Transdiagnostic internet treatment for anxiety and depression = Tratamiento transdiagnóstico por internet de la ansiedad y la depresión
Open accessAbstract
Anxiety and depression are common, chronic, disabling and frequently comorbid, but manypeople experience barriers accessing treatment. Internet-delivered psychological treatments (iPT)have considerable potential to increase access, while transdiagnostic (TD) interventions, which aimto simultaneously treat multiple disorders, represent an emerging approach that may facilitate thetreatment of comorbidity. The present paper describes a conceptual and pragmatic rationale for combiningiPT and TD approaches. It also describes the authors’ experiences in developing and evaluatingTD iPT protocols for anxiety and depression. The results of 4 randomised controlled trials and oneopen trial (N = 572) are reviewed. The results of these trials are encouraging and indicate TD iPT cansignificantly reduce symptoms of both principal and comorbid disorders. However, independent replicationof the existing findings is required and many outstanding questions remain. We watch withinterest how further conceptual and technological developments influence the content and deliveryof these interventions.
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Internet-based interventions may improve access to evidence-based treatments for anxiety and depressive disorder.
“An emerging model of service delivery via Internet has the potential to improve access to evidence-based treatments for anxiety and depressive disorder [5, 39].”
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Perlis, M. L., Smith, M. T., Jungquist, C. R., Nowakowski, S., Orff, H. J., & Soeffing, J. P. (2010) · Humana Press eBooks · doi:10.1007/978-1-60327-042-7_22 · Cited by 28 · see citing works
Increasing access and effectiveness: using the internet to deliver low intensity CBT
Christensen, H. M. (2010) · Oxford University Press eBooks · doi:10.1093/med:psych/9780199590117.003.0004 · Cited by 21 · see citing works
Cognitive Behavioural Therapy of Anxiety Disorders: Mastering Clinical Challenges
Short, N. P. (2010) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.2009.01485.x · Cited by 9 · see citing works
Email in low intensity CBT interventions
Titov, N. (2010) · Oxford University Press eBooks · doi:10.1093/med:psych/9780199590117.003.0029 · Cited by 6 · see citing works
Self-citationSykes, P. (2010) · BMJ · doi:10.1136/bmj.c322 · Cited by 4 · see citing works
Flagged first, then by citations
5 of the 113 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Dear, B. F., Staples, L. G., Terides, M. D., Karin, E., Zou, J., Johnston, L., Gandy, M., Fogliati, V. J., Wootton, B. M., McEvoy, P. M., et al. (2015) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2015.09.003 · Cited by 230 · see citing works
Self-citationTitov, N., Dear, B. F., Staples, L. G., Bennett-Levy, J., Klein, B., Rapee, R. M., Shann, C., Richards, D., Andersson, G., Ritterband, L., et al. (2015) · Psychiatric Services · doi:10.1176/appi.ps.201400477 · Cited by 181 · see citing works
Self-citationDear, B. F., Staples, L. G., Terides, M. D., Fogliati, V. J., Sheehan, J., Johnston, L., Kayrouz, R., Dear, R., McEvoy, P. M., & Titov, N. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.05.004 · Cited by 114 · see citing works
Evidence-based psychotherapies II: changes in models of treatment and treatment delivery
Kazdin, A. E. (2014) · South African Journal of Psychology · doi:10.1177/0081246314538733 · Cited by 45 · see citing works
Kayrouz, R., Dear, B. F., Johnston, L., Gandy, M., Fogliati, V. J., Sheehan, J., & Titov, N. (2015) · Internet Interventions · doi:10.1016/j.invent.2014.12.001 · Cited by 32 · see citing works
Self-citationKayrouz, R., Dear, B. F., Karin, E., Fogliati, V. J., & Titov, N. (2016) · Internet Interventions · doi:10.1016/j.invent.2016.06.002 · Cited by 32 · see citing works
Self-citationKayrouz, R., Dear, B. F., Karin, E., Gandy, M., Fogliati, V. J., Terides, M. D., & Titov, N. (2016) · Internet Interventions · doi:10.1016/j.invent.2015.10.005 · Cited by 22 · see citing works
“Importantly, since modified interventions have shown preliminary effectiveness in self-guided formats (Titov et al., 2013; Titov et al., 2014b; Titov et al., 2012), the potential for improving access to psychological treatments for CALD communities is considerable.”
BackgroundSelf-citationMcCall, H. C., Dear, B. F., Landry, C. A., Beahm, J. D., Gregory, J., Titov, N., Carleton, R. N., & Hadjistavropoulos, H. D. (2023) · Internet Interventions · doi:10.1016/j.invent.2023.100656 · Cited by 18 · see citing works
Self-citationBielinski, L. L., & Berger, T. (2020) · Counseling Psychology and Psychotherapy · doi:10.17759/cpp.2020280305 · Cited by 14 · see citing works
ICBT in Psychiatry: Generalised Anxiety Disorder
Titov, N., Andersson, G., & Paxling, B. (2016) · Springer eBooks · doi:10.1007/978-3-319-06083-5_5 · Cited by 7 · see citing works
Self-citationLu, S. H., Assudani, H. A., Kwek, T. R. R., Ng, S. W. H., Teoh, T. E. L., & Tan, G. C.-Y. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.668384 · Cited by 5 · see citing works
Fournier, V., Talbot, F., Hadjistavropoulos, H. D., Titov, N., Dear, B. F., Lang, R., Saulnier, V., Hébert, H., & Cloutier, G. (2025) · Internet Interventions · doi:10.1016/j.invent.2025.100813 · Cited by 3 · see citing works
Self-citationSandín, B., Valiente, R. M., Arnáez, S., García-Escalera, J., Schmitt, J. C., Díaz-Mandado, O., & Chorot, P. (2026) · Internet Interventions · doi:10.1016/j.invent.2026.100948
- Authors
- Titov, N., Dear, B. F., Johnston, L., & Terides, M.
- Affiliations
- Macquarie University (AU)
- Venue
- Revista de Psicopatología y Psicología Clínica
- Published
- 2012-02-06
- Volume
- 17
- Issue
- 3
- Pages
- 237
- ISSN
- 1136-5420 (ISSN-L)
- 2254-6057
- OpenAlex
- W2155836001
- Cited by
- 13
- References
- 113
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 1 · 2021: 1 · 2020: 1 · 2016: 3 · 2015: 3 · 2014: 2
- FWCI
- 2.26
- Type
- journal article
- Language
- es
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Revista de Psicopatología y Psicología Clínica (publishedVersion, cc-by-nc-nd)
- Espacio Tiempo y Forma Serie I Prehistoria y Arqueología (submittedVersion, cc-by-nc-nd)
- Funders
- New South Wales Institute of Psychiatry
- Australian Rotary Health
- Medical Research Council
- National Health and Medical Research Council (630560)
- 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 › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- transdiagnostic treatment, anxiety, depression, comorbidities, treatment access barriers, treatment development, symptom relief
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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