Internet-based self-help versus one-session exposure in the treatment of spider phobia: a randomized controlled trial
Abstract
The authors compared guided Internet-delivered self-help with one session of live-exposure treatment in a sample of spider-phobic patients. A total of 30 patients were included following screening on the Internet and a structured clinical interview. The Internet treatment consisted of five weekly text modules, which were presented on a web page, a video in which exposure was modelled, and support provided via Internet. The live-exposure treatment was delivered in a 3-hr session following a brief orientation session. The main outcome measure was the behavioural approach test (BAT), and as secondary measures the authors used questionnaires measuring anxiety symptoms and depression. Results showed that the groups did not differ at posttreatment or follow-up, with the exception of the proportion showing clinically significant change on the BAT. At posttreatment 46.2% of the Internet group and 85.7% in the live-exposure group achieved this change. At follow-up the corresponding figures were 66.7% for the Internet group and 72.7% for the live treatment. Within-group effect sizes for the spider phobia questionnaire were large (d = 1.84 and 2.58 for the Internet and live-exposure groups, respectively, at posttreatment). The authors conclude that guided Internet-delivered exposure treatment is a promising new approach in the treatment of spider phobia.
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Two Randomized Controlled Trials in Sweden for animal phobia compared in vivo exposure to a self-help ICBT with text modules and videos with guidelines to carry out exposure therapy in daily lives.
“Regarding studies focused only on specific phobias, two Randomized Controlled Trials (RCT) were conducted in Sweden for animal phobia (Andersson et al., 2009, Andersson et al., 2013). In them, in vivo exposure was compared to a self-help ICBT with text modules and videos with guidelines to carry out the exposure therapy in their daily lives.”
From An Internet-based treatment for Flying Phobia using 360° images: Study protocol for a feasibility pilot study (2021) · cites this paper as Andersson et al., 2009
Only two studies with self-help Internet-based programs for specific phobias have been published, one on spider phobia and one on snake phobia.
“only two studies with self-help Internet-based programs have been published, one on spider phobia [37] and one on snake phobia [38].”
From An Internet-based treatment for flying phobia (NO-FEAR Airlines): Study protocol for a randomized controlled trial (2016) · cites this paper as [37]
Internet-delivered psychological treatments for anxiety and phobias are feasible, acceptable, and effective.
“Thus, Internet-delivered psychological treatments for anxiety and phobias are feasible, acceptable, and effective.”
From Short-term effectiveness of web-based guided self-help for phobic outpatients: randomized controlled trial. (2014) · cites this paper as [23]
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“However, according to Andersson [33], in spite of the fact that specific phobias are common, only two studies with self-help Internet-based programs have been published, one on spider phobia [37] and one on snake phobia [38].”
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- Authors
- Andersson, G., Waara, J., Jonsson, U., Malmaeus, F., Carlbring, P., & Öst, L.
- Affiliations
- Linköping University (SE)
- Uppsala University (SE)
- Stockholm University (SE)
- Corresponding author
- Andersson, Gerhard
- Venue
- Cognitive Behaviour Therapy
- Publisher
- Informa UK Limited
- Published
- 2009-06
- Volume
- 38
- Issue
- 2
- Pages
- 114-120
- ISSN
- 1650-6073 (ISSN-L)
- 1651-2316
- OpenAlex
- W1999882722
- Cited by
- 101
- References
- 31
- Citations by year
- 2025: 4 · 2024: 3 · 2023: 3 · 2022: 7 · 2021: 11 · 2020: 6 · 2019: 10 · 2018: 10 · 2017: 5 · 2016: 5 · 2015: 6 · 2014: 9 · 2013: 9 · 2012: 7
- FWCI
- 5.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cognitive Behaviour Therapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Vetenskapsrådet
- 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
- spider phobia, guided self-help, anxiety symptoms, depression, phobia treatment
- MeSH terms
- Adolescent, Adult, Aged, Animals, Female, Humans, Male, Middle Aged, Phobic Disorders, Surveys and Questionnaires, Self-Help Groups, Spiders, Cognitive Behavioral Therapy, Internet, Young Adult
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