Potential use of Internet-based screening for anxiety disorders: a pilot study
ABSTRACT The Internet is a widely used resource for obtaining health information. Internet users are able to obtain anonymous information on diagnoses and treatment, seek confirmatory information, and are able to self-diagnose. We posted a self-report diagnostic screening questionnaire for DSM-IV anxiety and mood disorders (MACSCREEN) on our clinic website.
Three hundred and two individuals completed the MACSREEN. For those who qualified for a DSM-IV disorder, self-report symptom severity measures were completed for the specified disorder: Quick Inventory of Depressive Symptomatology, self-report, Social Phobia Inventory, GAD-7, Davidson Trauma Scale, Panic and Agoraphobia Scale, and Yale/Brown Obsessive Compulsive Scale, self-report. Cutoff scores for each self-report measure were used to evaluate clinically significant symptom severity. Respondents were also asked to complete a series of questions regarding their use of the Internet for health information. Results: The mean age of the MACSCREEN sample was 35.2 years (±13.9), where the majority (67.2%) were female. The most frequently diagnosed conditions were social phobia (51.0%), major depressive disorder (32.4%), and generalized anxiety disorder (25.5%). Sixty-five percent of the sample met criteria for at least one disorder. Most respondents reported completing the MACSCREEN, as they were concerned they had an anxiety problem (62.3%). The majority of respondents reported seeking health information concerning specific symptoms they were experiencing (54.6%) and were planning to use the information to seek further assessment (60.3%).
Individuals with clinically significant disorder appear to be using the Internet to self-diagnose and seek additional information.
- SourceAvailable from: Saskia Van der Oord
[Show abstract] [Hide abstract]
- " the patient prefers . There are of course also potential drawbacks to the im - plementation of Internet - based treatments . One important issue involves the lack of appropriate diagnostic procedures when patients start working with an Internet program Emmelkamp et al . Advancing psychotherapy without the involvement of a professional therapist ( Ameringen et al . , 2010 ) . Another concern is that patients do not apply the treatment in an appropriate fashion ."
ABSTRACT: Psychological models of mental disorders guide research into psychological and environmental factors that elicit and maintain mental disorders as well as interventions to reduce them. This paper addresses four areas. (1) Psychological models of mental disorders have become increasingly transdiagnostic, focusing on core cognitive endophenotypes of psychopathology from an integrative cognitive psychology perspective rather than offering explanations for unitary mental disorders. It is argued that psychological interventions for mental disorders will increasingly target specific cognitive dysfunctions rather than symptom-based mental disorders as a result. (2) Psychotherapy research still lacks a comprehensive conceptual framework that brings together the wide variety of findings, models and perspectives. Analysing the state-of-the-art in psychotherapy treatment research, "component analyses" aiming at an optimal identification of core ingredients and the mechanisms of change is highlighted as the core need towards improved efficacy and effectiveness of psychotherapy, and improved translation to routine care. (3) In order to provide more effective psychological interventions to children and adolescents, there is a need to develop new and/or improved psychotherapeutic interventions on the basis of developmental psychopathology research taking into account knowledge of mediators and moderators. Developmental neuroscience research might be instrumental to uncover associated aberrant brain processes in children and adolescents with mental health problems and to better examine mechanisms of their correction by means of psychotherapy and psychological interventions. (4) Psychotherapy research needs to broaden in terms of adoption of large-scale public health strategies and treatments that can be applied to more patients in a simpler and cost-effective way. Increased research on efficacy and moderators of Internet-based treatments and e-mental health tools (e.g. to support "real time" clinical decision-making to prevent treatment failure or relapse) might be one promising way forward. Copyright © 2013 John Wiley & Sons, Ltd.International Journal of Methods in Psychiatric Research 01/2014; 23(1):58-91. DOI:10.1002/mpr.1411 · 3.42 Impact Factor
Article: Unbinding of adhesive vesicles[Show abstract] [Hide abstract]
ABSTRACT: We consider a vesicle, bound on one side to a pipette and sticking on the other side to a flat plate. When a pulling force f is applied to the pipette, the radius Rc of the contact patch decreases, and jumps to zero at a critical value of the force. We present here an extension of the Evans theory for these processes. Then we discuss the dynamics of separation for two distinct cases: (a) nonspecific adhesion; and (b) specific adhesion induced by mobile proteins. To cite this article: F. Brochard-Wyart, P.-G. de Gennes, C. R. Physique 4 (2003).Comptes Rendus Physique 03/2003; 4(2):281-287. DOI:10.1016/S1631-0705(03)00048-3 · 1.64 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: This article presents the current evidence base for pharmacotherapy of generalized anxiety disorder (GAD) and an update on the phenomenology of GAD and its association with other psychiatric and somatic conditions. It discusses nosological issues and suggests ways to improve recognition, treatment, and care for patients who have GAD.The Psychiatric clinics of North America 10/2009; 32(3):611-28. DOI:10.1016/j.psc.2009.05.006 · 1.87 Impact Factor