The effectiveness of online cognitive behavioral treatment in routine clinical practice
Randomized controlled trails have identified online cognitive behavioral therapy as an efficacious intervention in the management of common mental health disorders. To assess the effectiveness of online CBT for different mental disorders in routine clinical practice. An uncontrolled before-after stu...
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| creator | Ruwaard, Jeroen Lange, Alfred Schrieken, Bart Dolan, Conor V Emmelkamp, Paul |
| description | Randomized controlled trails have identified online cognitive behavioral therapy as an efficacious intervention in the management of common mental health disorders.
To assess the effectiveness of online CBT for different mental disorders in routine clinical practice.
An uncontrolled before-after study, with measurements at baseline, posttest, 6-week follow-up, and 1-year follow-up.
1500 adult patients (female: 67%; mean age: 40 years) with a GP referral for psychotherapy were treated at a Dutch online mental health clinic for symptoms of depression (n = 413), panic disorder (n = 139), posttraumatic stress (n = 478), or burnout (n = 470).
Manualized, web-based, therapist-assisted CBT, of which the efficacy was previously demonstrated in a series of controlled trials. Standardized duration of treatment varied from 5 weeks (online CBT for Posttraumatic stress) to 16 weeks (online CBT for Depression).
Validated self-report questionnaires of specific and general psychopathology, including the Beck Depression Inventory, the Impact of Event Scale, the Panic Disorder Severity Scale-Self Report, the Oldenburg Burnout Inventory, and the Depression Anxiety Stress Scales.
Treatment adherence was 71% (n = 1071). Study attrition was 21% at posttest, 33% at 6-week FU and 65% at 1-year FU. Mixed-model repeated measures regression identified large short-term reductions in all measures of primary symptoms (d = 1.9±0.2 to d = 1.2±0.2; P |
| doi_str_mv | 10.1371/journal.pone.0040089 |
| format | Article |
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To assess the effectiveness of online CBT for different mental disorders in routine clinical practice.
An uncontrolled before-after study, with measurements at baseline, posttest, 6-week follow-up, and 1-year follow-up.
1500 adult patients (female: 67%; mean age: 40 years) with a GP referral for psychotherapy were treated at a Dutch online mental health clinic for symptoms of depression (n = 413), panic disorder (n = 139), posttraumatic stress (n = 478), or burnout (n = 470).
Manualized, web-based, therapist-assisted CBT, of which the efficacy was previously demonstrated in a series of controlled trials. Standardized duration of treatment varied from 5 weeks (online CBT for Posttraumatic stress) to 16 weeks (online CBT for Depression).
Validated self-report questionnaires of specific and general psychopathology, including the Beck Depression Inventory, the Impact of Event Scale, the Panic Disorder Severity Scale-Self Report, the Oldenburg Burnout Inventory, and the Depression Anxiety Stress Scales.
Treatment adherence was 71% (n = 1071). Study attrition was 21% at posttest, 33% at 6-week FU and 65% at 1-year FU. Mixed-model repeated measures regression identified large short-term reductions in all measures of primary symptoms (d = 1.9±0.2 to d = 1.2±0.2; P<.001), which sustained up to one year after treatment. At posttest, rates of reliable improvement and recovery were 71% and 52% in the completer sample (full sample: 55%/40%). Patient satisfaction was high.
Results suggest that online therapist-assisted CBT may be as effective in routine practice as it is in clinical trials. Although pre-treatment withdrawal and long-term outcomes require further study, results warrant continued implementation of online CBT.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0040089</identifier><identifier>PMID: 22792217</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Aged ; Ambulatory care facilities ; Anxiety ; Behavioral medicine ; Burnout ; Clinical trials ; Cognitive ability ; Cognitive Behavioral Therapy ; Computer Science ; Evidence-based medicine ; Female ; Humans ; Internet ; Male ; Medical research ; Medicine ; Mental depression ; Mental disorders ; Mental Disorders - therapy ; Mental health ; Mental health services ; Middle Aged ; Patient Compliance ; Patient Satisfaction ; Post traumatic stress disorder ; Posttraumatic stress disorder ; Prevention ; Psychiatric Status Rating Scales ; Psychopathology ; Psychotherapy ; Regression models ; Self Report ; Social and Behavioral Sciences ; Stresses ; Therapists ; Treatment Outcome ; Withdrawal ; Young Adult</subject><ispartof>PloS one, 2012-07, Vol.7 (7), p.e40089-e40089</ispartof><rights>COPYRIGHT 2012 Public Library of Science</rights><rights>2012 Ruwaard et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Ruwaard et al. 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-a6178cdd4155d8fddb1a530cee7943a79e6848273380c7f58ccf3ab07b1d4c263</citedby><cites>FETCH-LOGICAL-c692t-a6178cdd4155d8fddb1a530cee7943a79e6848273380c7f58ccf3ab07b1d4c263</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3390320/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3390320/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2095,2914,23846,27903,27904,53769,53771,79346,79347</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22792217$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Botbol, Michel</contributor><creatorcontrib>Ruwaard, Jeroen</creatorcontrib><creatorcontrib>Lange, Alfred</creatorcontrib><creatorcontrib>Schrieken, Bart</creatorcontrib><creatorcontrib>Dolan, Conor V</creatorcontrib><creatorcontrib>Emmelkamp, Paul</creatorcontrib><title>The effectiveness of online cognitive behavioral treatment in routine clinical practice</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Randomized controlled trails have identified online cognitive behavioral therapy as an efficacious intervention in the management of common mental health disorders.
To assess the effectiveness of online CBT for different mental disorders in routine clinical practice.
An uncontrolled before-after study, with measurements at baseline, posttest, 6-week follow-up, and 1-year follow-up.
1500 adult patients (female: 67%; mean age: 40 years) with a GP referral for psychotherapy were treated at a Dutch online mental health clinic for symptoms of depression (n = 413), panic disorder (n = 139), posttraumatic stress (n = 478), or burnout (n = 470).
Manualized, web-based, therapist-assisted CBT, of which the efficacy was previously demonstrated in a series of controlled trials. Standardized duration of treatment varied from 5 weeks (online CBT for Posttraumatic stress) to 16 weeks (online CBT for Depression).
Validated self-report questionnaires of specific and general psychopathology, including the Beck Depression Inventory, the Impact of Event Scale, the Panic Disorder Severity Scale-Self Report, the Oldenburg Burnout Inventory, and the Depression Anxiety Stress Scales.
Treatment adherence was 71% (n = 1071). Study attrition was 21% at posttest, 33% at 6-week FU and 65% at 1-year FU. Mixed-model repeated measures regression identified large short-term reductions in all measures of primary symptoms (d = 1.9±0.2 to d = 1.2±0.2; P<.001), which sustained up to one year after treatment. At posttest, rates of reliable improvement and recovery were 71% and 52% in the completer sample (full sample: 55%/40%). Patient satisfaction was high.
Results suggest that online therapist-assisted CBT may be as effective in routine practice as it is in clinical trials. Although pre-treatment withdrawal and long-term outcomes require further study, results warrant continued implementation of online CBT.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Ambulatory care facilities</subject><subject>Anxiety</subject><subject>Behavioral medicine</subject><subject>Burnout</subject><subject>Clinical trials</subject><subject>Cognitive ability</subject><subject>Cognitive Behavioral Therapy</subject><subject>Computer Science</subject><subject>Evidence-based medicine</subject><subject>Female</subject><subject>Humans</subject><subject>Internet</subject><subject>Male</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental Disorders - therapy</subject><subject>Mental health</subject><subject>Mental health services</subject><subject>Middle Aged</subject><subject>Patient Compliance</subject><subject>Patient Satisfaction</subject><subject>Post traumatic stress disorder</subject><subject>Posttraumatic stress disorder</subject><subject>Prevention</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychopathology</subject><subject>Psychotherapy</subject><subject>Regression models</subject><subject>Self Report</subject><subject>Social and Behavioral Sciences</subject><subject>Stresses</subject><subject>Therapists</subject><subject>Treatment Outcome</subject><subject>Withdrawal</subject><subject>Young 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Michel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effectiveness of online cognitive behavioral treatment in routine clinical practice</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2012-07-05</date><risdate>2012</risdate><volume>7</volume><issue>7</issue><spage>e40089</spage><epage>e40089</epage><pages>e40089-e40089</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Randomized controlled trails have identified online cognitive behavioral therapy as an efficacious intervention in the management of common mental health disorders.
To assess the effectiveness of online CBT for different mental disorders in routine clinical practice.
An uncontrolled before-after study, with measurements at baseline, posttest, 6-week follow-up, and 1-year follow-up.
1500 adult patients (female: 67%; mean age: 40 years) with a GP referral for psychotherapy were treated at a Dutch online mental health clinic for symptoms of depression (n = 413), panic disorder (n = 139), posttraumatic stress (n = 478), or burnout (n = 470).
Manualized, web-based, therapist-assisted CBT, of which the efficacy was previously demonstrated in a series of controlled trials. Standardized duration of treatment varied from 5 weeks (online CBT for Posttraumatic stress) to 16 weeks (online CBT for Depression).
Validated self-report questionnaires of specific and general psychopathology, including the Beck Depression Inventory, the Impact of Event Scale, the Panic Disorder Severity Scale-Self Report, the Oldenburg Burnout Inventory, and the Depression Anxiety Stress Scales.
Treatment adherence was 71% (n = 1071). Study attrition was 21% at posttest, 33% at 6-week FU and 65% at 1-year FU. Mixed-model repeated measures regression identified large short-term reductions in all measures of primary symptoms (d = 1.9±0.2 to d = 1.2±0.2; P<.001), which sustained up to one year after treatment. At posttest, rates of reliable improvement and recovery were 71% and 52% in the completer sample (full sample: 55%/40%). Patient satisfaction was high.
Results suggest that online therapist-assisted CBT may be as effective in routine practice as it is in clinical trials. Although pre-treatment withdrawal and long-term outcomes require further study, results warrant continued implementation of online CBT.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>22792217</pmid><doi>10.1371/journal.pone.0040089</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Ambulatory care facilities Anxiety Behavioral medicine Burnout Clinical trials Cognitive ability Cognitive Behavioral Therapy Computer Science Evidence-based medicine Female Humans Internet Male Medical research Medicine Mental depression Mental disorders Mental Disorders - therapy Mental health Mental health services Middle Aged Patient Compliance Patient Satisfaction Post traumatic stress disorder Posttraumatic stress disorder Prevention Psychiatric Status Rating Scales Psychopathology Psychotherapy Regression models Self Report Social and Behavioral Sciences Stresses Therapists Treatment Outcome Withdrawal Young Adult |
| title | The effectiveness of online cognitive behavioral treatment in routine clinical practice |
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