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THE EFFECTIVENESS OF INTERNET COGNITIVE BEHAVIOURAL THERAPY FOR GENERALIZED ANXIETY DISORDER IN CLINICAL PRACTICE
Author(s) -
Mewton Louise,
Wong Nora,
Andrews Gavin
Publication year - 2012
Publication title -
depression and anxiety
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.634
H-Index - 129
eISSN - 1520-6394
pISSN - 1091-4269
DOI - 10.1002/da.21995
Subject(s) - generalized anxiety disorder , anxiety , clinical psychology , psychology , cognition , psychotherapist , cognitive behavioral therapy , cognitive therapy , psychiatry
Background Clinical trials have demonstrated the efficacy of internet cognitive behavioral therapy (i CBT ) in the treatment of generalized anxiety disorder ( GAD ). The current study aims to determine whether these efficacy findings, established under controlled research conditions, translate into effectiveness in practice . Methods The sample comprised 588 patients who completed at least one i CBT lesson for GAD through CRU f AD clinic ( www.crufadclinic.org ). This six‐lesson course became available to primary care physicians to prescribe in 2009. Routine data collection included demographics, GAD symptomatology ( GAD ‐7), psychological distress ( K ‐10), and disability ( WHODAS ) . Results All six lessons were completed by 324/588 (55.1%) patients. When compared with completers, noncompleters tended to be younger and based in rural locations. Prior to discontinuing the course, noncompleters demonstrated statistically significant reductions in psychological distress. For those who completed the course, effect sizes on all outcome measures were medium to large and over 60% of moderate‐to‐severe GAD cases met criteria for remission upon treatment completion . Conclusions The current study indicates that computerized CBT for GAD is effective in generating positive, clinically significant outcomes among typical patients treated under the usual conditions in primary care. Future research should focus on reducing treatment discontinuation among younger people and those based in rural locations .