Cited by 143Telemedicine and Telehealth ImplementationDigital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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Videoconferencing psychological therapy and anxiety: a systematic review

Berryhill, M Blake, Halli-Tierney, Anne, Culmer, Nathan, Williams, Nelle, Betancourt, Alex, King, Michael, Ruggles, Hannah·2019·Family Practice

DOI 10.1093/fampra/cmy072

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Abstract

Background: The growing worldwide prevalence of individuals with anxiety disorders has increased needs for mental health services. Due to limited number of mental health providers and community resources, especially in low-income countries, individuals often seek services from primary care settings. Through collaborative care models, services via telemedicine address the mental health provider shortage. While previous reviews show telemedicine effectively treats mental illness, a gap exists for reviews on videoconferencing psychological therapy for anxiety treatment. Objective: This systematic review aims to summarize videoconferencing psychological therapy for anxiety disorder treatment. Methods: Database searches were performed with PubMed, PsychINFO and Embase. Inclusion criteria identified controlled and uncontrolled studies evaluating videoconferencing psychological therapy. Studies were appraised using the Effective Public Health Practice Project Quality Assessment tool. Data collected included research design, sample size, intervention details, outcome results, intervention effect size and differences between videoconferencing psychological therapy and face-to-face therapy. Results: The search revealed 1253 articles, with 21 meeting inclusion criteria. Sample sizes ranged from 1 to 121 participants; cognitive-behavioral therapy was most commonly evaluated. Participants' diagnoses included panic disorder with and without agoraphobia, generalized anxiety disorder, social anxiety disorder, social phobia and hypochondriasis. Three studies occurred in outpatient health care settings. Fourteen studies reported statistically significant improvement on anxiety measures; 11 reported clinically significant improvements. Effect sizes ranged from small to very large, and all controlled studies found no differences between videoconferencing and face-to face groups. Conclusion: Results provide promise for evidence-based interventions delivered via videoconferencing psychological therapy. More rigorous research is needed in various settings and populations.

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Authors: Berryhill, M. B., Halli-Tierney, A., Culmer, N., Williams, N., Betancourt, A., King, M., & Ruggles, H.
Affiliations: University of Alabama (US)
Corresponding author: Berryhill, M Blake
ORCID: Berryhill, M Blake
Halli-Tierney, Anne
Culmer, Nathan
Williams, Nelle
Ruggles, Hannah
Venue: Family Practice
Publisher: Oxford University Press (OUP)
Published: 2018-09-04
Volume: 36
Issue: 1
Pages: 53-63
ISSN: 0263-2136 (ISSN-L)
1460-2229
DOI: 10.1093/fampra/cmy072
OpenAlex: W2891651976
Cited by: 143
References: 47
Citations by year: 2026: 6 · 2025: 14 · 2024: 16 · 2023: 25 · 2022: 33 · 2021: 37 · 2020: 9 · 2019: 3
FWCI: 2.22
Type: journal article
Language: en
Open access: closed
Licence: academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
Locations: Family Practice (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: videoconferencing, telemedicine, psychotherapy, anxiety disorders, cognitive behavioral therapy, panic disorder, generalized anxiety disorder, social anxiety disorder, health anxiety, mental health services, primary care, collaborative care
MeSH terms: Anxiety Disorders, Behavioral Medicine, Humans, Cognitive Behavioral Therapy, Videoconferencing

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Videoconferencing psychological therapy and anxiety: a systematic review

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