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    Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for generalized anxiety disorder and comorbid disorders: A randomized controlled trial

    Access Status
    Open access via publisher
    Authors
    Dear, B.
    Staples, L.
    Terides, M.
    Karin, E.
    Zou, J.
    Johnston, L.
    Gandy, M.
    Fogliati, V.
    Wootton, B.
    McEvoy, Peter
    Titov, N.
    Date
    2015
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Dear, B. and Staples, L. and Terides, M. and Karin, E. and Zou, J. and Johnston, L. and Gandy, M. et al. 2015. Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for generalized anxiety disorder and comorbid disorders: A randomized controlled trial. Journal of Anxiety Disorders. 36: pp. 63-77.
    Source Title
    Journal of Anxiety Disorders
    DOI
    10.1016/j.janxdis.2015.09.003
    ISSN
    0887-6185
    School
    School of Psychology and Speech Pathology
    URI
    http://hdl.handle.net/20.500.11937/3449
    Collection
    • Curtin Research Publications
    Abstract

    © 2015 Z. Generalized anxiety disorder (GAD) can be treated effectively with either disorder-specific cognitive behavior therapy (DS-CBT) or transdiagnostic CBT (TD-CBT). The relative benefits of DS-CBT and TD-CBT for GAD and the relative benefits of delivering treatment in clinician guided (CG-CBT) and self-guided (SG-CBT) formats have not been examined. Participants with GAD (n= 338) were randomly allocated to receive an internet-delivered TD-CBT or DS-CBT intervention delivered in either CG-CBT or SG-CBT formats. Large reductions in symptoms of GAD (Cohen's d= 1.48; avg reduction = 50%) and comorbid major depressive disorder (Cohen's d= 1.64; avg reduction = 45%), social anxiety disorder (Cohen's d= 0.80; avg reduction = 29%) and panic disorder (Cohen's d= 0.55; avg reduction = 33%) were found across the conditions. No substantive differences were observed between DS-CBT and TD-CBT or CG-CBT and SG-CBT, highlighting the public health potential of carefully developed TD-CBT and SG-CBT.

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