Digitally Delivered Psychological Interventions for Anxiety Disorders: a Comprehensive Review

AbstractDigital interventions for anxiety disorders have been well-researched over the past two decades. However, reviews to date have focused on internet-based cognitive behavioural therapy (iCBT), whereas other psychological interventions have received less attention. The aim of this review was therefore to evaluate the effectiveness of digitally delivered psychological therapies (CBT, Attention Bias Modification, Exposure Therapy, Applied Relaxation, Bibliotherapy, Psychodynamic Therapy, Mindfulness, Behavioural Stress Management, Counselling) compared with control conditions and/or other psychological interventions for anxiety disorders (Social Anxiety Disorder (SAD), Health Anxiety, Obsessive-Compulsive Disorder (OCD), Post-traumatic Stress Disorder (PTSD), Specific Phobias, Panic Disorder (PD), Generalised Anxiety Disorder (GAD)]. 68 randomised controlled trials (RCTs) were reviewed. SAD was the anxiety disorder for which the most RCTs were conducted. Overall, findings support the effectiveness of iCBT for SAD; for the remaining interventions, although some RCTs indicated significant improvement (within groups) at post-treatment and/or follow up, between group findings were less consistent and overall, methodological differences across trials failed to provide strong supporting evidence. Finally, the level of therapist contact or expertise did not appear to affect much treatment effectiveness. Additional large, methodologically rigorous trials are needed to investigate ...
Source: Psychiatric Quarterly - Category: Psychiatry Source Type: research

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A highly effective psychotherapy called cognitive behavioral therapy (CBT) focuses on how our thoughts, beliefs, and attitudes can affect our feelings and behavior. Traditional CBT treatment usually requires weekly 30- to 60-minute sessions over 12 to 20 weeks. A faster option now emerging is intensive CBT (I-CBT), which employs much longer sessions concentrated into a month, week, or weekend — or sometimes a single eight-hour session. CBT helps people learn tools to reframe different types of thinking, such as black-and-white thinking (I can’t do anything right) and emotional reasoning (I feel you dislike me, ...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Adolescent health Anxiety and Depression Behavioral Health Mental Health Parenting Source Type: blogs
Common mental disorders including depression, generalised anxiety disorder (GAD), panic disorder, phobias, social anxiety disorder, obsessive-compulsive disorder (OCD) and post-traumatic stress disorder (PTSD) affect approximately 8% of the world population (WHO, 2017). Historically, emphasis of burden has been placed on severe, organic mental disorders such as schizophrenia and bipolar disorder. In parallel to these types of neurological-based, chronic mental diseases, mental conditions considered to be more common in the community, while not typically considered 'severe', are by no means 'mild' (Goldberg, 1994).
Source: Journal of Affective Disorders - Category: Neurology Authors: Tags: Research paper Source Type: research
Conclusion. The audio-digital recording method provides a useful second opinion that can affirm the need for a different treatment intervention in these anxious patients. A second live assessment would have required additional clinic time and added patient burden. The audio-digital recording method is less burdensome than live second opinion assessments and might have utility in both research and clinical practice settings. Keywords: Generalized anxiety disorder (GAD), anxiolytic medications, anxious symptoms, audio-digital recording, dual review, second opinions Anxiety symptoms are prevalent in most populations wher...
Source: Innovations in Clinical Neuroscience - Category: Neuroscience Authors: Tags: Current Issue Original Research anxiolytic medications anxious symptoms audio-digital recording dual review Generalized anxiety disorder (GAD) second opinions Source Type: research
If 2.6 billion people were suffering from an illness, you’d think we’d all be more familiar with it. That figure represents 33.7% of the population of the world, after all. It also represents the share of that population that will at some point experience an anxiety disorder, according to the National Institutes of Health. For those billions, the experience of clinical anxiety can range from a persistent fretfulness, distractedness and a sort of whole-body clenching, to the paralytic crisis of a full-blown panic attack. All of it feels lousy; all of it is a state you race to escape — which typically only ...
Source: TIME.com: Top Science and Health Stories - Category: Consumer Health News Authors: Tags: Uncategorized anxiety disorder behavior health OCD psychology PTSD Source Type: news
ers P Abstract BACKGROUND: It is not clear whether relaxation therapies are more or less effective than cognitive and behavioural therapies in the treatment of anxiety. The aims of the present study were to examine the effects of relaxation techniques compared to cognitive and behavioural therapies in reducing anxiety symptoms, and whether they have comparable efficacy across disorders. METHOD: We conducted a meta-analysis of 50 studies (2801 patients) comparing relaxation training with cognitive and behavioural treatments of anxiety. RESULTS: The overall effect size (ES) across all anxiety outcomes, wit...
Source: Psychological Medicine - Category: Psychiatry Authors: Tags: Psychol Med Source Type: research
View Original Article Here: Erasing the Stigma of Geriatric Anxiety and Learning to Help The effects of anxiety disorders are becoming ever more prevalent in our society. Even with new research shining a light on how many Americans suffer from these varying disorders, we have only begun to scratch the surface. This is especially true when it comes to understanding anxiety in the elderly. Higher rates of loss, increased pain, chronic conditions, and multiple medications can all increase the levels of anxiety in senior citizens. This makes having the discussion about geriatric anxiety a crucial factor in aiding our loved on...
Source: Shield My Senior - Category: Geriatrics Authors: Tags: Senior Safety Source Type: blogs
Most people experience feelings of anxiety before an important event such as a big exam, business presentation, or first date. These are normal feelings of anxiety that nearly everyone experiences from time to time in their lives. Anxiety disorders, however, are conditions that fill a person’s life with overwhelming anxiety and fear. This fear is chronic, unremitting, and can grow progressively worse. Tormented by panic attacks, obsessive thoughts, flashbacks, nightmares, or countless frightening physical symptoms, some people with anxiety disorders even become housebound. How Common Are Anxiety Disorders? People wi...
Source: Psych Central - Category: Psychiatry Authors: Tags: Anxiety Disorders General Panic Disorder Anxiety Disorders facts about anxiety Panic Attack Separation Anxiety Disorder Specific phobia Source Type: news
Conclusions: This study demonstrates the importance of both general factors that link disorders together and semi-specific transdiagnostic factors partially explaining their heterogeneity. Including these mid-level factors in hierarchical models of psychopathology can help account for additional variance and help to clarify the relationship between disorder constructs and NA. PMID: 25734894 [PubMed - as supplied by publisher]
Source: Cognitive Behaviour Therapy - Category: Psychiatry & Psychology Authors: Tags: Cogn Behav Ther Source Type: research
Depression and anxiety disorders are the most common psychiatric disorders. Major depression, a disorder of prolonged low mood or loss of interest or pleasure accompanied by characteristic changes in mood, thinking, behavior, and physiology, has a lifetime prevalence of around 17% .3 Anxiety disorders are even more common. This group of disorders includes panic disorder, generalized anxiety disorder (GAD), social phobia, specific phobias, obsessive compulsive disorder, and post traumatic stress disorder.
Source: Journal of the American Society of Hypertension - Category: Cardiology Authors: Source Type: research
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