Guided Internet-Based Cognitive Behavioral Therapy for Adult Depression and Anxiety in Routine Secondary Care: Observational Study

This study aimed to evaluate the clinical effectiveness of iCBT for depression and anxiety in routine secondary care. Methods: n a retrospective cohort study, we analysed patients treated for depression or anxiety in a dedicated iCBT clinic in secondary care in Denmark. Patients were examined before treatment and weekly thereafter by using the Patient Health Questionnaire-9 and the Generalized Anxiety Disorder-7 scales for the diagnoses of depression and anxiety, respectively. Primary analyses were conducted using a linear mixed-effects model with random slope and intercept. Secondary analyses were conducted using baseline characteristics as predictors (gender, age, highest level of education, occupational status, marital status, psychotropic medication use, consumption of alcohol, and leisure drugs). Additionally, logistic regression analyses were used to predict noncompletion of treatment. Results: A total of 203 (depression, N=60; anxiety, N=143) patients were included. Participants were mainly female (78.3% with depression and 65.7% with anxiety), with a mean age of 36.03 (SD 10.97) years (range, 19-67 years) for patients with depression and 36.80 (SD 13.55) years (range, 19-69 years) for patients with anxiety. The completion rates were 62% (37) and 40% (57) for depression and anxiety treatments, respectively. The primary analyses revealed large and significant reductions in the symptom levels of depression (beta=-6.27, SE 0.83, P
Source: Journal of Medical Internet Research - Category: General Medicine Authors: Source Type: research

Related Links:

Conclusion Before turning to the temporary relief you may find in prescription medication, illicit drugs, or alcohol, strongly consider trying one of these free, proven methods for relieving stress and curbing anxiety. Matthew Boyle is the Chief Operating Officer of Landmark Recovery, a growing chain of drug and alcohol rehab centers in Oklahoma and Kentucky. Matthew graduated from Duke University in 2011 Summa Cum Laude with a Bachelor of Arts degree and has worked in the healthcare industry ever since, creating a holistic treatment model that supports patients in the pursuit of achieving lifelong sobriety.You've read...
Source: PickTheBrain | Motivation and Self Improvement - Category: Consumer Health News Authors: Tags: depression featured happiness self improvement breathing de-stress exercise meditation pickthebrain Source Type: blogs
Are Suicide and Addiction Linked? When someone is suffering from an issue with addiction, there are many complications that can come along with that. These can include legal issues, family problems, declining health and even suicide. Suicide and addiction are absolutely linked. Addiction not only exponentially increases the likelihood that someone will commit suicide, but substances are often used as a means to commit suicide via overdose. According to the CDC, one in three people who die from suicide are under the influence of drugs. They are typically opiates such as oxycodone or heroin, or alcohol. When someone is suffe...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Addiction Recovery Addiction Stories Addiction to Pharmaceuticals Addiction Treatment and Program Resources Depression Depression Treatment Mental Health anxiety Post Traumatic Stress Disorder PTSD suicide suicide and add Source Type: blogs
CONCLUSION: The experience of multiple mental disorders over the lifetime is extremely common, and associated with increased risk of mortality, most notably among men. Clinicians should be aware of the importance of considering contemporaneous symptoms of multiple psychiatric conditions. PMID: 30712520 [PubMed - as supplied by publisher]
Source: Epidemiology and Psychiatric Sciences - Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research
CONCLUSIONS: The current study shows that members of the general population with mental disorders are at increased risk of future victimisation. However, the associations with violent and psychological victimisation vary considerably across specific disorders. Clinicians should be aware of the increased risk of violent and psychological victimisation in individuals with these mental disorders - especially those with alcohol dependence - and individuals with a history of childhood trauma. Violence prevention programmes should be developed for people at risk. These programmes should not only address violent victimisation, bu...
Source: Epidemiology and Psychiatric Sciences - Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research
The objective of the current study is to delineate classes of comorbidity and investigate predictors of comorbidity classes amongst a sample of Canadian Armed Forces (CAF) Regular Force personnel. METHODS:: Latent class analyses (LCAs) were applied to cross-sectional data obtained between April and August 2013 from a nationally representative random sample of 6700 CAF Regular Force personnel who deployed to the mission in Afghanistan. RESULTS:: MDD was the most common diagnosis (8.0%), followed by PTSD (5.3%) and generalized anxiety disorder (4.7%). Of those with a mental health condition, LCA revealed 3 classes ...
Source: Canadian Journal of Psychiatry - Category: Psychiatry Authors: Tags: Can J Psychiatry Source Type: research
CONCLUSIONS:: Poor mental health was associated with being NEET in Canadian youth. Efforts targeting NEET should include provisions for mental health. Moreover, youth mental health initiatives should consider educational and employment outcomes. Further longitudinal and intervention studies are warranted. PMID: 30595044 [PubMed - as supplied by publisher]
Source: Canadian Journal of Psychiatry - Category: Psychiatry Authors: Tags: Can J Psychiatry Source Type: research
AbstractAmong active duty service members, posttraumatic stress disorder (PTSD) diagnoses have increased dramatically since 2000. Because psychiatric comorbidity is more common for PTSD than for other mental health disorders, we examined the prevalence estimates of disorders comorbid or trimorbid with PTSD in this study. The medical records of 523,626 female and male active duty Sailors and Marines who entered the U.S. military between 2006 and 2013 were examined for diagnoses of PTSD and 14 potentially comorbid disorders. Results showed that 1.8% of military members had a PTSD diagnosis; among those with PTSD, 83.3% had a...
Source: Journal of Traumatic Stress - Category: Psychiatry & Psychology Authors: Tags: Research Article Source Type: research
CONCLUSIONS: Long-term associations of childhood ADHD with adverse physical health and socioeconomic outcomes underscore the need for early intervention. Young adult ADHD showed stronger associations with poorer mental health, substance misuse and psychosocial outcomes, emphasising the importance of identifying and treating adults with ADHD. The Study in Context: Neurofeedback or medication to treat ADHD? What are cognitive abilities and how to boost them? Rates of ADHD diagnosis and medication treatment continue to increase substantially
Source: SharpBrains - Category: Neuroscience Authors: Tags: Attention and ADD/ADHD Education & Lifelong Learning Health & Wellness ADHD symptopms attention deficit hyperactivity disorder Genetics mental health problems psychiatry Source Type: blogs
CONCLUSIONS: The relationship between schizophrenia liability and anxiety disorders is not restricted to psychopathology in adolescence but is present in adulthood and specifically linked to generalised anxiety disorder and panic disorder. We suggest that the association between schizophrenia liability and hypomanic/manic episodes found in clinical samples may not be due to bias.Declarations of interestNone. PMID: 30472973 [PubMed - as supplied by publisher]
Source: The British Journal of Psychiatry for Mental Science - Category: Psychiatry Tags: Br J Psychiatry Source Type: research
For something so common, anxiety is still massively misunderstood. There are myths and misconceptions about everything from what anxiety disorders look and feel like to what actually helps to treat these illnesses and navigate anxiety. Which is why we asked several anxiety experts to clear things up. Below, you’ll find their illuminating insights. Living with an anxiety disorder can be exceptionally difficult. Many people minimize and trivialize anxiety disorders. For instance, how often have you said or heard someone say “I’m sooo OCD about my desk!” or “I’m really OCD about using hand ...
Source: Psych Central - Category: Psychiatry Authors: Tags: Anxiety Cognitive-Behavioral Disorders General Psychotherapy Self-Help Stress Treatment Anxiety Disorder Treatment Anxiety Disorders Cbt exposure and response prevention therapy GAD Ocd Source Type: news
More News: Alcoholism | Anxiety | Denmark Health | Depression | Education | General Medicine | Generalized Anxiety Disorder (GAD) | Internet | Occupational Health | Psychotherapy | Statistics | Study | Universities & Medical Training