Therapist Effects in Guided Internet-Delivered CBT for Anxiety Disorders
Abstract
Background: Guided internet-delivered CBT for anxiety disorders has received increasing empirical support, but little is known regarding the role of the therapist. Aims: This study addressed therapist factors in guided internet-delivered cognitive behavioural therapy for anxiety disorders. Method: Data from three controlled trials with a total N of 119 were analyzed with attention to differences between eight therapists. Results: No significant mean level differences between therapists appeared in the dataset. However, one significant intraclass correlation between participants was found, suggesting that the outcome on the Beck Anxiety Inventory might have been influenced by the impact of the individual therapists. Conclusion: The therapist can possibly have some influence on the outcome of guided internet-delivered CBT for anxiety disorders, but studies with more statistical power are needed to establish whether therapist effects are present in this modality of psychological treatment. The present study was underpowered to detect minor therapist effects.
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In two Swedish studies, small intraclass correlations on some measures indicate nonexisting or small therapist effects in ICBT.
“Small intraclass correlations are found on some measures, indicating nonexisting or small therapist effects in ICBT [34,35].”
From Internet-based psychological treatments for depression (2012) · cites this paper as [35]
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- Authors
- Almlöv, J., Carlbring, P., Källqvist, K., Paxling, B., Cuijpers, P., & Andersson, G.
- Affiliations
- Linköping University (SE)
- Umeå University (SE)
- Vrije Universiteit Amsterdam (NL)
- Corresponding author
- Andersson, Gerhard
- Venue
- Behavioural and Cognitive Psychotherapy
- Publisher
- Cambridge University Press (CUP)
- Published
- 2010-12-13
- Volume
- 39
- Issue
- 3
- Pages
- 311-322
- ISSN
- 1352-4658 (ISSN-L)
- 1469-1833
- OpenAlex
- W2042726484
- Cited by
- 48
- References
- 52
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 1 · 2017: 1 · 2016: 9 · 2015: 4 · 2014: 6 · 2013: 6 · 2012: 8
- FWCI
- 7.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioural and Cognitive Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- VU Research Portal (publishedVersion)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- 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 › Psychotherapy Techniques and Applications
- Keywords
- therapist effects, internet-based cognitive behavioral therapy, anxiety disorders, guided self-help, intraclass correlation coefficient, Beck Anxiety Inventory
- MeSH terms
- Adult, Anxiety Disorders, Female, Humans, Male, Middle Aged, Outcome and Process Assessment, Health Care, Phobic Disorders, Professional-Patient Relations, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Panic Disorder, Internet
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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