were previously observed in a transdiagnostic intervention, as all participants received the same program (Rozental et al., 2015).”
From ICBT program for improving informal caregiver well-being: A qualitative study (2021) · cites this paper as Rozental et al., 2015
Cites
Using thematic analysis in psychology
Braun, V., & Clarke, V. (2006) · Qualitative Research in Psychology · doi:10.1191/1478088706qp063oa · Cited by 194,414 · see citing works
Constructing validity: Basic issues in objective scale development.
Clark, L. A., & Watson, D. (1995) · Psychological Assessment · doi:10.1037/1040-3590.7.3.309 · Cited by 6,567 · see citing works
Steel, P. (2007) · Psychological bulletin · doi:10.1037/0033-2909.133.1.65 · Cited by 3,417 · see citing works
Krosnick, J. A. (1999) · Annual Review of Psychology · doi:10.1146/annurev.psych.50.1.537 · Cited by 1,852 · see citing works
Andersson, G., Cuijpers, P., Carlbring, P., Riper, H., & Hedman, E. (2014) · World Psychiatry · doi:10.1002/wps.20151 · Cited by 1,077 · see citing works
Self-citationTice, D. M., & Baumeister, R. F. (1997) · Psychological Science · doi:10.1111/j.1467-9280.1997.tb00460.x · Cited by 888 · see citing works
Efficacy-Performance Spirals: A Multilevel Perspective
Lindsley, D. H., Brass, D. J., & Thomas, J. B. (1995) · Academy of Management Review · doi:10.5465/amr.1995.9508080333 · Cited by 827 · see citing works
Procrastination and the Priority of Short-Term Mood Regulation: Consequences for Future Self
Sirois, F., & Pychyl, T. (2013) · Social and Personality Psychology Compass · doi:10.1111/spc3.12011 · Cited by 696 · see citing works
On the Pragmatics of Qualitative Assessment
Schilling, J. (2006) · European Journal of Psychological Assessment · doi:10.1027/1015-5759.22.1.28 · Cited by 518 · see citing works
Procrastination: When Good Things Don’t Come to Those Who Wait
Klingsieck, K. B. (2013) · European Psychologist · doi:10.1027/1016-9040/a000138 · Cited by 483 · see citing works
Therapist-supported Internet cognitive behavioural therapy for anxiety disorders in adults
Olthuis, J. V., Watt, M. C., Bailey, K., Hayden, J. A., & Stewart, S. H. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011565.pub2 · Cited by 390 · see citing works
Consensus statement on defining and measuring negative effects of internet interventions
Rozental, A., Andersson, G., Boettcher, J., Ebert, D. D., Cuijpers, P., Knaevelsrud, C., Ljótsson, B., Kaldo, V., Titov, N., & Carlbring, P. (2014) · Internet Interventions · doi:10.1016/j.invent.2014.02.001 · Cited by 371 · see citing works
Self-citationArnberg, F. K., Linton, S. J., Hultcrantz, M., Heintz, E., & Jonsson, U. (2014) · PLoS ONE · doi:10.1371/journal.pone.0098118 · Cited by 330 · see citing works
“I’ll go to therapy, eventually”: Procrastination, stress and mental health
Stead, R., Shanahan, M. J., & Neufeld, R. W. J. (2010) · Personality and Individual Differences · doi:10.1016/j.paid.2010.03.028 · Cited by 316 · see citing works
Palmqvist, B., Carlbring, P., & Andersson, G. (2007) · Expert Review of Pharmacoeconomics & Outcomes Research · doi:10.1586/14737167.7.3.291 · Cited by 290 · see citing works
Self-citationLy, K. H., Trüschel, A., Jarl, L., Magnusson, S., Windahl, T., Johansson, R., Carlbring, P., & Andersson, G. (2014) · BMJ Open · doi:10.1136/bmjopen-2013-003440 · Cited by 269 · see citing works
Self-citationCarlbring, P., Bohman, S., Brunt, S., Buhrman, M., Westling, B. E., Ekselius, L., & Andersson, G. (2006) · American Journal of Psychiatry · doi:10.1176/ajp.2006.163.12.2119 · Cited by 262 · see citing works
Self-citationHesser, H., Gustafsson, T., Lundén, C., Henrikson, O., Fattahi, K., Johnsson, E., Westin, V. Z., Carlbring, P., Mäki-Torkko, E., Kaldo, V., et al. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0027021 · Cited by 257 · see citing works
Self-citationUnderstanding and Treating Procrastination: A Review of a Common Self-Regulatory Failure
Rozental, A., & Carlbring, P. (2014) · Psychology · doi:10.4236/psych.2014.513160 · Cited by 251 · see citing works
Self-citationWhat Makes Internet Therapy Work?
Andersson, G., Carlbring, P., Berger, T., Almlöv, J., & Cuijpers, P. (2009) · Cognitive Behaviour Therapy · doi:10.1080/16506070902916400 · Cited by 234 · see citing works
Self-citationSirois, F. M. (2007) · Personality and Individual Differences · doi:10.1016/j.paid.2006.11.003 · Cited by 230 · see citing works
Ljótsson, B., Hedman, E., Andersson, E., Hesser, H., Lindfors, P., Hursti, T., Rydh, S., Rück, C., Lindefors, N., & Andersson, G. (2011) · American Journal of Gastroenterology · doi:10.1038/ajg.2011.139 · Cited by 218 · see citing works
Sirois, F. M. (2003) · Personality and Individual Differences · doi:10.1016/j.paid.2003.08.005 · Cited by 215 · see citing works
Donkin, L., & Glozier, N. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.2100 · Cited by 212 · see citing works
Rozental, A., Boettcher, J., Andersson, G., Schmidt, B., & Carlbring, P. (2015) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2015.1008033 · Cited by 189 · see citing works
Self-citationBendelin, N., Hesser, H., Dahl, J., Carlbring, P., Nelson, K. Z., & Andersson, G. (2011) · BMC Psychiatry · doi:10.1186/1471-244x-11-107 · Cited by 173 · see citing works
Self-citationBeattie, A., Shaw, A., Kaur, S., & Kessler, D. (2009) · Health Expectations · doi:10.1111/j.1369-7625.2008.00531.x · Cited by 170 · see citing works
Paxling, B., Lundgren, S., Norman, A., Almlöv, J., Carlbring, P., Cuijpers, P., & Andersson, G. (2013) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465812000240 · Cited by 162 · see citing works
Self-citationTherapist-supported Internet cognitive behavioural therapy for anxiety disorders in adults
Olthuis, J. V., Watt, M. C., Bailey, K., Hayden, J. A., & Stewart, S. H. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011565 · Cited by 150 · see citing works
Gerhards, S. A. H., Abma, T. A., Arntz, A., de Graaf, L. E., Evers, S. M. A. A., Huibers, M. J. H., & Widdershoven, G. A. M. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.09.012 · Cited by 141 · see citing works
Ly, K. H., Asplund, K., & Andersson, G. (2014) · Internet Interventions · doi:10.1016/j.invent.2014.06.003 · Cited by 133 · see citing works
Dagöö, J., Asplund, R. P., Bsenko, H. A., Hjerling, S., Holmberg, A., Westh, S., Öberg, L., Ljótsson, B., Carlbring, P., Furmark, T., et al. (2014) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2014.02.003 · Cited by 121 · see citing works
Self-citationGuided internet-based CBT for common mental disorders
Andersson, G., Carlbring, P., Ljótsson, B., & Hedman, E. (2013) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-013-9237-9 · Cited by 119 · see citing works
Self-citationThe Internet and CBT: A Clinical Guide
Andersson, G. (2014) · Cited by 110 · see citing works
Internet-based cognitive—behavior therapy for procrastination: A randomized controlled trial.
Rozental, A., Forsell, E., Svensson, A., Andersson, G., & Carlbring, P. (2015) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000023 · Cited by 103 · see citing works
Self-citationKivi, M., Eriksson, M. C. M., Hange, D., Petersson, E.-L., Vernmark, K., Johansson, B., & Björkelund, C. (2014) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2014.921834 · Cited by 92 · see citing works
Web-based measurement: Effect of completing single or multiple items per webpage
Thorndike, F. P., Carlbring, P., Smyth, F. L., Magee, J. C., Gonder-Frederick, L., Ost, L.-G., & Ritterband, L. M. (2009) · Computers in Human Behavior · doi:10.1016/j.chb.2008.05.006 · Cited by 83 · see citing works
Self-citationTonkin-Crine, S. K., Bishop, F. L., Ellis, M., Moss-Morris, R. E., & Everitt, H. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2672 · Cited by 83 · see citing works
Ly, K. H., Janni, E., Wrede, R., Sedem, M., Donker, T., Carlbring, P., & Andersson, G. (2015) · Internet Interventions · doi:10.1016/j.invent.2014.12.002 · Cited by 78 · see citing works
Self-citationRozental, A., Forsell, E., Svensson, A., Forsström, D., Andersson, G., & Carlbring, P. (2014) · BMC Psychology · doi:10.1186/s40359-014-0054-z · Cited by 75 · see citing works
Self-citationInternet-Based Interventions for Social Anxiety Disorder - an Overview
Boettcher, J., Carlbring, P., Renneberg, B., & Berger, T. (2013) · Verhaltenstherapie · doi:10.1159/000354747 · Cited by 67 · see citing works
Self-citationO'Mahen, H. A., Grieve, H., Jones, J., McGinley, J., Woodford, J., & Wilkinson, E. L. (2015) · Internet Interventions · doi:10.1016/j.invent.2014.11.003 · Cited by 53 · see citing works
Svartvatten, N., Segerlund, M., Dennhag, I., Andersson, G., & Carlbring, P. (2015) · Internet Interventions · doi:10.1016/j.invent.2015.02.004 · Cited by 51 · see citing works
Self-citationMartinez, R., Whitfield, G., Dafters, R., & Williams, C. J. (2007) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465807004067 · Cited by 48 · see citing works
Rozental, A., & Carlbring, P. (2013) · JMIR Research Protocols · doi:10.2196/resprot.2801 · Cited by 47 · see citing works
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Adab, P., Pallan, M. J., Cade, J. E., Ekelund, U., Barrett, T. G., Daley, A., Deeks, J. J., Duda, J. L., Gill, P. S., Parry, J. M., et al. (2014) · BMJ Open · doi:10.1136/bmjopen-2013-004579 · Cited by 47 · see citing works
Halmetoja, C. O., Malmquist, A., Carlbring, P., & Andersson, G. (2014) · Internet Interventions · doi:10.1016/j.invent.2014.08.001 · Cited by 46 · see citing works
Self-citationAndersson, G., Cuijpers, P. J., Carlbring, P., Riper, H. M., & Hedman‐Lagerlöf, E. (2014) · Cited by 46 · see citing works
Self-citationKleiboer, A., Sorbi, M., van Silfhout, M., Kooistra, L., & Passchier, J. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.07.009 · Cited by 37 · see citing works
An online self-administered social skills training for young adults: Results from a pilot study
Lehenbauer, M., Kothgassner, O. D., Kryspin-Exner, I., & Stetina, B. U. (2013) · Computers & Education · doi:10.1016/j.compedu.2012.09.007 · Cited by 26 · see citing works
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1 of the 52 references couldn’t be matched to a known paper.
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Academic procrastination and academic performance: An initial basis for intervention
Goroshit, M. (2018) · Journal of Prevention & Intervention in the Community · doi:10.1080/10852352.2016.1198157 · Cited by 122 · see citing works
Gustavson, D. E., & Miyake, A. (2017) · Learning and Individual Differences · doi:10.1016/j.lindif.2017.01.010 · Cited by 118 · see citing works
Targeting Procrastination Using Psychological Treatments: A Systematic Review and Meta-Analysis
Rozental, A., Bennett, S., Forsström, D., Ebert, D. D., Shafran, R., Andersson, G., & Carlbring, P. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.01588 · Cited by 70 · see citing works
Self-citationFleischmann, R. J., Harrer, M., Zarski, A.-C., Baumeister, H., Lehr, D., & Ebert, D. D. (2018) · Internet Interventions · doi:10.1016/j.invent.2017.12.001 · Cited by 47 · see citing works
Rozental, A., Forsström, D., Lindner, P., Nilsson, S., Mårtensson, L., Rizzo, A., Andersson, G., & Carlbring, P. (2018) · Behavior Therapy · doi:10.1016/j.beth.2017.08.002 · Cited by 47 · see citing works
Self-citationLindegaard, T., Kashoush, F., Holm, S., Halaj, A., Berg, M., & Andersson, G. (2021) · BMC Psychiatry · doi:10.1186/s12888-021-03297-w · Cited by 44 · see citing works
Lenhard, F., Vigerland, S., Engberg, H., Hallberg, A., Thermaenius, H., & Serlachius, E. (2016) · PLOS ONE · doi:10.1371/journal.pone.0164311 · Cited by 37 · see citing works
Turner, M., & Hodis, F. A. (2023) · Educational Psychology Review · doi:10.1007/s10648-023-09838-x · Cited by 44 · see citing works
ICBT program for improving informal caregiver well-being: A qualitative study
Biliunaite, I., Dumarkaite, A., Kazlauskas, E., Sanderman, R., & Andersson, G. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100361 · Cited by 22 · see citing works
Rozental, A., Kothari, R., Wade, T., Egan, S., Andersson, G., Carlbring, P., & Shafran, R. (2020) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465820000090 · Cited by 22 · see citing works
Self-citationLindqvist, K., Mechler, J., Midgley, N., Carlbring, P., Carstorp, K., Neikter, H. K., Strid, F., von Below, C., & Philips, B. (2022) · Psychotherapy Research · doi:10.1080/10503307.2022.2150583 · Cited by 22 · see citing works
Self-citationMutter, A., Küchler, A., Idrees, A. R., Kählke, F., Terhorst, Y., & Baumeister, H. (2023) · BMC Psychology · doi:10.1186/s40359-023-01312-1 · Cited by 22 · see citing works
Asplund, R. P., Jäderlind, A., Björk, I. H., Ljótsson, B., Carlbring, P., & Andersson, G. (2019) · Internet Interventions · doi:10.1016/j.invent.2019.100282 · Cited by 20 · see citing works
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Vervaeke, J., LOOY, J. V., Hoorelbeke, K., Baeken, C., & Koster, E. H. W. (2018) · JMIR Serious Games · doi:10.2196/games.8609 · Cited by 20 · see citing works
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Hensley, L. C., & Munn, K. J. (2020) · Journal of Further and Higher Education · doi:10.1080/0309877x.2019.1702154 · Cited by 19 · see citing works
Bragesjö, M., Arnberg, F. K., Jelbring, A., Nolkrantz, J., Särnholm, J., Lauri, K. O., von Below, C., & Andersson, E. (2021) · European Journal of Psychotraumatology · doi:10.1080/20008198.2021.1885193 · Cited by 17 · see citing works
Rozental, A., Forsell, E., Svensson, A., Andersson, G., & Carlbring, P. (2016) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2016.1236287 · Cited by 17 · see citing works
Self-citationWesterberg, B., Bäärnhielm, S., Giles, C. J., Hylén, U., Holländare, F., & Bejerot, S. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.789663 · Cited by 16 · see citing works
Bolt, G. L., Piercy, H., Barnett, A., & Manning, V. (2022) · Addictive Behaviors Reports · doi:10.1016/j.abrep.2022.100471 · Cited by 14 · see citing works
Internet-based self-help intervention for procrastination: randomized control group trial protocol
Ying, Z., & Wang, J. (2023) · Trials · doi:10.1186/s13063-023-07112-7 · Cited by 12 · see citing works
Furlán, L. A., & Cristofolini, T. (2022) · Springer eBooks · doi:10.1007/978-3-031-12737-3_9 · Cited by 16 · see citing works
Åsberg, K., Löf, M., & Bendtsen, M. (2024) · Internet Interventions · doi:10.1016/j.invent.2024.100741 · Cited by 13 · see citing works
O’Brien, A., Anderson, R., Mazzucchelli, T. G., Ure, S., & Egan, S. J. (2024) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-024-01654-8 · Cited by 11 · see citing works
Muhammed-Shittu, A.-R. B. (2019) · The Hungarian Educational Research Journal · doi:10.1556/063.9.2019.4.55 · Cited by 10 · see citing works
Role Playing in an Effort to Reduce Academic Procrastination for College Students
Maharani, R., Neviyarni, S., & Effendi, H. (2020) · Psychocentrum Review · doi:10.26539/pcr.22386 · Cited by 7 · see citing works
Krath, J., Schmidt-Kraepelin, M., Schmähl, K., Schütz, C., Morschheuser, B., & Sunyaev, A. (2025) · Journal of Medical Internet Research · doi:10.2196/65214 · Cited by 7 · see citing works
Ciuca, A., Berger, T., & Miclea, M. (2017) · Pragmatic Case Studies in Psychotherapy · doi:10.14713/pcsp.v13i3.2011 · Cited by 6 · see citing works
Gieselmann, A., Podleschka, C., Rozental, A., & Pietrowsky, R. (2020) · Behavior Therapy · doi:10.1016/j.beth.2020.06.001 · Cited by 5 · see citing works
Self-citationDurgun, H., KALYONCUOĞLU, B., & Avcı, A. B. (2021) · İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi · doi:10.33715/inonusaglik.837511 · Cited by 4 · see citing works
Patient experiences of internet-based enhanced cognitive behavior therapy for eating disorders
Wiberg, A.-C., Ghaderi, A., Parling, T., Jansson, M., & Welch, E. (2025) · Internet Interventions · doi:10.1016/j.invent.2025.100801 · Cited by 2 · see citing works
Online-CBT for endometriosis: Exploring the acceptability and impact of the Ed.iTh program
Gross, C. H., Angenendt, J., Strobl, E., Schubert, K., & Weise, C. (2026) · Internet Interventions · doi:10.1016/j.invent.2026.100906 · Cited by 2 · see citing works
Care for the Caregiver : Internet intervention for informal caregivers in Lithuania
Biliūnaitė, I. (2022) · Linköping studies in behavioural science · doi:10.3384/9789179291877 · Cited by 1 · see citing works
Eicher, S., Heinrich, M., Zagorscak, P., Brose, A., & Knaevelsrud, C. (2025) · Internet Interventions · doi:10.1016/j.invent.2025.100818 · Cited by 1 · see citing works
Renjana, A. (2019) · KnE Life Sciences · doi:10.18502/kls.v4i10.3761
Learning how to recover from stress-related disorders via internet-based interventions
Asplund, R. P. (2021) · Linköping studies in behavioural science · doi:10.3384/diss.diva-172685 · Cited by 1 · see citing works
Cheng, L., Liu, H., Liu, X., & Qin, H. (2025) · Research on Social Work Practice · doi:10.1177/10497315251318422
Aminoff, V., Baltius, M., Lundström, E., Berg, M., Andersson, G., & Ludvigsson, M. (2025) · JMIR Formative Research · doi:10.2196/66908
Lindegaard, T., Kashoush, F., Holm, S., Halaj, A., Berg, M., & Andersson, G. (2021) · Figshare · doi:10.6084/m9.figshare.14728316
Mutter, A., Küchler, A., Idrees, A. R., Kählke, F., Terhorst, Y., & Baumeister, H. (2024) · Figshare · doi:10.6084/m9.figshare.26616967
- Authors
- Rozental, A., Forsström, D., Tangen, J. A., & Carlbring, P.
- Affiliations
- Stockholm University (SE)
- Corresponding author
- Rozental, Alexander
- Venue
- Internet Interventions
- Publisher
- Elsevier BV
- Published
- 2015-09
- Volume
- 2
- Issue
- 3
- Pages
- 314-322
- ISSN
- 2214-7829 (ISSN-L)
- OpenAlex
- W255858487
- Cited by
- 39
- References
- 52
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 3 · 2023: 3 · 2022: 4 · 2021: 7 · 2020: 4 · 2019: 3 · 2018: 3 · 2017: 4 · 2016: 2
- FWCI
- 4.86
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Internet Interventions (publishedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Swedish Research Council (2011-38394-87877-7)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Perfectionism, Procrastination, Anxiety Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- procrastination, internet-based cognitive behavioral therapy, participant experiences, self-efficacy, medication adherence, motivation, readability, treatment modules, self-regulation
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