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The relationship between posttherapeutic Cognitive Behavior Therapy skills usage and follow‐up outcomes of internet‐delivered Cognitive Behavior Therapy
Author(s) -
Eilert Nora,
Wogan Rebecca,
Adegoke Adedeji,
Earley Caroline,
Duffy Daniel,
Enrique Angel,
Palacios Jorge,
Timulak Ladislav,
Richards Derek
Publication year - 2023
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.23403
Subject(s) - psychology , cognition , cognitive therapy , the internet , psychotherapist , clinical psychology , cognitive behavioral therapy , psychiatry , world wide web , computer science
Background Clients independently applying Cognitive Behavior Therapy (CBT) skills is an important outcome of CBT‐based treatments. The relationship between posttherapeutic CBT skills usage and clinical outcomes remains under‐researched—especially after internet‐delivered CBT (iCBT). Objective Explore contemporaneous and lagged effects of posttherapeutic CBT skills usage frequency on iCBT follow‐up outcomes. Method Nested within a randomized controlled trial, 241 participants received 8‐week supported iCBT for anxiety and/or depression, completing measures of anxiety, depression, functional impairment, and CBT skills usage frequency at 3‐, 6‐, 9‐, and 12‐month follow‐up. Cross‐lagged panel models evaluated primary aims. Results While analyses support a contemporaneous relationship between anxiety, depression, functional impairment, and CBT skills usage frequency, no consistent lagged effects were observed. Conclusion Findings align with qualitative research but the role of CBT skills usage in the maintenance of iCBT effects remains unclear. Innovative research modeling temporal and possibly circular relationships between CBT skill usage and clinical outcomes is needed to inform iCBT optimization.