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Interapy: Treatment of Post-traumatic Stress via the Internet
Open accessAbstract
This paper describes the theoretical background and procedures (including psycho-education, screening, treatment protocol and outcome measurement) involved in a protocol-driven internet treatment of post-traumatic stress and grief in a group of people who have suffered from mild to relatively severe trauma. The paper examines the results of 3 outcome and process studies, which were carried out initially in a student population and subsequently in the general population of highly traumatized people. In the latter study, participants in the experimental condition (n = 69) improved significantly more than participants in the waiting list control condition (n = 32), with respect to trauma-related symptoms and general psychopathology. The effect sizes were large. More than 50% of the participants treated showed reliable change and clinically significant improvement after treatment for avoidance and depression. Treatment proved most beneficial for participants who had suffered from intentional trauma and those who had not previously discussed the traumatic events with significant others. Content analysis of the publications indicates a remarkable increase in cognitive coping during treatment. The possibilities for future research into internet-driven treatment of post-traumatic stress symptomatology are discussed, including the proposal to study the effects of sending a final written letter to a significant other person.
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“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 [35]
In the citing paper
“Considering a need to maintain social distance, psychoeducation and psychological treatment delivered remotely via communication technologies can provide individuals with appropriate support (Sucala, Schnur, Constantino, Miller, Brackman, & Montgomery, 2012) and improve their quality of life (Lange, van de Ven, & Schrieken, 2003).”
From The four horsemen of fear: An integrated model of understanding fear experiences during the COVID-19 pandemic (2020) · cites this paper as Lange, van de Ven, & Schrieken, 2003
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Metadata
- Authors
- Lange, A., van de Ven, J.-P., & Schrieken, B.
- Affiliations
- University of Amsterdam (NL)
- Venue
- Cognitive Behaviour Therapy
- Publisher
- Informa UK Limited
- Published
- 2003-01
- Volume
- 32
- Issue
- 3
- Pages
- 110-124
- ISSN
- 1650-6073 (ISSN-L)
- 1651-2316
- OpenAlex
- W2134153769
- Cited by
- 147
- References
- 56
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 4 · 2023: 5 · 2022: 4 · 2021: 8 · 2020: 10 · 2019: 4 · 2018: 10 · 2017: 4 · 2016: 6 · 2015: 4 · 2014: 9 · 2013: 10 · 2012: 9
- FWCI
- 4.89
- Type
- journal article
- Language
- en
- Open access
- green
- handle.uba.uva.nl
- Licence
- other-oa
- Locations
- Cognitive Behaviour Therapy (publishedVersion)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Funders
- Nationaal Fonds Geestelijke Volksgezondheid
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- post-traumatic stress disorder, internet-delivered treatment, psychoeducation, trauma screening, grief, trauma symptoms, avoidance, depression, coping, treatment outcomes, process research
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