Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Current Psychiatry Reports
Published in: Current Psychiatry Reports 1/2015

01-01-2015 | Anxiety Disorders (A Pelissolo, Section Editor)

Internet-Delivered Cognitive Behavior Therapy for Anxiety Disorders Is Here to Stay

Authors: Gavin Andrews, Jill M. Newby, Alishia D. Williams

Published in: Current Psychiatry Reports | Issue 1/2015

Login to get access

Abstract

Anxiety disorders are common and disabling. Cognitive behavior therapy is the treatment of choice but is often difficult to obtain. Automated, internet-delivered, cognitive behavior therapy (iCBT) courses may be an answer. There are three recent systematic reviews of randomized controlled trials that show that the benefits are substantial (d = 1.0) and similar to face to face CBT. There are two large effectiveness trials that demonstrate strong effects when iCBT is used in primary care; 60 % of patients who complete the courses no longer meet diagnostic criteria. The courses are suitable for most people with a primary anxiety disorder. Research studies usually exclude people whose anxiety is secondary to schizophrenia, bipolar disorder, or substance abuse or who are actively suicidal. Little additional input from clinicians is required. Patients find the courses very convenient. Clinically, the principal advantage is the fidelity of the treatment. What you prescribe is what the patient sees.
Literature
1.
Kessler RC et al. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry. 2005;62(6):593–602.PubMedCrossRef
2.
Brown TA et al. Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. J Abnorm Psychol. 2001;110(4):585–99.PubMedCrossRef
3.
Gøtzsche PC. Why I think antidepressants cause more harm than good. Lancet Psychiatry. 2014;1:104–6.CrossRef
4.
Andersson G. Using the internet to provide cognitive behavior therapy. Behav Res Ther. 2009;47:175–80.PubMedCrossRef
5.
Andrews G et al. Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: a meta-analysis. PLoS One. 2010;5:e13196.PubMedCentralPubMedCrossRef
6.••
Hedman E, Ljotsson B, Lindefors N. Cognitive behavior therapy via the Internet: a systematic review of applications, clinical efficacy and cost-effectiveness. Expert Rev Pharmacoeconomics Outcomes Res. 2012;12(6):745–64. A systematic review and meta analysis of the broader literature.CrossRef
7.••
Mewton L et al. Current perspectives on Internet-delivered cognitive behavioral therapy for adults with anxiety and related disorders. Psychol Res Behav Manag. 2014;7:37–46. A very up to date systematic review of the field.PubMedCentralPubMedCrossRef
8.
Nordgren LB et al. Effectiveness and cost-effectiveness of individually tailored internet-delivered cognitive behavior therapy for anxiety disorders in a primary care population: a randomized controlled trial. Behav Res Ther. 2014;59:1–11.PubMedCrossRef
9.
Titov N et al. Internet treatment for social phobia reduces comorbidity. Aust N Z J Psychiatr. 2009;43(8):754–9.CrossRef
10.
Berger T, Boettcher J, Caspar F. Internet-based guided self-help for several anxiety disorders: a randomized controlled trial comparing a tailored with a standardized disorder-specific approach. Psychotherapy. 2014;51(2):207–19.PubMedCrossRef
11.
Mewton L, Wong N, Andrews G. The effectiveness of computerised cognitive behavioral therapy for generalised anxiety disorder in clinical practice. Depression Anxiety. 2012;29:843–9.PubMedCrossRef
12.
Newby JM et al. Effectiveness of transdiagnostic Internet cognitive behavioral treatment for mixed anxiety and depression in primary care. J Affect Disord. 2014;165:45–52.PubMedCrossRef
13.
Newby JM et al. Internet cognitive behavioral therapy for mixed anxiety and depression: a randomized controlled trial and evidence of effectiveness in primary care. Psychol Med. 2013;FirstView:1–14.
14.
Bergstrom J et al. An open study of the effectiveness of Internet treatment for panic disorder delivered in a psychiatric setting. Nord J Psychiatry. 2009;63(1):44–50.PubMedCrossRef
15.
Hedman E et al. Effectiveness of Internet-based cognitive behavior therapy for panic disorder in routine psychiatric care. Acta Psychiatr Scand. 2013;128(6):457–67.PubMedCrossRef
16.
17.
Hedman E et al. Clinical and genetic outcome determinants of Internet- and group-based cognitive behavior therapy for social anxiety disorder. Acta Psychiatr Scand. 2012;126(2):126–36.PubMedCrossRef
18.
Hedman E, Andersson G, Ljótsson B, Andersson E, Rück C, et al. Internet-based cognitive behavior therapy vs. cognitive behavioral group therapy for social anxiety disorder: A randomized controlled non-inferiority trial. PLoS One. 2011;6(3):e18001. doi:10.​1371/​journal.​pone.​0018001.
19.
Mewton L, Wong N, Andrews G. The effectiveness of internet cognitive behavioral therapy for generalized anxiety disorder in clinical practice. Depression Anxiety. 2012;29(10):843–9.PubMedCrossRef
20.
Titov N, Andrews G, Kemp A, Robinson E. Characteristics of adults with anxiety or depression treated at an internet clinic: comparison with a national survey and an outpatient clinic. PLoS One. 2011;5(5):e10885. doi:10.​1371/​journal.​pone.​0010885.CrossRef
21.
Sheehan D et al. The mini-international neuropsychiatric interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59(20):22–33.PubMed
22.
First MB et al. Structured clinical interview for DSM-IV axis I disorders (SCID-I). Washington: American Psychiatric Press; 1996.
23.
Williams AD, Andrews G. The effectiveness of internet cognitive behavioral therapy (iCBT) for depression in primary care: a quality assurance study. PLoS One. 2013;8(2):e57447.PubMedCentralPubMedCrossRef
24.
25.
Mewton L, Andrews G. Cognitive behavior therapy via the internet for depression: a useful strategy to reduce suicidal ideation. J Affect Disord. in press.
26.••
Rozental A et al. Consensus statement on defining and measuring negative effects of Internet interventions. Internet Interv. 2014;1:12–9. A discussion of the need to track and identify any side effects associated with iCBT.CrossRef
27.
Spek V et al. Internet-based cognitive behavior therapy for symptoms of depression and anxiety: a meta-analysis. Psychol Med. 2007;37(03):319–28.PubMedCrossRef
28.
Andersson G, Carlbring P, Furmark T, on behalf of the S. O. F. I. E. Research Group. Therapist experience and knowledge acquisition in internet-delivered CBT for social anxiety disorder: A randomized controlled trial. PLoS One. 2012;7(5):e37411. doi:10.​1371/​journal.​pone.​0037411.
29.
Robinson E et al. Internet treatment for generalized anxiety disorder: a randomized controlled trial comparing clinician vs. technician assistance. PLoS One. 2010;5(6):e10942.PubMedCentralPubMedCrossRef
30.
Andrews G, Williams AD. Up-scaling clinician assisted internet cognitive behavioral therapy (iCBT) for depression: A model for dissemination into primary care. Clin Psychol Rev. in press.
Metadata
Title
Internet-Delivered Cognitive Behavior Therapy for Anxiety Disorders Is Here to Stay
Authors
Gavin Andrews
Jill M. Newby
Alishia D. Williams
Publication date
01-01-2015
Publisher
Springer US
Published in
Current Psychiatry Reports / Issue 1/2015
Print ISSN: 1523-3812
Electronic ISSN: 1535-1645
DOI
https://doi.org/10.1007/s11920-014-0533-1

Other articles of this Issue 1/2015

Current Psychiatry Reports 1/2015 Go to the issue

Eating Disorders (C Grilo, Section Editor)

Why Study Positive Emotions in the Context of Eating Disorders?

Anxiety Disorders (A Pelissolo, Section Editor)

d-Cycloserine Augmentation of Cognitive Behavioral Therapy for Anxiety Disorders: an Update

Psychiatric Diagnosis (MB First, Section Editor)

Melancholia and Catatonia: Disorders or Specifiers?

Anxiety Disorders (A Pelissolo, Section Editor)

The Role of Emotion and Emotion Regulation in Social Anxiety Disorder

Complex Medical-Psychiatric Issues (MB Riba, Section Editor)

Depression in HIV Infected Patients: a Review

Personality Disorders (C Schmahl, Section Editor)

Pharmacotherapy for Borderline Personality Disorder—Current Evidence and Recent Trends