Internet-Delivered Indicated Prevention For Anxiety Disorders: A Randomized Controlled Trial
Abstract
The project aims to investigate the efficacy of a preventive cognitive behavioural intervention delivered via the Internet to individuals at risk of developing anxiety disorders. There is increasing evidence that suggests anxiety sensitivity may act as a premorbid risk factor for the development of anxiety pathology and panic disorder. Eighty-three university students with elevated anxiety sensitivity were randomly allocated to either an intervention group (n = 43), who worked through the Internet based program over a period of 6 weeks, or a waitlist control group (n = 40). Significant treatment effects were found for anxiety related cognitions and symptoms of depression, and a non-significant trend for anxiety sensitivity. These outcomes were related to expectancy but not to program utilization. Implications for the prevention of anxiety via the Internet are discussed.
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Internet-based mental health interventions have been established as an effective model for providing CBT, without intensive therapist involvement, for depression, panic disorder, post-traumatic stress disorder, and specific phobias.
“Internet-based mental health interventions have been established as an effective model for the provision of CBT, without the need for intensive therapist involvement, for a variety of disorders and/or symptoms, including depression [32], panic disorder [26, 33, 34], post-traumatic stress disorder [35], and specific phobias [36].”
From Study protocol for a randomised controlled trial of internet-based cognitive-behavioural therapy for obsessive-compulsive disorder (2014) · cites this paper as [33]
Time spent online was not correlated to outcomes in studies that targeted depression and anxiety, but was correlated to outcomes in studies of infertility related distress and body dissatisfaction.
“Time spent online was not correlated to outcomes in studies that targeted depression [58] and anxiety [59], but was correlated to outcomes in studies of infertility related distress [60] and body dissatisfaction [61].”
From A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies (2011) · cites this paper as [59]
Studies of clinical predictors of adherence have typically reported that baseline depression symptom severity is unrelated to adherence in online interventions.
“Studies of clinical predictors of adherence have typically reported that baseline depression symptom severity is unrelated to adherence in online interventions (Andersson et al., 2005;Kenardy, McCafferty, & Rosa, 2003;Warmerdam et al., 2008).”
From Predictors of adherence and outcome in internet-based cognitive behavior therapy delivered in a telephone counseling setting (2014) · cites this paper as Kenardy, McCafferty, & Rosa, 2003
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Hohl, É., Berger, T., Bergström, J., Andersson, G., & Caspar, F. (2010) · Journal de Thérapie Comportementale et Cognitive · doi:10.1016/j.jtcc.2010.04.002 · Cited by 4 · see citing works
Panic! Its Prevalence, Diagnosis and Treatment via the Internet
Carlbring, P. (2004) · KTH Publication Database DiVA (KTH Royal Institute of Technology) · Cited by 4 · see citing works
- Authors
- Kenardy, J., McCafferty, K., & Rosa, V.
- Affiliations
- The University of Queensland (AU)
- Venue
- Behavioural and Cognitive Psychotherapy
- Publisher
- Cambridge University Press (CUP)
- Published
- 2003-07
- Volume
- 31
- Issue
- 3
- Pages
- 279-289
- ISSN
- 1352-4658 (ISSN-L)
- 1469-1833
- OpenAlex
- W2148092097
- Cited by
- 121
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 4 · 2019: 5 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 4 · 2014: 9 · 2013: 6 · 2012: 7
- FWCI
- 10.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioural and Cognitive Psychotherapy (publishedVersion)
- 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
- online intervention, indicated prevention, anxiety disorders, anxiety sensitivity, cognitive behavioral therapy, university students, depression, treatment expectancy, program utilization, panic disorder
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