Efficacy of Internet therapy for panic disorder
Fifty-five people with panic disorder (PD) were randomised to internet-based cognitive behavioural panic treatment (CBT) (with email contact), therapist-assisted CBT manual or information-only control (both with telephone contact). Both CBT treatments were more effective in reducing PD symptomatology, panic-related cognition, negative affect, and number of GP visits and improving physical health ratings. Internet treatment was more effective than CBT manual in reducing clinician-rated agoraphobia and number of GP visits at post-assessment. At follow-up, these effects were maintained for both CBT groups, with internet CBT better at improving physical health ratings and reducing GP visits. This study provides support for the efficacy of internet-based CBT.
Available from: Alexander H. Jordan
- "Although controlled trials have been less numerous than for SAD and PTSD, I-CBT interventions have also shown efficacy in the treatment of panic disorder (Wims et al. (2010); Kiropoulos et al. (2008); Klein, Richards, and Austin (2006)), generalized anxiety disorder (Robinson et al. (2010); Titov et al. (2009)), and OCD (Andersson et al. (2012)). As with the I- CBT treatments for SAD and PTSD outlined above, online interventions for these other anxiety disorders have typically consisted of instruction on thought-challenging and other important treatment elements, assignments to practice exposure to anxiety-provoking stimuli, and written electronic communication between the patient and a therapist. "
Available from: Addie Wootten
- "Measures used were administered online and all were validated, except for the programme and forum satisfaction questionnaires, which were based on previously used programme satisfaction measures (Klein et al., 2006, 2011). Demographic details obtained included age, date of birth, marital status, employment status, gross annual income, ethnicity, languages spoken, postcode, prostate cancer date of diagnosis, date of treatment, and type of treatment. "
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ABSTRACT: Men with prostate cancer are not routinely offered psychosocial support despite strong evidence that being diagnosed with prostate cancer poses significant quality of life concerns and places the patient at elevated risk of developing a range of mental health disorders. The objective of this study was to develop an online psychological intervention for men with prostate cancer and to pilot test the feasibility and acceptability of the intervention. Development of the intervention involved a multidisciplinary collaboration, adapting face-to-face and group intervention strategies for an online format. The full online intervention and moderated forum were pilot tested with 64 participants who were recruited from urology practices in Melbourne, Victoria, Australia. After consenting to participate and creating a personal account in the online programme, participants completed baseline demographic questionnaires. Participants were provided access to the programme for 6-12 weeks. After completing the programme participants completed an online survey to assess intervention and forum utilisation and satisfaction, as well as suggest intervention refinements following their use of the intervention. Patient satisfaction was calculated using mean responses to the satisfaction questionnaire. The intervention was received positively with 47.82% of participants highly satisfied with the programme, and 78.26% said they would recommend it to a friend. Participants' qualitative feedback indicated good acceptability of the online intervention. A number of technical and participant engagement issues were identified and changes recommended as a result of the feasibility testing.
- "The team also included members with expertise in bipolar disorder, as well as previous experience and expertise in the development of online interventions (e.g. Klein et al., 2006). The team members regularly communicated through emails and regular telephone and group meetings. "
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ABSTRACT: Objective: The application of adjunctive psychosocial interventionsin bipolar disorder is often limited in real world application due tocost and access constraints. MoodSwings 1.0 was a pilot onlineself-help program for people with bipolar disorder adapted from avalidated group-based face-to-face program. MoodSwings 1.0compared the online delivery of MoodSwings (interactive toolsplus psychoeducation) with psychoeducation alone, using the sameplatform and both with access to small group moderated discus-sion boards. Participants diagnosed with bipolar I or II disorder(n = 156) were randomised to either online programs of Mood-Swings 1.0 or psychoeducation. Improvement in both groups showed baseline to endpoint reductions in mood symptoms and improvements in quality of life, functionality, and medication adherence. MoodSwings was noted to be superior to psychoeduca-tion in improvement on symptoms of mania at 12 months(p = 0.02). MoodSwings 2.0 was developed in response to these promising ﬁndings.
Methods: Participants diagnosed with bipolar I, II or NOS will berecruited. MoodSwings 2.0 is a 2-site, 3-arm randomized parallel group stepped design (exposure to moderated peer discussion board only, discussion board only, discussion board plus psycho-education or discussion board, psychoeduation, and online interactive psychosocial tools. The collaborative sites (Palo Alto, CA, and Melbourne, Australia) will enroll 300 participants internationally.Outcomes will be assessed at quarterly intervals via phone interview with raters blind to group assignment as well as online selfreport.
Results: The primary outcome of MoodSwings 2.0 will be the change in depressive symptoms over 12 months, assessing if there is additive beneﬁt to the three components (education, discussion board, and interactive psychosocial tools) on improvement. Exploratory aims include symptoms of elevated mood, health services utilization, evidence of relapse (time to intervention), function, quality of life and medication adherence.
Discussion: Experience of the MoodSwings 1.0 trial study suggests that internet-based psychosocial interventions have potential in the management of bipolar disorder. Online enhancements in Mood-Swings 2.0, as well as a larger sample size including an attention control (discussion board only arm) may lead to a greater understanding of these interventions as an adjunctive treatment tool.
Keywords: online intervention, MoodSwings 2.0, bipolar depression
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