Effectiveness of computerised cognitive behaviour therapy for anxiety disorders in secondary care

Bell, Caroline J; Colhoun, Helen C; Carter, Frances A; Frampton, Christopher M

doi:10.1177/0004867412437345

Cited by 50Digital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and Assessments

Effectiveness of computerised cognitive behaviour therapy for anxiety disorders in secondary care

Bell, Caroline J, Colhoun, Helen C, Carter, Frances A, Frampton, Christopher M·2012·Australian & New Zealand Journal of Psychiatry

DOI 10.1177/0004867412437345

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Abstract

Objective: This study aimed to compare the effectiveness of computerised cognitive behaviour therapy (CCBT) with a wait list control (WLC) for the treatment of patients with an anxiety disorder (social phobia, panic disorder, generalised anxiety disorder) referred to a specialist, publically funded, outpatient anxiety service. Method: Patients with social phobia ( n = 37), panic disorder ( n = 32) or generalised anxiety disorder ( n = 14) were randomised to treatment with either CCBT ( n = 40) or WLC ( n = 43). Self-report rating scale assessments were conducted at baseline, 12 and 24 weeks. Results: Compared with WLC, the CCBT group improved significantly on approximately half of the self-report primary (the Work and Social Adjustment Scale) and approximately half of the secondary measures at both 12 and 24 weeks (the Liebowitz Social Anxiety Scale, the Penn State Worry Questionnaire, the Generalised Anxiety inventory and the Fear Questionnaire). Effect sizes in this study were moderate. Conclusion: This is one of the few studies to investigate CCBT for anxiety disorders in patients in a secondary care service. The results show that CCBT in this secondary care setting has the potential to be beneficial and confirms and extends the findings from previous studies of self-referral or primary care settings.

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Only a limited number of trials have specifically evaluated Internet-based treatments in outpatient clinics and secondary care for common mental disorders.
“only a limited number of trials have specifically evaluated Internet-based treatments in outpatient clinics and secondary care for common mental disorders [30-33].”
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Additional file 2 of The impact of technology systems and level of support in digital mental health interventions: a secondary meta-analysis
Sasseville, M., LeBlanc, A., Tchuente, J., Boucher, M., Dugas, M., Mbemba, G. I. C., Barony, R., Chouinard, M., Beaulieu, M., Beaudet, N., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22767515
Additional file 7 of The impact of technology systems and level of support in digital mental health interventions: a secondary meta-analysis
Sasseville, M., LeBlanc, A., Tchuente, J., Boucher, M., Dugas, M., Mbemba, G. I. C., Barony, R., Chouinard, M., Beaulieu, M., Beaudet, N., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22767530
Additional file 3 of The impact of technology systems and level of support in digital mental health interventions: a secondary meta-analysis
Sasseville, M., LeBlanc, A., Tchuente, J., Boucher, M., Dugas, M., Mbemba, G. I. C., Barony, R., Chouinard, M., Beaulieu, M., Beaudet, N., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22767518
Additional file 4 of The impact of technology systems and level of support in digital mental health interventions: a secondary meta-analysis
Sasseville, M., LeBlanc, A., Tchuente, J., Boucher, M., Dugas, M., Mbemba, G. I. C., Barony, R., Chouinard, M., Beaulieu, M., Beaudet, N., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22767521
Additional file 6 of The impact of technology systems and level of support in digital mental health interventions: a secondary meta-analysis
Sasseville, M., LeBlanc, A., Tchuente, J., Boucher, M., Dugas, M., Mbemba, G. I. C., Barony, R., Chouinard, M., Beaulieu, M., Beaudet, N., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22767527
Additional file 5 of The impact of technology systems and level of support in digital mental health interventions: a secondary meta-analysis
Sasseville, M., LeBlanc, A., Tchuente, J., Boucher, M., Dugas, M., Mbemba, G. I. C., Barony, R., Chouinard, M., Beaulieu, M., Beaudet, N., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22767524
Additional file 1 of The impact of technology systems and level of support in digital mental health interventions: a secondary meta-analysis
Sasseville, M., LeBlanc, A., Tchuente, J., Boucher, M., Dugas, M., Mbemba, G. I. C., Barony, R., Chouinard, M., Beaulieu, M., Beaudet, N., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22767512
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Commentary on Bell et al., (2012): Effectiveness of computerized cognitive behaviour therapy for anxiety disorders in secondary care
Lampe, L. A. (2012) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867412446091 · Cited by 1 · see citing works
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Authors: Bell, C. J., Colhoun, H. C., Carter, F. A., & Frampton, C. M.
Affiliations: University of Otago (NZ)
ORCID: Bell, Caroline J
Frampton, Christopher M
Venue: Australian & New Zealand Journal of Psychiatry
Publisher: SAGE Publications
Published: 2012-02-10
Volume: 46
Issue: 7
Pages: 630-640
ISSN: 0004-8674 (ISSN-L)
1440-1614
DOI: 10.1177/0004867412437345
OpenAlex: W2120543065
Cited by: 50
References: 53
Citations by year: 2026: 2 · 2025: 5 · 2024: 3 · 2023: 9 · 2022: 1 · 2021: 2 · 2020: 4 · 2019: 1 · 2018: 3 · 2016: 3 · 2015: 5 · 2014: 4 · 2013: 3 · 2012: 5
FWCI: 7.62
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Australian & New Zealand Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
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: anxiety disorders, social anxiety disorder, panic disorder, generalized anxiety disorder, secondary care, waitlist control, treatment effectiveness, self-report scale, Work and Social Adjustment Scale, Liebowitz Social Anxiety Scale, Penn State Worry Questionnaire, Fear Questionnaire
MeSH terms: Adult, Anxiety Disorders, Female, Humans, Male, Middle Aged, Phobic Disorders, Surveys and Questionnaires, Therapy, Computer-Assisted, Waiting Lists, Cognitive Behavioral Therapy, Panic Disorder, Treatment Outcome, Self Report

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Effectiveness of computerised cognitive behaviour therapy for anxiety disorders in secondary care

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