Are claims of non-inferiority of Internet and computer-based cognitive-behavioural therapy compared with in-person cognitive-behavioural therapy for adults with anxiety disorders supported by the evidence from head-to-head randomised controlled trials? A systematic review.

CONCLUSION: There is limited evidence from randomised controlled trials which supports claims that computer- or Internet-delivered cognitive-behavioural therapy for anxiety disorders is not inferior to in-person delivery. Randomised controlled trials properly designed to test non-inferiority are needed before conclusions about the relative benefits of in-person and Internet- and computer-delivered cognitive-behavioural therapy can be made. PROSPERO: CRD420180961655-6. PMID: 31339342 [PubMed - as supplied by publisher]
Source: The Australian and New Zealand Journal of Psychiatry - Category: Psychiatry Authors: Tags: Aust N Z J Psychiatry Source Type: research

Related Links:

Authors: Freire RC, Cabrera-Abreu C, Milev R Abstract Many pharmacological treatments were proved effective in the treatment of panic disorder (PD), generalized anxiety disorder (GAD), social anxiety disorder (SAD), post-traumatic stress disorder (PTSD), and obsessive-compulsive disorder (OCD); still many patients do not achieve remission with these treatments. Neurostimulation techniques have been studied as promising alternatives or augmentation treatments to pharmacological and psychological therapies. The most studied neurostimulation method for anxiety disorders, PTSD, and OCD was repetitive transcranial magne...
Source: Advances in Experimental Medicine and Biology - Category: Research Tags: Adv Exp Med Biol Source Type: research
It’s completely normal to feel anxious in social situations. Be it giving a speech or talking on the phone, social anxiety affects a surprisingly large percentage of the population. However, when one experiences considerable distress and an impaired ability to function in parts of their daily life, it is likely they will be diagnosed as social anxiety disorder.1 Many people with social anxiety disorder do not know that they have it. They may recognize that there is something “wrong,” but do not know what it is or what to do about it. This is where mindfulness can help. By being mindful, aware of the prese...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Anxiety and Panic Mindfulness Jon Kabat Zinn Meditation secular mindfulness Social Anxiety Source Type: blogs
Anxiety has a bidirectional association with epilepsy [1] and is more frequent among people with epilepsy (PWE) than in people without epilepsy [2 –6]. Because anxiety has significant impacts on quality of life (QOL) and treatment outcomes in PWE, the identification of anxiety is crucial for the management of this disorder. Anxiety disorders (ADs) in PWE include a variety of subtypes such as generalized anxiety disorder (GAD), agoraphobia (A P), social phobia (SP), panic disorder (PD), obsessive-compulsive disorder (OCD), and post-traumatic stress disorder [PTSD; 7, 8].
Source: Seizure: European Journal of Epilepsy - Category: Neurology Authors: Tags: Review Source Type: research
Publication date: Available online 27 August 2019Source: Pharmacology &TherapeuticsAuthor(s): Simone B. Sartori, Nicolas SingewaldAbstractCurrent medication for anxiety disorders is suboptimal in terms of efficiency and tolerability, highlighting the need for improved drug treatments. In this review an overview of drugs being studied in different phases of clinical trials for their potential in the treatment of fear-, anxiety- and trauma-related disorders is presented. One strategy followed in drug development is refining and improving compounds interacting with existing anxiolytic drug targets, such as serotonergic an...
Source: Pharmacology and Therapeutics - Category: Drugs & Pharmacology Source Type: research
Authors: Sancassiani F, Romano F, Balestrieri M, Caraci F, Di Sciascio G, Drago F, Hardoy MC, Moro MF, Roncone R, Piras M, Preti A, Dell'Osso L, Faravelli C, Carta MG Abstract Introduction: The study aimed to see if a community survey conducted by clinical interviewers with semi-structured psychiatric interviews shows lifetime prevalence rates of Specific Phobia (SP) similar to those found by surveys carried out by lay interviewers and if the high level of impairment found in SP may be confirmed. Methods: This is a community survey on an Italian nationwide sample randomly selected from registers of municipaliti...
Source: Clinical Practice and Epidemiology in Mental Health - Category: Psychiatry Tags: Clin Pract Epidemiol Ment Health Source Type: research
Conclusion It is clear that clinically, there is still much to be learnt about alexithymia and its relationship with a range of related phenomena. Firstly, is alexithymia a continuous and stable trait independent of psychological or somatic symptomology that is developed during childhood? Or is it instead a reactive state induced by trauma and distress at any age, which serves to defend against intense and upsetting emotions? This impacts on treatment options. For example, should we be focussing on early childhood interventions which target the child's emotional environment and parenting to encourage emotional exp...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Discussion/conclusionsFor most anxiety disorder groups (i.e., SP, PD and OCD), the MASQ or BSI was equally suited as disorder-specific instruments to detect change at group level. Exceptions are GAD and PTSD. These findings suggest limited incremental information value of disorder-specific instruments over the MASQ and BSI for measuring change.
Source: Journal of Anxiety Disorders - Category: Psychiatry Source Type: research
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...
Source: Psychiatric Quarterly - Category: Psychiatry Source Type: research
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
Anxiety and Anxiety Disorders Anxiety is a complex condition that affects millions of people all over the world. It is a broad term in itself and can look different on everybody. It is literally defined as: “a nervous disorder characterized by a state of excessive uneasiness and apprehension, typically with compulsive behavior or panic attacks.” Often times, anxiety and addiction can also go hand-in-hand. Much like anxiety, panic attacks can be completely different for everybody who experiences them. You may experience all symptoms, or only some. Some symptoms of anxiety and panic attacks may include: Rapid he...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Addiction Recovery Addiction to Pharmaceuticals Addiction Treatment and Program Resources Alcohol Alcohol Rehab Information Alcoholism Anxiety Drug Rehab Information Drug Treatment Dual Diagnosis and Eating Disorder Treatment Source Type: blogs
More News: Anxiety | Australia Health | Behavioural Therapy | Cognitive Behavior Therapy | Computers | Databases & Libraries | Internet | New Zealand Health | Obsessive Compulsive Disorder | Panic Disorder | Post Traumatic Stress Disorder | Psychiatry | Social Anxiety Disorder | Study