Online CBT II: A Phase I Trial of a Standalone, Online CBT Treatment Program for Social Anxiety in Stuttering

被引:39
作者
Helgadottir, Fjola Doegg [1 ]
Menzies, Ross G. [1 ]
Onslow, Mark [2 ]
Packman, Ann [2 ]
O'Brian, Sue [2 ]
机构
[1] Univ Sydney, Discipline Behav & Social Sci Hlth, Sydney, NSW 2006, Australia
[2] Univ Sydney, Australian Stuttering Res Ctr, Sydney, NSW 2006, Australia
关键词
online; internet; cognitive behaviour therapy; CBT; intervention; treatment; social anxiety; stutter; COGNITIVE-BEHAVIOR THERAPY; STRESS SCALES DASS; BECK DEPRESSION INVENTORY; PSYCHOMETRIC PROPERTIES; PHOBIA; FEAR; EXPERIENCE; CHILDREN; VALIDITY;
D O I
10.1375/bech.26.4.254
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This paper introduces a novel approach to internet treatment for social anxiety. The goal of this treatment was to address key limitations of current standalone treatments (Helgadottir, Menzies, Onslow, Packman, & O'Brian, 2009). The 'computer psychologist' designed for this study used fully automated, prewritten individualised sample answers in order to simulate a human-human interaction through a human-computer interface. Two males who sought treatment for stuttering and met the diagnosis for social phobia according to the DSM-IV and ICD-10 criteria were selected for this study. After receiving the treatment, both users no longer met criteria for social phobia. Also, significant improvements were observed on other psychometric tests, including measures of unhelpful cognitions, behavioural avoidance, quality of life, and low mood. The quality of the interaction appeared to be similar to face-to-face therapy, indicating that the 'computer psychologist' established an effective therapeutic relationship, and the automated techniques used were sufficiently engaging to prompt users to log on regularly and complete the treatment program.
引用
收藏
页码:254 / 270
页数:17
相关论文
共 48 条
[11]  
Clark D. M., 1995, Social phobia: Diagnosis, assessment, and treatment, P69, DOI DOI 10.1002/(SICI)1520-6394(1997)5:13.0.CO
[12]  
2-6
[13]   CBT intensity and outcome for panic disorder in a primary care setting [J].
Craske, Michelle G. ;
Roy-Byrne, Peter ;
Stein, Murray B. ;
Sullivan, Greer ;
Hazlett-Stevens, Holly ;
Bystritsky, Alexander ;
Sherbourne, Cathy .
BEHAVIOR THERAPY, 2006, 37 (02) :112-119
[14]   The Depression Anxiety Stress Scales (DASS): Normative data and latent structure in a large non-clinical sample [J].
Crawford, JR ;
Henry, JD .
BRITISH JOURNAL OF CLINICAL PSYCHOLOGY, 2003, 42 :111-131
[15]   Sociodynamic relationships between children who stutter and their non-stuttering classmates [J].
Davis, S ;
Howell, P ;
Cooke, F .
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 2002, 43 (07) :939-947
[16]   A psychometric evaluation of the Beck Depression Inventory - II [J].
Dozois, DJA ;
Dobson, KS ;
Ahnberg, JL .
PSYCHOLOGICAL ASSESSMENT, 1998, 10 (02) :83-89
[17]   Construct validity for self-acceptance and fear of negative evaluation [J].
Durm, MW ;
Glaze, PL .
PSYCHOLOGICAL REPORTS, 2001, 89 (02) :386-386
[18]  
Endler N.S., 1989, ANXIETY RES, V2, P1, DOI DOI 10.1080/08917778908249322
[19]   MULTIDIMENSIONALITY OF STATE AND TRAIT ANXIETY - FACTOR STRUCTURE OF THE ENDLER MULTIDIMENSIONAL ANXIETY SCALES [J].
ENDLER, NS ;
PARKER, JDA ;
BAGBY, RM ;
COX, BJ .
JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1991, 60 (06) :919-926
[20]   Psychometric properties of the Social Phobia and Anxiety Inventory, the Social Anxiety Scale for Adolescents, the Fear of Negative Evaluation Scale, and the Social Avoidance and Distress Scale in an adolescent Spanish-speaking sample [J].
García-López, LJ ;
Olivares, J ;
Hidalgo, MD ;
Beidel, DC ;
Turner, SM .
JOURNAL OF PSYCHOPATHOLOGY AND BEHAVIORAL ASSESSMENT, 2001, 23 (01) :51-59