Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for social anxiety disorder and comorbid disorders: a randomized controlled trial

Dear, B.F.; Staples, L.G.; Terides, M.D.; Fogliati, V.J.; Sheehan, J.; Johnston, L.; Kayrouz, R.; Dear, R.; McEvoy, P.M.; Titov, N.

doi:10.1016/j.janxdis.2016.05.004

Cited by 115Digital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and Assessments

Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for social anxiety disorder and comorbid disorders: a randomized controlled trial

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Dear, B.F., Staples, L.G., Terides, M.D., Fogliati, V.J., Sheehan, J., Johnston, L., Kayrouz, R., Dear, R. +2 more·2016·Journal of Anxiety Disorders

DOI 10.1016/j.janxdis.2016.05.004

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Abstract

Disorder-specific (DS-CBT) and transdiagnostic (TD-CBT) cognitive behaviour therapy have both been used to treat social anxiety disorder (SAD). This study compared internet-delivered DS-CBT and TD-CBT for SAD across clinician-guided (CG-CBT) and self-guided (SG-CBT) formats. Participants with SAD (n = 233) were randomly allocated to receive internet-delivered TD-CBT or DS-CBT and CG-CBT or SG-CBT. Large reductions in symptoms of SAD (Cohen’s d ≥ 1.01; avg. reduction ≥ 30%) and moderate-to-large reductions in symptoms of comorbid depression (Cohen’s d ≥ 1.25; avg. reduction ≥ 39%), generalised anxiety disorder (Cohen’s d ≥ 0.86; avg. reduction ≥ 36%) and panic disorder (Cohen’s d ≥ 0.53; avg. reduction ≥ 25%) were found immediately post-treatment and were maintained or further improved to 24-month follow-up. No marked differences were observed between TD-CBT and DS-CBT or CG-CBT and SG-CBT highlighting the potential of each for the treatment of SAD and comorbid disorders.

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The Treatment Satisfaction Questionnaire has been used in numerous previous research trials examining the acceptability of other internet-delivered treatments.
“These questions have been used in numerous previous research trials examining the acceptability of other internet-delivered treatments (Dear et al., 2016).”
From An open trial of the feasibility of brief internet-delivered acceptance and commitment therapy (iACT) for chronic anxiety and depression (2023) · cites this paper as Dear et al., 2016
The PSP Wellbeing Course was adapted from the transdiagnostic ICBT program called the Wellbeing Course, which was developed for use in the general population by eCentre Clinic at Macquarie University, Australia.
“The PSP Wellbeing Course was adapted from a transdiagnostic ICBT program called the Wellbeing Course, which was developed for use in the general population by eCentre Clinic at Macquarie University, Australia [28-32].”
From Initial Outcomes of Transdiagnostic Internet-Delivered Cognitive Behavioral Therapy Tailored to Public Safety Personnel: Longitudinal Observational Study (2021) · cites this paper as [32]

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The search for universal transdiagnostic and trans-therapy change processes: Evidence for intolerance of uncertainty
McEvoy, P. M., & Erceg-Hurn, D. M. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.02.002 · Cited by 155 · see citing works
Self-citation
Internet-delivered cognitive behaviour therapy for chronic health conditions: A systematic review and meta-analysis
Mehta, S., Peynenburg, V. A., & Hadjistavropoulos, H. D. (2019) · Journal of Behavioral Medicine · doi:10.1007/s10865-018-9984-x · Cited by 153 · see citing works
From Research to Practice: Ten Lessons in Delivering Digital Mental Health Services
Titov, N., Hadjistavropoulos, H. D., Nielssen, O. B., Mohr, D. C., Andersson, G., & Dear, B. F. (2019) · Journal of Clinical Medicine · doi:10.3390/jcm8081239 · Cited by 117 · see citing works
Cognitive behavioral therapy, mindfulness-based cognitive therapy and acceptance commitment therapy for anxiety disorders: Integrating traditional with digital treatment approaches
Apolinário-Hagen, J., Drüge, M., & Fritsche, L. (2020) · Advances in Experimental Medicine and Biology · doi:10.1007/978-981-32-9705-0_17 · Cited by 100 · see citing works
Treating anxiety and depression in young adults: a randomised controlled trial comparing clinician-guided versus self-guided Internet-delivered cognitive behavioural therapy
Dear, B. F., Fogliati, V. J., Fogliati, R., Johnson, B., Boyle, O., Karin, E., Gandy, M., Kayrouz, R., Staples, L. G., & Titov, N. (2018) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867417738055 · Cited by 93 · see citing works
Internet-Based Cognitive Behavioral Therapy With Real-Time Therapist Support via Videoconference for Patients With Obsessive-Compulsive Disorder, Panic Disorder, and Social Anxiety Disorder: Pilot Single-Arm Trial
Matsumoto, K., Sutoh, C., Asano, K., Seki, Y., Urao, Y., Yokoo, M., Takanashi, R., Yoshida, T., Tanaka, M., Noguchi, R., et al. (2018) · Journal of Medical Internet Research · doi:10.2196/12091 · Cited by 83 · see citing works
A systematic review and meta-analysis of transdiagnostic cognitive behavioural therapies for emotional disorders
Schaeuffele, C., Meine, L. E., Schulz, A., Weber, M. C., Moser, A., Paersch, C., Recher, D., Boettcher, J., Renneberg, B., Flückiger, C., et al. (2024) · Nature Human Behaviour · doi:10.1038/s41562-023-01787-3 · Cited by 91 · see citing works
Disorder-specific versus transdiagnostic and clinician-guided versus self-guided internet-delivered treatment for panic disorder and comorbid disorders: a randomized controlled trial
Fogliati, V. J., Dear, B. F., Staples, L. G., Terides, M. D., Sheehan, J., Johnston, L., Kayrouz, R., Dear, R., McEvoy, P. M., & Titov, N. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.03.005 · Cited by 86 · see citing works
Internet-delivered cognitive behavioral therapies for late-life depressive symptoms: a systematic review and meta-analysis
Xiang, X., Wu, S., Zuverink, A., Tomasino, K. N., An, R., & Himle, J. A. (2019) · Aging & Mental Health · doi:10.1080/13607863.2019.1590309 · Cited by 76 · see citing works
Development and Pilot Evaluation of Smartphone-Delivered Cognitive Behavior Therapy Strategies for Mood- and Anxiety-Related Problems: MoodMission
Bakker, D., Kazantzis, N., Rickwood, D., & Rickard, N. S. (2018) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2018.07.002 · Cited by 65 · see citing works
Factors associated with treatment uptake, completion, and subsequent symptom improvement in a national digital mental health service
Cross, S. P., Karin, E., Staples, L. G., Bisby, M. A., Ryan, K., Duke, G., Nielssen, O., Kayrouz, R., Fisher, A., Dear, B. F., et al. (2022) · Internet Interventions · doi:10.1016/j.invent.2022.100506 · Cited by 57 · see citing works
Self-citation
Efficacy and cost-effectiveness of guided and unguided internet- and mobile-based indicated transdiagnostic prevention of depression and anxiety (ICare Prevent): a three-armed randomized controlled trial in four European countries.
Weisel, K. K., Zarski, A.-C., Berger, T., Krieger, T., Schaub, M. P., Moser, C. T., Berking, M., Dey, M., Botella, C., Baños, R., et al. (2019) · Internet Interventions · doi:10.1016/j.invent.2018.04.002 · Cited by 57 · see citing works
Man vs. machine: A meta-analysis on the added value of human support in text-based internet treatments (“e-therapy”) for mental disorders
Koelen, J. A., Vonk, A., Klein, A. M., de Koning, L., Vonk, P., Vet, S. D., & Wiers, R. W. H. J. (2022) · Clinical Psychology Review · doi:10.1016/j.cpr.2022.102179 · Cited by 56 · see citing works
Two Novel Cognitive Behavioral Therapy–Based Mobile Apps for Agoraphobia: Randomized Controlled Trial
Christoforou, M., Sáez Fonseca, J. A., & Tsakanikos, E. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7747 · Cited by 48 · see citing works
The effect of user interface on treatment engagement in a self-guided digital problem-solving intervention: A randomized controlled trial
Hentati, A., Forsell, E., Ljótsson, B., Kaldo, V., Lindefors, N., & Kraepelien, M. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100448 · Cited by 56 · see citing works
Acceptability of Digital Mental Health Interventions for Depression and Anxiety: Systematic Review
Lau, C. K. Y., Saad, A., Camara, B., Rahman, D., & Bolea-Alamanac, B. (2024) · Journal of Medical Internet Research · doi:10.2196/52609 · Cited by 51 · see citing works
Self-guided internet–delivered cognitive behavior therapy (ICBT) for obsessive-compulsive symptoms: A randomized controlled trial
Wootton, B. M., Karin, E., Titov, N., & Dear, B. F. (2019) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2019.102111 · Cited by 51 · see citing works
A Web- and Mobile App–Based Mental Health Promotion Intervention Comparing Email, Short Message Service, and Videoconferencing Support for a Healthy Cohort: Randomized Comparative Study
Renfrew, M. E., Morton, D. P., Morton, J. K., Hinze, J. S., Beamish, P., Przybylko, G., & Craig, B. A. (2020) · Journal of Medical Internet Research · doi:10.2196/15592 · Cited by 53 · see citing works
The efficacy of cognitive behavior therapy for the treatment of perinatal anxiety symptoms: A preliminary meta-analysis
Maguire, P. N., Clark, G. I., & Wootton, B. M. (2018) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2018.10.002 · Cited by 50 · see citing works
Preference trial of internet-delivered cognitive behaviour therapy comparing standard weekly versus optional weekly therapist support
Hadjistavropoulos, H. D., Schneider, L. H., Mehta, S., Karin, E., Dear, B. F., & Titov, N. (2019) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2019.02.002 · Cited by 46 · see citing works
Effectiveness and Cost-Effectiveness of a Self-Guided Internet Intervention for Social Anxiety Symptoms in a General Population Sample: Randomized Controlled Trial
Powell, J., Williams, V., Atherton, H., Bennett, K., Yang, Y., Davoudianfar, M., Hellsing, A., Martin, A., Mollison, J., Shanyinde, M., et al. (2020) · Journal of Medical Internet Research · doi:10.2196/16804 · Cited by 44 · see citing works
Initial Outcomes of Transdiagnostic Internet-Delivered Cognitive Behavioral Therapy Tailored to Public Safety Personnel: Longitudinal Observational Study
Hadjistavropoulos, H. D., McCall, H. C., Thiessen, D. L., Huang, Z., Carleton, R. N., Dear, B. F., & Titov, N. (2021) · Journal of Medical Internet Research · doi:10.2196/27610 · Cited by 42 · see citing works
Self-citation
A web-based transdiagnostic intervention for affective and mood disorders: randomized controlled trial.
Tulbure, B. T., Rusu, A., Sava, F. A., Sălăgean, N., & Farchione, T. J. (2018) · JMIR Mental Health · doi:10.2196/mental.8901 · Cited by 43 · see citing works
The Role of Learning Support and Chat-Sessions in Guided Internet-Based Cognitive Behavioral Therapy for Adolescents With Anxiety: A Factorial Design Study
Berg, M., Rozental, A., de Brun Mangs, J., Näsman, M., Strömberg, K., Viberg, L., Wallner, E., Åhman, H., Silfvernagel, K., Zetterqvist, M., et al. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00503 · Cited by 35 · see citing works
Outcomes of Best-Practice Guided Digital Mental Health Interventions for Youth and Young Adults with Emerging Symptoms: Part I. A Systematic Review of Socioemotional Outcomes and Recommendations
Opie, J. E., Vuong, A. T., Welsh, E. T., Gray, R. J., Pearce, N., Marchionda, S., Mutch, R., & Khalil, H. (2024) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-024-00469-4 · Cited by 35 · see citing works
Participant Perceptions of Facilitators and Barriers to Adherence in a Digital Mental Health Intervention for a Nonclinical Cohort: Content Analysis
Renfrew, M. E., Morton, D. P., Northcote, M. T., Morton, J. K., Hinze, J. S., & Przybylko, G. (2021) · Journal of Medical Internet Research · doi:10.2196/25358 · Cited by 34 · see citing works
Predictors of treatment outcomes and adherence in internet-based cognitive behavioral therapy for social anxiety in China
Chen, H., Rodriguez, M. A., Qian, M., Kishimoto, T., Lin, M., & Berger, T. (2020) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465819000730 · Cited by 33 · see citing works
The Effects of Internet-Based Cognitive Behavioral Therapy for Suicidal Ideation or Behaviors on Depression, Anxiety, and Hopelessness in Individuals With Suicidal Ideation: Systematic Review and Meta-Analysis of Individual Participant Data
Sander, L., Beisemann, M., Doebler, P., Micklitz, H. M., Kerkhof, A. J. F. M., Cuijpers, P. J., Batterham, P. J., Calear, A. L., Christensen, H. M., Jaegere, E. D., et al. (2023) · Journal of Medical Internet Research · doi:10.2196/46771 · Cited by 34 · see citing works
Internet-delivered treatment for young adults with anxiety and depression: Evaluation in routine clinical care and comparison with research trial outcomes
Staples, L., Dear, B. F., Johnson, B., Fogliati, V. J., Gandy, M., Fogliati, R., Nielssen, O. B., & Titov, N. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.05.058 · Cited by 31 · see citing works
The Influence of Three Modes of Human Support on Attrition and Adherence to a Web- and Mobile App–Based Mental Health Promotion Intervention in a Nonclinical Cohort: Randomized Comparative Study
Renfrew, M. E., Morton, D. P., Morton, J. K., Hinze, J. S., Przybylko, G., & Craig, B. A. (2020) · Journal of Medical Internet Research · doi:10.2196/19945 · Cited by 31 · see citing works
Comorbidity and diagnosis distribution in transdiagnostic treatments for emotional disorders: A systematic review of randomized controlled trials
González-Robles, A., Díaz‐García, A., Miguel, C., García‐Palacios, A., & Botella, C. (2018) · PLoS ONE · doi:10.1371/journal.pone.0207396 · Cited by 31 · see citing works
Efficacy of a Digital Mental Health Biopsychosocial Transdiagnostic Intervention With or Without Therapist Assistance for Adults With Anxiety and Depression: Adaptive Randomized Controlled Trial
Andrews, B., Klein, B., Huy, N. V., Corboy, D., McLaren, S., & Watson, S. (2023) · Journal of Medical Internet Research · doi:10.2196/45135 · Cited by 29 · see citing works
A meta-analytic review of randomized clinical trials of online treatments for anxiety: Inclusion/exclusion criteria, uptake, adherence, dropout, and clinical outcomes
Bisby, M. A., Karin, E., Hathway, T., Scott, A. J., Heriseanu, A. I., Dudeney, J. E., Fisher, A. C., Gandy, M., Cross, S. P. M., Staples, L., et al. (2022) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2022.102638 · Cited by 25 · see citing works
Therapists’ characteristics associated with the (non-)use of exposure in the treatment of anxiety disorders in youth: A survey among Dutch-speaking mental health practitioners
de Jong, R., Lommen, M. J. J., van Hout, W. J. P. J., de Jong, P. J., & Nauta, M. H. (2020) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2020.102230 · Cited by 25 · see citing works
Psychometric properties of the mini-social phobia inventory (Mini-SPIN) in a large online treatment-seeking sample
Fogliati, V. J., Terides, M. D., Gandy, M., Staples, L., Johnston, L., Karin, E., Rapee, R. M., Titov, N., & Dear, B. F. (2016) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2016.1158206 · Cited by 23 · see citing works
Transdiagnostic internet-delivered cognitive-behaviour therapy (CBT) for adults with functional gastrointestinal disorders (FGID): A feasibility open trial
Dear, B. F., Fogliati, V. J., Fogliati, R., Gandy, M., McDonald, S., Talley, N. J., Holtmann, G., Titov, N., & Jones, M. (2018) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2018.02.015 · Cited by 23 · see citing works
Guided versus self-guided internet delivered cognitive behavioural therapy for diagnosed anxiety and related disorders: a preliminary meta-analysis
Oey, L. T., McDonald, S., McGrath, L., Dear, B. F., & Wootton, B. M. (2023) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2023.2250073 · Cited by 22 · see citing works
Remote cognitive behaviour therapy for social anxiety disorder: A meta-analysis
Winter, H. R., Norton, A. R., Burley, J., & Wootton, B. M. (2023) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2023.102787 · Cited by 22 · see citing works
Under the hood: lay counsellor element use in a modular multi-problem transdiagnostic intervention in lower resource countries
Murray, L. K., Haroz, E. E., Pullmann, M. D., Dorsey, S., Kane, J. C., Augustinavicius, J., Lee, C., & Bolton, P. A. (2019) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x18000144 · Cited by 20 · see citing works
A Comparison of Self-Referral and Referral via Primary Care Providers, through Two Similar Digital Mental Health Services in Western Australia
Staples, L., Webb, N., Asrianti, L., Cross, S. P. M., Rock, D. J., Kayrouz, R., Karin, E., Dear, B. F., Nielssen, O. B., & Titov, N. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19020905 · Cited by 20 · see citing works
Internet-Delivered Psychological Treatment Options for Panic Disorder: A Review on Their Efficacy and Acceptability
Apolinário-Hagen, J. (2018) · Psychiatry Investigation · doi:10.30773/pi.2018.06.26 · Cited by 20 · see citing works
An Evaluation of the Effectiveness of a Transdiagnostic Bibliotherapy Program for Anxiety and Related Disorders: Results From Two Studies Using a Benchmarking Approach
Wootton, B. M., Steinman, S. A., Czerniawski, A., Norris, K., Baptie, C., Diefenbach, G., & Tolin, D. F. (2018) · Cognitive Therapy and Research · doi:10.1007/s10608-018-9921-x · Cited by 19 · see citing works
Web-based interpretation bias training to reduce anxiety: A sequential, multiple-assignment randomized trial.
Eberle, J. W., Daniel, K. E., Baee, S., Silverman, A. L., Lewis, E., Baglione, A. N., Werntz, A. J., French, N. J., Ji, J. L., Hohensee, N., et al. (2024) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000896 · Cited by 20 · see citing works
Brief online motivational interviewing pre-treatment intervention for enhancing internet-delivered cognitive behaviour therapy: A randomized controlled trial
Soucy, J. N., Hadjistavropoulos, H. D., Karin, E., Dear, B. F., & Titov, N. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100394 · Cited by 17 · see citing works
Evaluation of a computerized cognitive behavioural therapy programme, <i>MindWise (2.0)</i> , for adults with mild‐to‐moderate depression and anxiety
Collins, S., Byrne, M., Hawe, J., & O'Reilly, G. (2018) · British Journal of Clinical Psychology · doi:10.1111/bjc.12165 · Cited by 15 · see citing works
Internet-delivered cognitive behavioural therapy for symptoms of PTSD among public safety personnel: Initial outcomes of an open cohort preference trial of transdiagnostic and disorder-specific therapy
McCall, H. C., Dear, B. F., Landry, C. A., Beahm, J. D., Gregory, J., Titov, N., Carleton, R. N., & Hadjistavropoulos, H. D. (2023) · Internet Interventions · doi:10.1016/j.invent.2023.100656 · Cited by 18 · see citing works
Accessibility and Applicability of Currently Available e-Mental Health Programs for Depression for People With Poststroke Aphasia: Scoping Review
Clunne, S. J., Ryan, B., Hill, A. J., Brandenburg, C., & Kneebone, I. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.9864 · Cited by 16 · see citing works
Efficacy of a transdiagnostic internet-based program for adolescents with emotional disorders: A randomized controlled trial
Espinosa, V., Valiente, R. M., García-Escalera, J., Chorot, P., Arnáez, S., Schmitt, J. C., & Sandín, B. (2024) · Behaviour Research and Therapy · doi:10.1016/j.brat.2024.104560 · Cited by 15 · see citing works
The effect of depression on treatment outcome in social anxiety disorder: an individual-level meta-analysis
Rozen, N., & Aderka, I. M. (2021) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2021.1966089 · Cited by 14 · see citing works
An open trial of the Things You Do Questionnaire: Changes in daily actions during internet-delivered treatment for depressive and anxiety symptoms
Bisby, M. A., Dear, B. F., Karin, E., Fogliati, R., Dudeney, J. E., Ryan, K., Fararoui, A., Nielssen, O. B., Staples, L., Kayrouz, R., et al. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.02.117 · Cited by 13 · see citing works
Facilitating access to iCBT: a randomized controlled trial assessing a translated version of an empirically validated program using a minimally monitored delivery model
Robichaud, M., Talbot, F., Titov, N., Dear, B. F., Hadjistavropoulos, H. D., Hadjistavropoulos, T., & Jbilou, J. (2019) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s135246581900047x · Cited by 13 · see citing works
Enhancing In Vivo Exposure in the Treatment of Panic Disorder and Agoraphobia Using Location-Based Technologies: A Case Study
Miralles, I., Granell, C., García-Palacios, A., Castilla, D., González-Pérez, A., Casteleyn, S., & Bretón-López, J. (2020) · Clinical Case Studies · doi:10.1177/1534650119892900 · Cited by 11 · see citing works
“A number of studies (Dear et al., 2016; Farchione et al., 2012), including important randomized controlled trial (RCT) studies, have shown that the transdiagnostic approach and the UP can be as effective as the traditional CBT diagnostic approach (Barlow et al.”
Background
Predictors of functional impairment at assessment and functional improvement after treatment at a national digital mental health service
Cross, S. P. M., Karin, E., Asrianti, L., Walker, J., Staples, L., Bisby, M. A., Nielssen, O. B., Kayrouz, R., Fisher, A. C., Dear, B. F., et al. (2023) · Internet Interventions · doi:10.1016/j.invent.2023.100603 · Cited by 12 · see citing works
The hidden burden of social anxiety disorder in U.S. military veterans: Results from the National Health and Resilience in Veterans Study
Byrne, S., Fogle, B. M., Asch, R., Esterlis, I., Harpaz‐Rotem, I., Tsai, J., & Pietrzak, R. H. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.04.088 · Cited by 11 · see citing works
Efficacy of a transdiagnostic guided internet-delivered intervention for emotional, trauma and stress-related disorders in Mexican population: study protocol for a randomized controlled trial
la Rosa-Gómez, A. D., Flores-Plata, L. A., Esquivel-Santoveña, E. E., Torija, C. S. T., Flores, R. G., Rodríguez, A. D., Arenas-Landgrave, P., Castellanos-Vargas, R. O., Ruiz, E. B., Silvestre-Ramírez, R., et al. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-04132-6 · Cited by 12 · see citing works
Outcomes of transdiagnostic internet-delivered cognitive behavioural therapy tailored to public safety personnel: A longitudinal observational study
Hadjistavropoulos, H. D., McCall, H. C., Dear, B. F., Beahm, J. D., Carleton, R. N., & Titov, N. (2024) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2024.102861 · Cited by 10 · see citing works
Cognitive behaviour therapy for social anxiety disorder: a systematic review and meta-analysis investigating different treatment formats
Hall, M., Luo, A., Bhullar, N., Moses, K., & Wootton, B. M. (2024) · Australian psychologist · doi:10.1080/00050067.2024.2356804 · Cited by 11 · see citing works
Decision-making about uptake and engagement with digital mental health services: a qualitative exploration of service user perspectives
Fisher, A. C., Corrigan, E., Cross, S. P. M., Ryan, K., Staples, L., Tan, R. L., Titov, N., & Dear, B. F. (2023) · Clinical Psychologist · doi:10.1080/13284207.2023.2279657 · Cited by 9 · see citing works
Web-Based Interventions to Help Australian Adults Address Depression, Anxiety, Suicidal Ideation, and General Mental Well-being: Scoping Review
Skaczkowski, G., van der Kruk, S., Loxton, S., Hughes-Barton, D., Howell, C., Turnbull, D., Jensen, N., Smout, M., & Gunn, K. (2022) · JMIR Mental Health · doi:10.2196/31018 · Cited by 9 · see citing works
“A rapid review of the evidence for each of these programs’ evaluations is provided in Multimedia Appendix 4 [10,12,17,42-151].”
BackgroundInfluential
Therapeutic songwriting to address distress tolerance for adults on an acute care mental health unit: A pilot study
Silverman, M. J. (2020) · The Arts in Psychotherapy · doi:10.1016/j.aip.2020.101716 · Cited by 9 · see citing works
Decision-making about uptake and engagement among digital mental health service users: a qualitative exploration of therapist perspectives
Fisher, A. C., Corrigan, E., Cross, S. P. M., Ryan, K., Staples, L., Tan, R. L., Webb, N., Titov, N., & Dear, B. F. (2023) · Clinical Psychologist · doi:10.1080/13284207.2022.2163157 · Cited by 9 · see citing works
Evaluation of The Practitioner Online Referral and Treatment Service (PORTS): the first 18 months of a state-wide digital service for adults with anxiety, depression, or substance use problems
Titov, N., Rock, D. J., Bezuidenhout, G., Webb, N., Kayrouz, R., Nielssen, O. B., Williams, L., Purtell, C., Dear, B. F., & Staples, L. (2019) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2019.1666162 · Cited by 9 · see citing works
Facilitating the Dissemination of iCBT for the Treatment of Anxiety and Depression: A Feasibility Study
DaPonte, D., Talbot, F., Titov, N., Dear, B. F., Hadjistavropoulos, H. D., Hadjistavropoulos, T., & Jbilou, J. (2018) · Behaviour Change · doi:10.1017/bec.2018.14 · Cited by 9 · see citing works
Blending digital therapeutics within the healthcare system
Keller, O. C., Budney, A. J., Struble, C. A., & Teepe, G. W. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-90045-4.00016-2 · Cited by 8 · see citing works
Design of a guided internet-delivered counseling intervention for test anxiety
Warnecke, I., Haffinger, L.-M., Konradi, H., Reiß, N., Luka-Krausgrill, U., & Rohrmann, S. (2020) · The European Journal of Counselling Psychology · doi:10.5964/ejcop.v8i1.205 · Cited by 9 · see citing works
Antidepressant medication use by patients accessing a national digital mental health service
Staples, L., Asrianti, L., Karin, E., Kayrouz, R., Cross, S. P. M., Bisby, M. A., Fisher, A. C., Dear, B. F., Titov, N., & Nielssen, O. B. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.04.042 · Cited by 6 · see citing works
Do depressive symptoms affect the outcome of treatments for SAD? A meta analysis of randomized controlled trials
Rozen, N., & Aderka, I. M. (2020) · Clinical Psychology Review · doi:10.1016/j.cpr.2020.101874 · Cited by 5 · see citing works
The association between patient engagement and treatment outcome in guided internet-delivered CBT for anxiety and depression
Hammerfald, K., Jahren, H. H., & Solbakken, O. A. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1494729 · Cited by 5 · see citing works
Internet-delivered cognitive behaviour therapy for chronic health conditions: self-guided versus team-guided
Mehta, S., Nugent, M., Peynenburg, V. A., Thiessen, D., Posta, G. L., Titov, N., Dear, B. F., & Hadjistavropoulos, H. D. (2022) · Journal of Behavioral Medicine · doi:10.1007/s10865-022-00346-x · Cited by 5 · see citing works
Safety and Efficacy of Modular Digital Psychotherapy for Social Anxiety: Randomized Controlled Trial
Garvert, M. M., McFadyen, J., Linke, S., McCloud, T. L., Meyer, S. S., Sobanska, S., Sharp, P. B., Long, A., Huys, Q. J. M., & Ahmadi, M. (2025) · Journal of Medical Internet Research · doi:10.2196/64138 · Cited by 6 · see citing works
An open trial of the feasibility of brief internet-delivered acceptance and commitment therapy (iACT) for chronic anxiety and depression
Cross, S. P., Staples, L. G., Bisby, M. A., Nielssen, O., Fisher, A., Titov, N., & Dear, B. F. (2023) · Internet Interventions · doi:10.1016/j.invent.2023.100655 · Cited by 4 · see citing works
“These questions have been used in numerous previous research trials examining the acceptability of other internet-delivered treatments (Dear et al., 2016).”
Method
Do people residing in low socioeconomic areas engage with and benefit from digital mental health services?
Staples, L., Dear, B. F., Nielssen, O. B., & Titov, N. (2025) · Internet Interventions · doi:10.1016/j.invent.2025.100865 · Cited by 4 · see citing works
Internet-Delivered Cognitive Behavioral Therapy Tailored to Spouses and Significant Others of Public Safety Personnel: Formative Evaluation Study
Hadjistavropoulos, H. D., Reiser, S. J., Beahm, J. D., McCall, H. C., Dena, I., Phillips, A. R., Scheltgen, M., Sekhar, S., Cox, M., Cramm, H. A., et al. (2023) · JMIR Formative Research · doi:10.2196/51088 · Cited by 4 · see citing works
Hypnotherapy modulating early and late event-related potentials components of face processing in social anxiety
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Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for generalized anxiety disorder and comorbid disorders: A randomized controlled trial
Dear, B. F., Staples, L. G., Terides, M. D., Karin, E., Zou, J., Johnston, L., Gandy, M., Fogliati, V. J., Wootton, B. M., McEvoy, P. M., et al. (2015) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2015.09.003 · Cited by 230 · see citing works
Disorder-specific versus transdiagnostic and clinician-guided versus self-guided internet-delivered treatment for panic disorder and comorbid disorders: a randomized controlled trial
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Disorder-specific versus transdiagnostic and clinician-guided versus self-guided treatment for major depressive disorder and comorbid anxiety disorders: A randomized controlled trial
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Authors: Dear, B. F., Staples, L. G., Terides, M. D., Fogliati, V. J., Sheehan, J., Johnston, L., Kayrouz, R., Dear, R., McEvoy, P. M., & Titov, N.
Affiliations: Macquarie University (AU)
Curtin University (AU)
Corresponding author: Dear, B.F.
ORCID: Dear, B.F.
Staples, L.G.
Terides, M.D.
Fogliati, V.J.
Kayrouz, R.
McEvoy, P.M.
Titov, N.
Venue: Journal of Anxiety Disorders
Publisher: Elsevier BV
Published: 2016-08
Volume: 42
Pages: 30-44
ISSN: 0887-6185 (ISSN-L)
DOI: 10.1016/j.janxdis.2016.05.004
OpenAlex: W4245216032
Cited by: 114
References: 64
Citations by year: 2026: 2 · 2025: 8 · 2024: 14 · 2023: 14 · 2022: 13 · 2021: 13 · 2020: 13 · 2019: 13 · 2018: 16 · 2017: 4 · 2016: 4
FWCI: 19.02
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc-nd
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
creativecommons.org/licenses/by-nc-nd/4.0/ (vor)
Locations: Journal of Anxiety Disorders (publishedVersion, cc-by-nc-nd)
eSpace (Curtin University) (submittedVersion)
Funders: NHMRC Australian Public Health Fellowship
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: social anxiety disorder, internet-delivered treatment, self-guided treatment, comorbid depression, generalized anxiety disorder, panic disorder, maintenance therapy

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Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for social anxiety disorder and comorbid disorders: a randomized controlled trial

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