A Systematic Review of Videoconference‐Delivered Psychological Treatment for Anxiety Disorders
Abstract
ObjectiveRecently, increasing attention has been given to the issue of limited access to evidence‐based psychological treatments. Factors affecting access can include geographical distance from service providers, lack of trained specialists, and prohibitive costs for treatment. Videoconferencing provides a convenient, low‐cost alternative to in‐person psychotherapy. Although videoconferencing treatment has been trialled for a vast array of mental health problems, surprisingly little research has been conducted exploring the efficacy of videoconferencing for the treatment of anxiety disorders. Anxiety disorders are highly prevalent and disabling conditions for which effective psychological treatment exists. The aim of the present study was to determine the state of the evidence with regard to the effectiveness of videoconference‐delivered treatment for anxiety disorders.MethodUsing preferred reporting items for systematic reviews and meta‐analyses guidelines, we conducted a systematic review of all studies that primarily recruited individuals with anxiety disorders, published between 2004 and 2014.ResultsWe identified 20 studies involving a total of 613 participants. Of the included studies, 50% were uncontrolled and 50% were controlled trials. The majority of studies conducted to date focused on post‐traumatic stress disorder (PTSD; n = 10), followed by obsessive‐compulsive disorder (n = 5), mixed anxiety and depression (n = 2), panic disorder (n = 2), and social phobia (n = 1). No studies were located that focused on investigating videoconference‐delivered therapy exclusively for generalised anxiety disorder.ConclusionsFindings are discussed in terms of the accumulating evidence for the effectiveness of videoconference‐delivered therapy to treat anxiety disorders and the need for more trials overall, but particularly for generalised anxiety disorder.
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The existing literature on high-intensity remote treatments for generalized anxiety disorder has considerable limitations, namely uncontrolled studies with small sample sizes.
“The literature that does exist has considerable limitations (i.e., uncontrolled studies with small samples sizes) [42]”
From Internet videoconferencing delivered cognitive behavior therapy for generalized anxiety disorder: protocol for a randomized controlled trial (2022) · cites this paper as [42]
Most studies using videoconferencing have been conducted on anxiety-related disorders and major depression.
“Indeed, most studies using videoconferencing have been conducted on anxiety-related disorders and major depression [26,29,30,32,33,88].”
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- Authors
- Rees, C. S., & Maclaine, E.
- Affiliations
- Curtin University (AU)
- Corresponding author
- Rees, Clare S
- ORCID
- Rees, Clare S
- Venue
- Australian Psychologist
- Publisher
- Informa UK Limited
- Published
- 2015-08-01
- Volume
- 50
- Issue
- 4
- Pages
- 259-264
- ISSN
- 0005-0067 (ISSN-L)
- 1742-9544
- OpenAlex
- W1728070411
- Cited by
- 115
- References
- 42
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 8 · 2023: 15 · 2022: 18 · 2021: 29 · 2020: 24 · 2019: 3 · 2018: 4 · 2017: 2 · 2016: 2 · 2015: 2
- FWCI
- 0.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian Psychologist (publishedVersion)
- eSpace (Curtin University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- anxiety disorders, telemedicine, access to psychological treatment, post-traumatic stress disorder, obsessive-compulsive disorder, generalized anxiety disorder, panic disorder, social anxiety disorder, treatment efficacy
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