Internet-based cognitive behavioral therapy for anxiety in an outpatient specialized care setting: A qualitative study of the patients' experience of the therapy

被引:12
作者
Pedersen, Martin Kent [1 ]
Mohammadi, Rozhiar [2 ]
Mathiasen, Kim [3 ]
Elmose, Mette [4 ]
机构
[1] Psychol Private Practice, Copenhagen, Denmark
[2] Psychiat Ctr Amager, Dept Psychotherapy, Copenhagen, Denmark
[3] Aarhus Univ Hosp, Dept Depress & Anxiety, Aarhus, Denmark
[4] Univ Southern Denmark, Dept Psychol, Odense, Denmark
关键词
Anxiety; clinical setting; ICBT; Internet; internet-based cognitive behavioral therapy; Patient experience; DSM-IV DISORDERS; MENTAL-DISORDERS; PANIC DISORDER; SOCIAL PHOBIA; SELF-HELP; COMORBIDITY; PREVALENCE; ADHERENCE; SEVERITY; EUROPE;
D O I
10.1111/sjop.12665
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Knowledge about user experiences of internet-based cognitive behavioral therapy (iCBT) has mostly been drawn from non-clinical groups or with iCBT offered via self-referral. The present study therefore focused on patients who had undergone iCBT with minimal support while actively awaiting outpatient psychological treatment in the form of face-to-face CBT. To seek out barriers to adherence the study also included patients who had withdrawn from the iCBT treatment before completion. The study was performed in an outpatient clinic for anxiety disorders where twelve participants with a primary diagnosis of either social anxiety disorder or panic disorder were recruited from an ongoing randomized control trial for semi-structured interviews. Statements from the interviews showed that the iCBT treatment was unfavorably compared to the usual face-to-face treatment at the clinic. Despite this, a majority of the interview participants still expressed to have experienced various benefits from the treatment. Some participants did however, experience difficulties putting the materials to practical use. Furthermore, a large majority of the participants expressed a need for additional support, with a strong tendency for non-completers specifically expressing a need for face-to-face contact with a clinician. Implications for future research and implementation of iCBT in clinical practice are discussed.
引用
收藏
页码:846 / 854
页数:9
相关论文
共 34 条
[1]   Internet-based trials and the creation of health consumers [J].
Advocat, Jenny ;
Lindsay, Jo .
SOCIAL SCIENCE & MEDICINE, 2010, 70 (03) :485-492
[2]  
Alonso J, 2004, ACTA PSYCHIAT SCAND, V109, P21
[3]   Development of a New Approach to Guided Self-Help via the Internet: The Swedish Experience [J].
Andersson, Gerhard ;
Bergstrom, Jan ;
Buhrman, Monica ;
Carlbring, Per ;
Hollandare, Fredrik ;
Kaldo, Viktor ;
Nilsson-Ihrfelt, Elisabeth ;
Paxling, Bjorn ;
Strom, Lars ;
Waara, Johan .
JOURNAL OF TECHNOLOGY IN HUMAN SERVICES, 2008, 26 (2-4) :161-181
[4]   Computer therapy for the anxiety and depression disorders is effective, acceptable and practical health care: An updated meta-analysis [J].
Andrews, G. ;
Basu, A. ;
Cuijpers, P. ;
Craske, M. G. ;
McEvoy, P. ;
English, C. L. ;
Newby, J. M. .
JOURNAL OF ANXIETY DISORDERS, 2018, 55 :70-78
[5]  
Braun V., 2006, QUAL RES PSYCHOL, V3, P77, DOI [DOI 10.1191/1478088706QP063OA, DOI 10.1080/14780887.2020.1769238]
[6]   Influence of psychiatric comorbidity on recovery and recurrence in generalized anxiety disorder, social phobia, and panic disorder: A 12-year prospective study [J].
Bruce, SE ;
Yonkers, KA ;
Otto, MW ;
Eisen, JL ;
Weisberg, RB ;
Pagano, M ;
Shea, MT ;
Keller, MB .
AMERICAN JOURNAL OF PSYCHIATRY, 2005, 162 (06) :1179-1187
[7]   Adherence in Internet Interventions for Anxiety and Depression: Systematic Review [J].
Christensen, Helen ;
Griffiths, Kathleen M. ;
Farrer, Louise .
JOURNAL OF MEDICAL INTERNET RESEARCH, 2009, 11 (02)
[8]   GROUNDED THEORY RESEARCH - PROCEDURES, CANONS AND EVALUATIVE CRITERIA [J].
CORBIN, J ;
STRAUSS, A .
ZEITSCHRIFT FUR SOZIOLOGIE, 1990, 19 (06) :418-427
[9]   An open trial of a brief transdiagnostic internet treatment for anxiety and depression [J].
Dear, Blake F. ;
Titov, Nickolai ;
Schwencke, Genevieve ;
Andrews, Gavin ;
Johnston, Luke ;
Craske, Michelle G. ;
McEvoy, Peter .
BEHAVIOUR RESEARCH AND THERAPY, 2011, 49 (12) :830-837
[10]   Predictors of Symptomatic Change and Adherence in Internet-Based Cognitive Behaviour Therapy for Social Anxiety Disorder in Routine Psychiatric Care [J].
El Alaoui, Samir ;
Ljotsson, Brjann ;
Hedman, Erik ;
Kaldo, Viktor ;
Andersson, Evelyn ;
Ruck, Christian ;
Andersson, Gerhard ;
Lindefors, Nils .
PLOS ONE, 2015, 10 (04)