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Examining The Acceptability And Effectiveness Of Transdiagnostic Internet Delivered Cognitive Behaviour Therapy For Symptoms Of Postpartum Anxiety And Depression
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Book Synopsis Examining the Acceptability and Effectiveness of Transdiagnostic, Internet-Delivered Cognitive Behaviour Therapy for Symptoms of Postpartum Anxiety and Depression by : Victoria Ayla Mary Suchan
Download or read book Examining the Acceptability and Effectiveness of Transdiagnostic, Internet-Delivered Cognitive Behaviour Therapy for Symptoms of Postpartum Anxiety and Depression written by Victoria Ayla Mary Suchan and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following childbirth, women experience significant biological, physical, social, and emotional changes, wherein 20% of new mothers experience clinically impairing symptoms of anxiety and/or depression. These conditions are associated with negative effects on both mother and child, underscoring the importance of ensuring treatment options are widely available. While efficacious treatments like cognitive behaviour therapy (CBT) exist, new mothers often report barriers to accessing in-person services including time concerns, stigma, and childcare difficulties. Importantly, many of these barriers can be mitigated using Internet-delivered CBT (ICBT), which has been found to be effective in the treatment of various mental health concerns, including depression and anxiety. As postpartum anxiety and depression are often comorbid, transdiagnostic ICBT is a particularly promising treatment approach to investigate. The current study explored the feasibility, acceptability, and effectiveness of a transdiagnostic ICBT program, the Wellbeing Course for New Moms, with a sample of Saskatchewan women who had an infant less than one year of age. Participants (N = 60) endorsing symptoms of depression or anxiety were randomly assigned to the Wellbeing Course for New Moms or a waitlist control (WLC) group. Participants completed measures pre-treatment, post-treatment, and 1-month follow up. Treatment satisfaction, therapeutic alliance, and open-ended questions assessing participant experiences with treatment were also explored. The treatment group exhibited large within-group effect sizes on all primary measures of anxiety and depression (Hedge's g: 0.89-1.24) and symptom improvement was maintained at follow-up. Medium to large between-group effect sizes were noted on all symptom measures favouring the treatment group at post-questionnaires (Hedge's g: 0.51-0.80) and follow-up (Hedge's g: 0.51-0.87); significantly more participants in the treatment group were found to have reliably recovered in terms of depression and anxiety as compared to the WLC. Participants were satisfied with this treatment modality and were able to establish a strong working alliance with their online therapist. The analyses revealed that both treatment and WLC participants experienced statistically significant reductions in anxiety, depression, and distress over time, as well as improvements in mother-infant bonding (all ps
Book Synopsis Women's Mental Health by : Joel Rennó Jr.
Download or read book Women's Mental Health written by Joel Rennó Jr. and published by Springer Nature. This book was released on 2020-02-14 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is an increasing focus on medical studies related to differences between men and women, and women’s mental health stands out as one of the most important fields where sex-based differences are being investigated. Overall, studies show an existence of important sex-specific differences in several aspects of psychiatric disorders such as etiology, epidemiology, clinical presentation and therapeutics. In this book, recognized experts present the current state of knowledge on this topic, providing a reliable, accurate and comprehensive clinical guide to women's mental health. The book will steer clear of an in-depth discussion of genetics and sex-based differences to focus quickly and narrowly on how best to diagnose and treat psychiatric disorders in women, thereby offering a targeted and practical guide for clinicians. It is intended to serve a broad audience -- including psychiatrists, psychologists, family physicians, obstetricians, gynecologists, nurses, social workers and other medical and mental health providers with an interest in women's mental health. Women's Mental Health: A Clinical and Evidence-Based Guide will be fully evidence-based and will present chapters authored by distinguished leaders with extensive experience and clinical wisdom in this area. It offers psychiatrists, psychologists, family physicians, obstetricians, gynecologists, nurses, social workers and other medical and mental health providers a valuable source of information to enhance their clinical practice.
Book Synopsis Transdiagnostic Internet-Delivered Cognitive-Behaviour Therapy for Recent Cancer Survivors by : Nicole Mary Alberts
Download or read book Transdiagnostic Internet-Delivered Cognitive-Behaviour Therapy for Recent Cancer Survivors written by Nicole Mary Alberts and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis A Randomized Controlled Trial of a Therapist- Assisted Internet Cognitive Behaviour Therapy Program for Women with Postpartum Depression by : Nicole Elizabeth Pugh
Download or read book A Randomized Controlled Trial of a Therapist- Assisted Internet Cognitive Behaviour Therapy Program for Women with Postpartum Depression written by Nicole Elizabeth Pugh and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Treating Postnatal Depression by : Jeannette Milgrom
Download or read book Treating Postnatal Depression written by Jeannette Milgrom and published by John Wiley & Sons. This book was released on 1999 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text provides an understanding of depression following childbirth which draws together current theories and research to produce an intervention framework. It outlines clinical guidelines and detailed intervention procedures.
Book Synopsis Cognitive Behavioral Therapy for Perinatal Distress by : Amy Wenzel
Download or read book Cognitive Behavioral Therapy for Perinatal Distress written by Amy Wenzel and published by Routledge. This book was released on 2014-11-05 with total page 261 pages. Available in PDF, EPUB and Kindle. Book excerpt: Countless studies have established the efficacy of cognitive behavioral therapy (CBT) for many manifestations of depression and anxiety. In Cognitive Behavioral Therapy for Perinatal Distress, Wenzel and Kleiman discuss the benefits of CBT for pregnant and postpartum women who suffer from emotional distress. The myths of CBT as rigid and intrusive are shattered as the authors describe its flexible application for perinatal women. This text teaches practitioners how to successfully integrate CBT structure and strategy into a supportive approach in working with this population. The examples used in the book will be familiar to postpartum specialists, making this an easily comprehensive and useful resource.
Download or read book Just know it written by Matilda Berg and published by Linköping University Electronic Press. This book was released on 2021-02-23 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt: The role of explicit, declarative knowledge in general health care and in psychotherapy is a growing field of research. In many areas of healthcare, knowledge is regarded as an important factor for successful interventions. Participants within mental-health interventions should ideally gain knowledge about their specific conditions and strategies to improve, in order to manage their problems in more helpful ways. In Cognitive Behaviour Therapy (CBT), explicit knowledge is a core feature when treating clients and educating them about their symptoms, problems and potential solutions. Still, the role of knowledge and its relation to treatment outcome within CBT treatments is unclear. CBT administered over the internet (ICBT), is mainly based on psychoeducative texts and thus provides a suitable format for an initial evaluation of explicit knowledge within a clinical research context. The role of explicit knowledge could be of particular importance in the study of younger target groups, who probably have their first treatment experience. Their knowledge gain and its use could be of importance both as separate constructs but also in relation to symptom reduction following treatment. The overarching aim of this thesis was to explore the role of explicit knowledge in internet-delivered CBT for adolescents with depression and anxiety. Study I explored the role of explicit knowledge in a randomised controlled trial with adolescents suffering from primary depression. A knowledge test was constructed and administered at pre- and post-treatment. Results showed that explicit knowledge and certainty of knowledge about depression, anxiety and CBT increased during treatment, but that these variables were unrelated to treatment outcome. Lower pre-treatment knowledge levels (certainty) however predicted greater improvement in depressive symptoms. Study II describes the procedure of developing a new knowledge test in the context of ICBT for adolescents with depression and anxiety. An explorative factor analysis was performed and resulted in a three-factor solution with the following factors: Act in aversive states, Using positive reinforcement, and Shifting attention. The procedure presented could illustrate one way of creating a test for knowledge evaluation in ICBT, but its clinical use needs to be evaluated further. In Study III, participants from a randomised controlled trial of ICBT for adolescent depression were asked about their acquired knowledge and knowledge use six months later. Qualitative methodology (thematic analysis) was used. The results showed two overarching ways that clients can remember and relate to CBT-principles after treatment; one more explicit way related to the active application of CBT principles, and another vague way of recalling treatment content and the passive usage of CBT. Both ways of recalling CBT principles were related to experiencing the treatment as helpful. Study IV evaluated the role of learning strategies and chat-sessions in ICBT for adolescents with anxiety and depression. A total of 120 adolescents were randomised to one of four treatment groups, in a 2x2 factorial design with the two factors: with or without learning support and/or chat-sessions. Overall, the results showed general reductions of anxiety and depressive symptoms, and increased knowledge levels. Participants receiving learning strategies during treatment obtained more immediate benefits in treatment outcome and knowledge levels, but at six months follow-up participants without learning support had reached equal amounts of knowledge and symptom reduction. Chat-sessions did not add any effect on treatment outcome or knowledge levels. In conclusion, this thesis suggests that explicit knowledge is a construct that is independent of symptom reduction and increases during ICBT treatments for adolescents with depression and anxiety. Increased knowledge, and increased certainty of knowledge, are valuable outcomes since CBT emphasises educating clients about symptoms, therapeutic principles, and strategies that they can remember and use later on. The lack of association between explicit knowledge gain and symptom reduction could indicate that explicit knowledge is a necessary but insufficient factor for symptom reduction. Adding learning strategies within a treatment programme could be of importance for enhancing short-term treatment effects. There is a continued need for more research on the role of knowledge in ICBT, both as an outcome and as a way to improve treatment effects. The findings in this thesis however suggest that research on explicit knowledge is important to understand what makes ICBT work. Explicit kunskap och dess roll i psykoterapi är ett växande forskningsområde. I kognitiv beteendeterapi (KBT) har explicit kunskap en kärnfunktion då man behandlar klienter och utbildar dem om deras symptom, problemområden och potentiella lösningar. Trots detta är kunskapens roll och dess relation till behandlingsresultat vid KBT oklar. KBT som administreras via internet (IKBT) baseras huvudsakligen på psykoedukativa texter, och kan således vara ett lämpligt format för en initial utvärdering av explicit kunskap. Syftet med denna avhandling var att undersöka om kunskap ökar under IKBT för tonåringar med depression och ångest, dess relation till behandlingsutfall, och om lärandestöd kan öka effekten av behandling. De fyra inkluderade studierna visar att explicit kunskap är ett unikt konstrukt som, oberoende av symtomminskning, ökar under behandling. Deltagare kan komma ihåg behandlingsinnehåll och uppleva KBT kunskap som användbart i deras vardag. Detta är ett värdefullt resultat då KBT betonar vikten av att utbilda klienter om symtom, principer och strategier som de kan komma ihåg och använda. Ett nytt kunskapstest utvecklades och validerades initialt för potentiell användning i framtida kliniska studier. En av studierna visade, via experimentell design, att lärandestöd i behandlingsmoduler kan förbättra kortvariga behandlingseffekter. Sammanfattningsvis är forskning om explicit kunskap viktigt för att förstå vad som får IKBT att fungera.
Book Synopsis Using Information and Communication Technologies (ICT) for Mental Health Prevention and Treatment by : Ana Fonseca
Download or read book Using Information and Communication Technologies (ICT) for Mental Health Prevention and Treatment written by Ana Fonseca and published by MDPI. This book was released on 2021-03-30 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: The use of Information and Communication Technologies (ICT) to deliver psychological services has been emerging as an effective way of increasing individual access to mental health promotion, prevention, and treatment. This Special Issue brings together different contributions focusing on the acceptability and feasibility, (cost-)effectiveness, potentialities, and limitations of ICT-based psychological services for mental health promotion, prevention, and treatment. In each paper, the implications for the implementation of ICT tools in different settings (e.g., primary care services) and for future research are discussed.
Book Synopsis Cognitive Behavioral Therapy for Anxiety and Depression During Pregnancy and Beyond by : Sheryl M. Green
Download or read book Cognitive Behavioral Therapy for Anxiety and Depression During Pregnancy and Beyond written by Sheryl M. Green and published by Routledge. This book was released on 2018-10-26 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a hands-on guide for facilitating treatment of anxiety and depression during pregnancy and the postpartum period. Readers will learn about why anxiety and related difficulties can increase during pregnancy and the postpartum period, the critical roles that thoughts and behaviors play in maintaining symptoms, and how to apply practical cognitive and behavioral strategies to reduce distress and increase coping skills. Chapters are integrated with the latest research, and clinicians and individuals alike are presented with customizable cognitive behavioral therapy-based handouts, exercises, and worksheets proven to meet the unique needs of the perinatal population.
Book Synopsis Guided Internet-Based Treatments in Psychiatry by : Nils Lindefors
Download or read book Guided Internet-Based Treatments in Psychiatry written by Nils Lindefors and published by Springer. This book was released on 2016-01-07 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a practically oriented overview of internet-based treatments in psychiatry and mental health care, which represent a relatively new research area and offer a novel clinical approach. The principal focus is on internet-based cognitive behavior therapy, as this is currently the best example of evidence-based internet interventions in the field. Applications are described in a wide range of conditions, including, for example, depression, panic disorder, anxiety disorders, obsessive-compulsive disorder, post-traumatic stress disorder, eating disorders and addictions. Research background, clinical trials and evidence for efficacy and effectiveness are discussed and helpful case descriptions, provided. Information is also included on cost-effectiveness and other relevant aspects of health economics and on new technologies and future challenges. Guided Internet-Based Treatments in Psychiatry will be of great interest for practitioners and researchers alike.
Book Synopsis A Randomized Non-Inferiority Trial of Technician-Guided and Self-Guided Transdiagnostic Internet-Delivered Cognitive Behaviour Therapy for Cancer Survivors by : Dale Alexandra Dirkse
Download or read book A Randomized Non-Inferiority Trial of Technician-Guided and Self-Guided Transdiagnostic Internet-Delivered Cognitive Behaviour Therapy for Cancer Survivors written by Dale Alexandra Dirkse and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many cancer survivors face difficulties adjusting to life after cancer; approximately 14-24% of cancer survivors experience clinical problems with anxiety, depression, and/or worry about the future. Depression and anxiety have significant consequences for survivors in terms of distress, quality of life, and physical health. In turn, depression and anxiety result in increased costs to the health care system. Cognitive behaviour therapy (CBT) has demonstrated efficacy treating anxiety and depression in cancer patients and survivors; however, many individuals do not seek mental health treatment for these problems or are not referred to available services. Barriers to receiving treatment include: geographical distance, mobility, inconvenience, stigma, and time constraints. Internet-delivered CBT (ICBT) overcomes these barriers and is well established as an efficacious treatment for anxiety and depression. ICBT has only recently been used within a cancer population, with only a few large randomized controlled trials. ICBT when guided by a coach or technician has demonstrated comparable efficacy to therapist-assisted ICBT. Moreover, guided ICBT overcomes challenges associated with therapist licensure, providing individuals across the country access to treatment. The primary advantage of ICBT is accessibility; as such, two forms of nontherapist assisted ICBT were investigated in the present study. Cancer survivors with symptoms of anxiety or depression (n = 86) were randomly assigned to receive a transdiagnostic ICBT program (Wellbeing After Cancer) that was either guided by a technician or self-guided. Participants completed measures of anxiety, depression, and fear of cancer recurrence pre-treatment, post-treatment, and four-weeks following ii treatment completion. Secondary objectives were to examine participants' satisfaction with the program as well as explore their preference for differing levels of support. The results of the present study provided evidence for the effectiveness of both non-therapist assisted ICBT options. Participants in both the technician-guided and selfguided groups evidenced significant improvements in depression, anxiety, fear of cancer recurrence, distress, and quality of life. While power limited the ability to draw conclusions about the equivalence of the groups on several measures, analyses revealed no differences in treatment effects between groups on primary outcome measures of anxiety and depression. Furthermore, participants in both groups reported high satisfaction ratings of the program and the majority did not express a need for additional support. Results of the present study demonstrate that both forms of non-therapist assisted ICBT were effective and acceptable treatment options for cancer survivors experiencing symptoms of anxiety and depression. The present study is one of few large-scale trials of ICBT with cancer survivors, the first of its kind in North America. The results demonstrate the ability to provide effective service to all Canadian cancer survivors with symptoms of anxiety and depression from one centralized site. Providing ICBT has the potential to change the mental health care landscape for cancer survivors across Canada. Future research should focus on best practices for implementation of ICBT.
Book Synopsis Applications of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders by : David H. Barlow
Download or read book Applications of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders written by David H. Barlow and published by Oxford University Press. This book was released on 2017 with total page 377 pages. Available in PDF, EPUB and Kindle. Book excerpt: Applications of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders provides clinicians with a "how to" guide for using the UP to treat a broad range of commonly encountered psychological disorders in adults.
Book Synopsis Reducing Risks for Mental Disorders by : Institute of Medicine
Download or read book Reducing Risks for Mental Disorders written by Institute of Medicine and published by National Academies Press. This book was released on 1994-01-01 with total page 636 pages. Available in PDF, EPUB and Kindle. Book excerpt: The understanding of how to reduce risk factors for mental disorders has expanded remarkably as a result of recent scientific advances. This study, mandated by Congress, reviews those advances in the context of current research and provides a targeted definition of prevention and a conceptual framework that emphasizes risk reduction. Highlighting opportunities for and barriers to interventions, the book draws on successful models for the prevention of cardiovascular disease, injuries, and smoking. In addition, it reviews the risk factors associated with Alzheimer's disease, schizophrenia, alcohol abuse and dependence, depressive disorders, and conduct disorders and evaluates current illustrative prevention programs. The models and examination provide a framework for the design, application, and evaluation of interventions intended to prevent mental disorders and the transfer of knowledge about prevention from research to clinical practice. The book presents a focused research agenda, with recommendations on how to develop effective intervention programs, create a cadre of prevention researchers, and improve coordination among federal agencies.
Book Synopsis Development and evaluation of an internet-based treatment for generalized anxiety disorder by : Mats Dahlin
Download or read book Development and evaluation of an internet-based treatment for generalized anxiety disorder written by Mats Dahlin and published by Linköping University Electronic Press. This book was released on 2020-09-28 with total page 83 pages. Available in PDF, EPUB and Kindle. Book excerpt: Generalized anxiety disorder (GAD) is a chronic condition characterized by an excessive and uncontrollable worry. GAD has a highly negative impact on all aspects of life, and the costs for society are considerable. Cognitive behaviour therapy (CBT), delivered face-to- face or online, has been shown to be effective in treating GAD. However, there are still room for improvement, with treatment content and format of delivery being two areas to further investigate. Internet-based treatments are often based on a generic CBT model of GAD and include treatment strategies such as cognitive restructuring and relaxation. Furthermore, the impact of therapist support has shown inconclusive results. Overall, this thesis aimed to evaluate the effects of a new internet-based treatment for GAD, based on acceptance, mindfulness, and valued action, delivered with different types of support. Study I was a small pilot trial with a within-group design. The study included 16 participants diagnosed with GAD who received the newly developed treatment program with weekly therapist support. Statistically significant and large effect sizes were observed on self-rated worry at post-treatment, and the effects were maintained at a three-months follow-up. Study II included 103 participants diagnosed with GAD who were randomized to nine weeks of treatment with the treatment program and weekly support, or a waiting-list control group. Statistically significant moderate to large effects were observed on primary and secondary outcomes in favour of the treatment. The exception was a measure of quality of life, with no significant difference between the two groups. The treatment effects were maintained at a six-months follow-up. Study III was a pilot trial including 33 participants diagnosed with GAD. A within-group design was used to investigate the effects of the treatment program delivered with automated messages and support on demand. Significant and large within-group effects were observed on all outcome measures at post-treatment with the exception of quality of life, for which there was a small effect. Study IV was a pilot factorial design trial that compared the acceptance-based treatment program against a self-tailored treatment, as well as two types of support: scheduled support and support on demand. The study included 85 participants with GAD randomized to four different treatment groups. Significant moderate to large effects were observed in all treatment groups, with no statistically significant differences between the groups on self-rated outcome measures. Receiving scheduled support was rated as more positive than support on demand, and self-tailored treatment was rated as more positive than the acceptance-based treatment. Treatment satisfaction was high in all studies. In conclusion, the studies indicate that an internet-based treatment based on acceptance, mindfulness, and valued action is a viable option in the treatment of GAD. Generaliserat ångestsyndrom (GAD) är ett kroniskt tillstånd som kännetecknas av överdriven och okontrollerbar oro. Internetbaserad kognitiv beteendeterapi (IKBT) har visat sig vara effektiv vid behandling av GAD. Behandlingarna baseras ofta på en traditionell KBT modell med tekniker som kognitiv omstrukturering och avslappning. IKBT inkluderar ofta även stöd från en behandlare, men stödets inverkan på metodens behandlingseffekter har visat på blandade resultat. Det finns det fortfarande mycket att lära om hur behandlingarnas innehåll och grad av behandlarstöd påverkar utfallet. Syftet med avhandlingen var att utvärdera behandlingseffekterna av ett nytt acceptansbaserat behandlingsprogram för GAD, förmedlat via internet, med endera veckovist stöd eller stöd vid behov. De fyra inkluderade studierna visar att behandlingen resulterade i signifikanta effekter på oro, GAD-symtom och komorbida depressiva symtom. Behandlingen var effektivare än kontrollgrupp (väntelista). Vid jämförelse med en aktiv behandling var effekterna likvärdiga. Att förmedla behandlingen med veckovist stöd eller stöd vid behov resulterade i jämförbara effekter på symptomskattningar. Dock slutförde fler som fick veckovist stöd hela behandlingen och de var även mer nöjda både med stödet och behandlingen. Behandlingseffekterna var jämförbara med tidigare IKBT-studier för GAD och deltagarna rapporterade hög grad av nöjdhet i alla studier. Sammanfattningsvis är acceptansbaserad internetförmedlad behandling ett effektivt alternativ vid behandling av GAD.
Book Synopsis Internet-delivered Cognitive Behavioural Therapy for Major Depression and Anxiety Disorders by : Calvin Young (Clinical researcher)
Download or read book Internet-delivered Cognitive Behavioural Therapy for Major Depression and Anxiety Disorders written by Calvin Young (Clinical researcher) and published by . This book was released on 2018 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Quality Ontario (HQO) and CADTH have collaborated on a project entitled "Internet-Delivered Cognitive Behavioural Therapy for Major Depressive Disorder and Anxiety Disorders: A Health Technology Assessment". The objective of this collaborative project was to provide a comprehensive review of the evidence on iCBT technologies and assess their potential value to the Canadian health care system. This Rapid Response report aims to serve as a supplement to the clinical review conducted as part of the health technology assessment. Evidence from primary studies that have been published more recently than the systematic reviews included in the full health technology assessment (HTA), as well as evidence on transdiagnostic interventions (i.e., programs that apply the same underlying treatment principles across multiple mental health conditions) will be examined in this review to provide decision-makers with additional information.
Book Synopsis Perceptions Of and Preference For Internet-Delivered Cognitive Behaviour Therapy Among Post-Secondary Students by : Vanessa Angelica Peynenburg
Download or read book Perceptions Of and Preference For Internet-Delivered Cognitive Behaviour Therapy Among Post-Secondary Students written by Vanessa Angelica Peynenburg and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Post-secondary students experience elevated rates of mental health concerns, including anxiety and depression. These mental health concerns often contribute to the stress experienced by students, and interfere with social and academic functioning. Most colleges and universities have some form of mental health support for students, often in the form of campus counselling centers. However, these services often offer a limited number of sessions per student and are reported to have difficulties meeting the mental health demands of students. Students face several barriers when seeking psychological help, including stigma, lack of time, financial constraints, and perceptions that their mental health concern will resolve on its own or does not warrant psychotherapy. Internet-delivered cognitive behaviour therapy (ICBT) is an effective alternative to face-to-face therapy that addresses these barriers in adult populations with some evidence showing ICBT can also be effective with students. The use of ICBT, however, is not yet readily available to students in Canada. More research is needed on student perceptions and preferences for ICBT in order to assist with future attempts to implement ICBT to address the gap between students' needs and service utilization. Objectives: The present study aimed to explore post-secondary students' perceptions of ICBT and to identify demographic and clinical variables that predict their ratings of the acceptability and credibility of ICBT. A further objective of this study was to identify student preferences for the content of an ICBT course, as well as their preferred method and frequency of contact with a therapist. Method: Canadian post-secondary students (N = 314) were recruited using Qualtrics, an online survey platform. They completed a battery of questionnaires, including measures of their demographics, depression, anxiety, alcohol and drug use, and medical service utilization. Students also rated the acceptability and credibility of ICBT, face-to-face therapy, and the use of medication as treatments for mental health concerns. Students were provided with a list of possible content for an ICBT course, and different options for the method (e.g., email, telephone, face-to-face) and frequency (e.g., daily, weekly) of contact with a therapist. They were asked to rate how helpful they perceive each of the above options to be in an ICBT course. Analysis and results: Students perceived face-to-face CBT, medication, and ICBT as moderately acceptable and credible treatments for anxiety and depression. ICBT was rated as the least preferable of the treatment options, but was more preferable when face-to-face services could not be received immediately. Less severe depression severity and female gender were identified as predictors of higher acceptability rates of ICBT. Students who expressed more willingness to seek help for mental health concerns viewed ICBT as more credible than those who were less willing to seek help. Participants identified several advantages of ICBT, including convenience, accessibility, and general personal benefits. Disadvantages included the perception that ICBT is too impersonal, has a lack of accountability, and is too time-consuming. Potential implications: Findings from this research study will help inform implementation efforts and future trials of ICBT for postsecondary students with anxiety and depression.
Book Synopsis Can Patient Characteristics at Intake Predict Patient Response to Therapist-Assisted, Transdiagnostic Internet-Delivered Cognitive Behavioural Therapy? by : Michael Robert Edmonds
Download or read book Can Patient Characteristics at Intake Predict Patient Response to Therapist-Assisted, Transdiagnostic Internet-Delivered Cognitive Behavioural Therapy? written by Michael Robert Edmonds and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Internet-delivered interventions for anxiety and depression show promise in both their effectiveness at reducing symptoms and their efficiency in routine practice. Still, some patients do not benefit from these programs, and there is limited understanding of factors that predict patient response. The current study investigates predictors of patient response to the Wellbeing Course, a transdiagnostic, therapist-assisted internet-delivered cognitive behavioural therapy designed to treat depression and anxiety. Case files from 1201 patients who participated in a recent open trial of the Wellbeing Course were analyzed to examine predictors of dropout (i.e., withdrawing from the course before completing all modules) and symptom change, which was measured weekly using the Patient Health Questionnaire-9, a measure of depressive symptoms, and the Generalized Anxiety Disorder-7, a measure of general symptoms of anxiety. Logistic regression identified younger age and higher initial scores of psychological distress as significant predictors of dropout. Autoregressive latent trajectory modelling was used to assess the value of various patient characteristics as measured at screening for predicting symptom trajectories over the course of treatment. Patients who reported being on disability and those who do not hold a university degree were found to have higher initial symptoms and experience greater reductions in symptoms over treatment. Cases were then classified as either unsuccessful (dropout or no significant symptom reduction) or successful (course completion and significant symptom reduction). Using these criteria for success as an outcome criterion, a clinical decision tree was created to guide program referrals and help therapists assess risk. Future research directions are discussed.
