Browsing by Subject "iCBT"
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(2019)The treatment of social anxiety disorder with internet delivered cognitive-behavior therapy has been studied for the past two decades, but still reviews of studies on the subject could not been found in the databases used in this study. The goal of this review was to examine the efficacy of iCBT in treating social anxiety disorder and to review the treatment protocols used in the efficacy studies. A systematic literature search was conducted in the databases available through EBSCOhost (ia. CINAHL, MEDLINE, eBook Collection (EBSCOhost) & eBook Academic Collection (EBSCOhost)) with the search term ”((((internet OR web) AND (cognitive behav* therapy)) OR iCBT) AND (social phobia OR social anxiety disorder)))”. Studies which examined the efficacy of iCBT in treating social anxiety disorder with an RCT trial comparing it to waiting list or treatment as usual conditions were included in the review. The search revealed 11 studies filling these requirements, in which three separately developed treatment protocols were studied. Guided iCBT significantly reduces the symptoms of social anxiety disorder and it was significantly more efficacious in reducing symptoms than waiting list, also clinically significant improvement was considerably more common in people receiving the treatment. Only a few studies comparing iCBT to live therapies were found, and even though they had promising results, conclusions could not be made based on two studies. The treatment protocols were similar to each other and there were no substantial differences noted in the efficacies of the different treatments. Treatment satisfaction was high which supports the role of iCBT as an acceptable treatment option. There was variation between the studies in the time therapists used per patient, but even the longest average time therapists used indicated that the therapists used their time more efficiently compared to live treatments. There was a lot of variation between the studies in adherence and completion rates, and the maintenance of adherence should be attended to also in future treatment protocols.
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(2021)Panic disorder is an anxiety disorder, which impairs one's daily life on areas of life quality and functioning. In a large proportion of the patients, the disorder remains unrecognized and untreated, although seeking help from health care is quite common among people with panic disorder. Issues with accessibility to therapy can set barriers to receiving mental health care. In addition to face-to-face therapy, internet-based cognitive behavioral therapies (iCBT) have been developed, and they are also available in Finland and have been developed by HUS. The implementation and research of internet-based therapies have mostly been focused on cognitive behavioral therapy, which is known to be effective in treating panic disorder. The aim of this literature review is to get an overview of iCBT's usability in treating panic disorder by examining the effectiveness and efficiency of treatment and the importance of support in the treatment outcome. Literature search was collected from the OvidMedline and Pubmed databases in February 2021 using combinations of the keywords panic disorder, iCBT, self help, web-based, internet treatment, online therapy and computer-assisted therapy. Controlled randomized trials in which subjects were diagnosed with panic disorder and the treatment used cognitive behavioral internet-based therapy without face-to-face contact were included. Using these criteria, nine research articles were selected for the review. The studies presented in this review supported that internet-based cognitive behavioral therapies are useful in reducing panic symptom severity. Treatment results of the internet therapy did not differ statistically significantly when compared to the treatment results of face-to-face therapy. Receiving support from a therapist is also important during panic disorder internet therapy, but due to the heterogeneity of the studies selected for this review, no firm conclusions could be drawn about the optimal amount of support for treatment outcome and maintenance. In addition, the results of the studies provided support for the cost-effectiveness of internet-based treatment methods in treating panic disorder. Altogether, the results of this review provide evidence that the use of internet-based therapy as a treatment for panic disorder can help address the resource problem between the supply and demand of psychotherapy services, as it is equally effective and at the same time more cost-effective when compared to face-to-face therapy.
Now showing items 1-2 of 2