Cited by 103Perfectionism, Procrastination, Anxiety StudiesDigital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Internet-based cognitive—behavior therapy for procrastination: A randomized controlled trial.

Rozental, Alexander, Forsell, Erik, Svensson, Andreas, Andersson, Gerhard, Carlbring, Per·2015·Journal of Consulting and Clinical Psychology

Abstract

OBJECTIVE: Procrastination can be a persistent behavior pattern associated with personal distress. However, research investigating different treatment interventions is scarce, and no randomized controlled trial has examined the efficacy of cognitive-behavior therapy (CBT). Meanwhile, Internet-based CBT has been found promising for several conditions, but has not yet been used for procrastination. METHOD: Participants (N = 150) were randomized to guided self-help, unguided self-help, and wait-list control. Outcome measures were administered before and after treatment, or weekly throughout the treatment period. They included the Pure Procrastination Scale, the Irrational Procrastination Scale, the Susceptibility to Temptation Scale, the Montgomery Åsberg Depression Rating Scale-Self-report version, the Generalized Anxiety Disorder Assessment, and the Quality of Life Inventory. The intention-to-treat principle was used for all statistical analyses. RESULTS: Mixed-effects models revealed moderate between-groups effect sizes comparing guided and unguided self-help with wait-list control; the Pure Procrastination Scale, Cohen's d = 0.70, 95% confidence interval (CI) [0.29, 1.10], and d = 0.50, 95% CI [0.10, 0.90], and the Irrational Procrastination Scale, d = 0.81 95% CI [0.40, 1.22], and d = 0.69 95% CI [0.29, 1.09]. Clinically significant change was achieved among 31.3-40.0% for guided self-help, compared with 24.0-36.0% for unguided self-help. Neither of the treatment conditions was found to be superior on any of the outcome measures, Fs(98, 65.17-72.55) < 1.70, p > .19. CONCLUSION: Internet-based CBT could be useful for managing self-reported difficulties due to procrastination, both with and without the guidance of a therapist.

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Crossref · 10.1037/ccp0000023

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Authors
Rozental, A., Forsell, E., Svensson, A., Andersson, G., & Carlbring, P.
Affiliations
  • Stockholm University (SE)
  • Linköping University (SE)
Venue
Journal of Consulting and Clinical Psychology
Published
2015-08
Volume
83
Issue
4
Pages
808-824
ISSN
  • 0022-006X (ISSN-L)
  • 1939-2117
OpenAlex
W1855516277
Cited by
103
References
93
Citations by year
2026: 10 · 2025: 13 · 2024: 7 · 2023: 15 · 2022: 5 · 2021: 11 · 2020: 4 · 2019: 8 · 2018: 7 · 2017: 11 · 2016: 7 · 2015: 4 · 2013: 1
FWCI
12.00
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Consulting and Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Funders
  • Swedish Research Council (2011-38394-87877-7)
  • Linköping University
Topics
  • Social Sciences › Psychology › Clinical Psychology › Perfectionism, Procrastination, Anxiety Studies
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
procrastination, internet-based cognitive behavioral therapy, guided self-help, Pure Procrastination Scale, depression, generalized anxiety disorder, quality of life, treatment efficacy
MeSH terms
Adult, Female, Humans, Male, Middle Aged, Motivation, Cognitive Behavioral Therapy, Time Management, Self Efficacy, Internet, Young Adult, Self Report

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