Internet-Based Cognitive Behavioral Therapy Versus Psychoeducation Control for Illness Anxiety Disorder and Somatic Symptom Disorder: A Randomized Controlled Trial
Objective: To examine the efficacy of an Internet-delivered cognitive-behavioral therapy (iCBT) program for health anxiety compared to an active psychoeducation control group. Method: Individuals (N = 86, mean age: 30 years, 87% female) with a Diagnostic and Statistical Manual of Mental Disorders (5...
Gespeichert in:
| Veröffentlicht in: | Journal of consulting and clinical psychology 2018-01, Vol.86 (1), p.89-98 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 98 |
|---|---|
| container_issue | 1 |
| container_start_page | 89 |
| container_title | Journal of consulting and clinical psychology |
| container_volume | 86 |
| creator | Newby, Jill M Smith, Jessica Uppal, Shivani Mason, Elizabeth Mahoney, Alison E. J Andrews, Gavin |
| description | Objective: To examine the efficacy of an Internet-delivered cognitive-behavioral therapy (iCBT) program for health anxiety compared to an active psychoeducation control group. Method: Individuals (N = 86, mean age: 30 years, 87% female) with a Diagnostic and Statistical Manual of Mental Disorders (5th ed.) diagnosis of illness anxiety disorder or somatic symptom disorder with health anxiety were randomized to either a 6-lesson clinician-guided iCBT program for health anxiety (n = 45) or an active control group who received anxiety psychoeducation, clinical support, and monitoring (control, n = 41) over a 12-week period. Results: Both groups experienced significant improvements between baseline and posttreatment on self-report measures of health anxiety, depression, general anxiety, and functional impairment. Intention-to-treat analyses indicated that the iCBT group experienced greater improvements in health anxiety on the Short Health Anxiety Inventory (SHAI) compared to controls (between-groups effect size = 1.39, 95% confidence interval [0.87, 1.93]), and a greater proportion of the iCBT group showed clinically reliable change on the SHAI (84% vs. 34% in the control group). Similarly, the iCBT group outperformed the control group on secondary measures of depression, generalized anxiety, functional impairment, maladaptive cognitions, body hypervigilance, safety behaviors and avoidance, and intolerance of uncertainty. Gains were maintained at 3-month follow-up in the iCBT group. Conclusion: iCBT for health anxiety is more effective than psychoeducation, clinical support, and monitoring, and presents an efficacious and accessible treatment option for people with health anxiety.
What is the public health significance of this article?
This study suggests that Internet cognitive-behavioral therapy is an effective and accessible treatment for individuals with health anxiety. |
| doi_str_mv | 10.1037/ccp0000248 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1969936268</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1992640474</sourcerecordid><originalsourceid>FETCH-LOGICAL-a414t-db6fad80555498525051d792756291872035eb559422d1d081d0cfc537aa11793</originalsourceid><addsrcrecordid>eNp9kd9uFCEUxidGY9fqjQ9gSLwxJqPADMzg3Xb9t0kTjV2Nd4SFsy4NA1NgGsfX8UVl29omXkhyAjn8zsfhfFX1lOBXBDfda61HXBZt-3vVgohG1JSQ7n61KDlaY8y_H1WPUjovDOGYPayOqCAdZaJZVL_XPkP0kOsTlcCgVfjhbbaXgE5gry5tiMqhzR6iGmf0DWKaEvqcZr0PYCatsg2-1Pgcg0O7ENHaOQ8poaX_aSHP6K1NIRqISHmDzsJQKjQ6m4cxh-H28g1aoi8FCIP9ddXDlZ4rx020yj2uHuyUS_DkZj-uvr5_t1l9rE8_fVivlqe1akmba7PlO2V6zBhrRc8ow4yYTtCO8fLfvqO4YbBlTLSUGmJwX0LvNGs6pcq8RHNcvbjWHWO4mCBlOdikwTnlIUxJEsGFaDjlfUGf_4Oehyn60l2hBOUtbrv2_xTvWUsxPTz78prSMaQUYSfHaAcVZ0mwPBgs7wwu8LMbyWk7gLlF_zp6p6ZGJcfilIpl5A6SnmIEnw9isueSyF40fwCAUbAm</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1968542029</pqid></control><display><type>article</type><title>Internet-Based Cognitive Behavioral Therapy Versus Psychoeducation Control for Illness Anxiety Disorder and Somatic Symptom Disorder: A Randomized Controlled Trial</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>MEDLINE</source><source>EBSCOhost APA PsycARTICLES</source><creator>Newby, Jill M ; Smith, Jessica ; Uppal, Shivani ; Mason, Elizabeth ; Mahoney, Alison E. J ; Andrews, Gavin</creator><contributor>Davila, Joanne</contributor><creatorcontrib>Newby, Jill M ; Smith, Jessica ; Uppal, Shivani ; Mason, Elizabeth ; Mahoney, Alison E. J ; Andrews, Gavin ; Davila, Joanne</creatorcontrib><description>Objective: To examine the efficacy of an Internet-delivered cognitive-behavioral therapy (iCBT) program for health anxiety compared to an active psychoeducation control group. Method: Individuals (N = 86, mean age: 30 years, 87% female) with a Diagnostic and Statistical Manual of Mental Disorders (5th ed.) diagnosis of illness anxiety disorder or somatic symptom disorder with health anxiety were randomized to either a 6-lesson clinician-guided iCBT program for health anxiety (n = 45) or an active control group who received anxiety psychoeducation, clinical support, and monitoring (control, n = 41) over a 12-week period. Results: Both groups experienced significant improvements between baseline and posttreatment on self-report measures of health anxiety, depression, general anxiety, and functional impairment. Intention-to-treat analyses indicated that the iCBT group experienced greater improvements in health anxiety on the Short Health Anxiety Inventory (SHAI) compared to controls (between-groups effect size = 1.39, 95% confidence interval [0.87, 1.93]), and a greater proportion of the iCBT group showed clinically reliable change on the SHAI (84% vs. 34% in the control group). Similarly, the iCBT group outperformed the control group on secondary measures of depression, generalized anxiety, functional impairment, maladaptive cognitions, body hypervigilance, safety behaviors and avoidance, and intolerance of uncertainty. Gains were maintained at 3-month follow-up in the iCBT group. Conclusion: iCBT for health anxiety is more effective than psychoeducation, clinical support, and monitoring, and presents an efficacious and accessible treatment option for people with health anxiety.
What is the public health significance of this article?
This study suggests that Internet cognitive-behavioral therapy is an effective and accessible treatment for individuals with health anxiety.</description><identifier>ISSN: 0022-006X</identifier><identifier>EISSN: 1939-2117</identifier><identifier>DOI: 10.1037/ccp0000248</identifier><identifier>PMID: 29172593</identifier><language>eng</language><publisher>United States: American Psychological Association</publisher><subject>Adult ; Anxiety ; Anxiety Disorders ; Anxiety Disorders - therapy ; Avoidance behavior ; Behavior modification ; Clinical trials ; Cognitive Behavior Therapy ; Cognitive behavioral therapy ; Cognitive Behavioral Therapy - methods ; Cognitive therapy ; Confidence intervals ; Control groups ; Diagnostic and Statistical Manual ; Efficacy ; Female ; Functional impairment ; Health ; Health Anxiety ; Human ; Humans ; Illnesses ; Internet ; Male ; Medical diagnosis ; Medically Unexplained Symptoms ; Mental depression ; Mental disorders ; Mental health care ; Online Therapy ; Patient Education as Topic - methods ; Psychoeducation ; Psychoeducational treatment ; Safety behaviour ; Self report ; Somatoform Disorders ; Somatoform Disorders - therapy ; Telemedicine ; Treatment Compliance ; Treatment Effectiveness Evaluation ; Treatment Outcome ; Uncertainty ; Vigilance</subject><ispartof>Journal of consulting and clinical psychology, 2018-01, Vol.86 (1), p.89-98</ispartof><rights>2017 American Psychological Association</rights><rights>(c) 2018 APA, all rights reserved).</rights><rights>2017, American Psychological Association</rights><rights>Copyright American Psychological Association Jan 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a414t-db6fad80555498525051d792756291872035eb559422d1d081d0cfc537aa11793</citedby><orcidid>0000-0001-5334-6222 ; 0000-0002-6473-9811</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904,30978</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29172593$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Davila, Joanne</contributor><creatorcontrib>Newby, Jill M</creatorcontrib><creatorcontrib>Smith, Jessica</creatorcontrib><creatorcontrib>Uppal, Shivani</creatorcontrib><creatorcontrib>Mason, Elizabeth</creatorcontrib><creatorcontrib>Mahoney, Alison E. J</creatorcontrib><creatorcontrib>Andrews, Gavin</creatorcontrib><title>Internet-Based Cognitive Behavioral Therapy Versus Psychoeducation Control for Illness Anxiety Disorder and Somatic Symptom Disorder: A Randomized Controlled Trial</title><title>Journal of consulting and clinical psychology</title><addtitle>J Consult Clin Psychol</addtitle><description>Objective: To examine the efficacy of an Internet-delivered cognitive-behavioral therapy (iCBT) program for health anxiety compared to an active psychoeducation control group. Method: Individuals (N = 86, mean age: 30 years, 87% female) with a Diagnostic and Statistical Manual of Mental Disorders (5th ed.) diagnosis of illness anxiety disorder or somatic symptom disorder with health anxiety were randomized to either a 6-lesson clinician-guided iCBT program for health anxiety (n = 45) or an active control group who received anxiety psychoeducation, clinical support, and monitoring (control, n = 41) over a 12-week period. Results: Both groups experienced significant improvements between baseline and posttreatment on self-report measures of health anxiety, depression, general anxiety, and functional impairment. Intention-to-treat analyses indicated that the iCBT group experienced greater improvements in health anxiety on the Short Health Anxiety Inventory (SHAI) compared to controls (between-groups effect size = 1.39, 95% confidence interval [0.87, 1.93]), and a greater proportion of the iCBT group showed clinically reliable change on the SHAI (84% vs. 34% in the control group). Similarly, the iCBT group outperformed the control group on secondary measures of depression, generalized anxiety, functional impairment, maladaptive cognitions, body hypervigilance, safety behaviors and avoidance, and intolerance of uncertainty. Gains were maintained at 3-month follow-up in the iCBT group. Conclusion: iCBT for health anxiety is more effective than psychoeducation, clinical support, and monitoring, and presents an efficacious and accessible treatment option for people with health anxiety.
What is the public health significance of this article?
This study suggests that Internet cognitive-behavioral therapy is an effective and accessible treatment for individuals with health anxiety.</description><subject>Adult</subject><subject>Anxiety</subject><subject>Anxiety Disorders</subject><subject>Anxiety Disorders - therapy</subject><subject>Avoidance behavior</subject><subject>Behavior modification</subject><subject>Clinical trials</subject><subject>Cognitive Behavior Therapy</subject><subject>Cognitive behavioral therapy</subject><subject>Cognitive Behavioral Therapy - methods</subject><subject>Cognitive therapy</subject><subject>Confidence intervals</subject><subject>Control groups</subject><subject>Diagnostic and Statistical Manual</subject><subject>Efficacy</subject><subject>Female</subject><subject>Functional impairment</subject><subject>Health</subject><subject>Health Anxiety</subject><subject>Human</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Internet</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medically Unexplained Symptoms</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health care</subject><subject>Online Therapy</subject><subject>Patient Education as Topic - methods</subject><subject>Psychoeducation</subject><subject>Psychoeducational treatment</subject><subject>Safety behaviour</subject><subject>Self report</subject><subject>Somatoform Disorders</subject><subject>Somatoform Disorders - therapy</subject><subject>Telemedicine</subject><subject>Treatment Compliance</subject><subject>Treatment Effectiveness Evaluation</subject><subject>Treatment Outcome</subject><subject>Uncertainty</subject><subject>Vigilance</subject><issn>0022-006X</issn><issn>1939-2117</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kd9uFCEUxidGY9fqjQ9gSLwxJqPADMzg3Xb9t0kTjV2Nd4SFsy4NA1NgGsfX8UVl29omXkhyAjn8zsfhfFX1lOBXBDfda61HXBZt-3vVgohG1JSQ7n61KDlaY8y_H1WPUjovDOGYPayOqCAdZaJZVL_XPkP0kOsTlcCgVfjhbbaXgE5gry5tiMqhzR6iGmf0DWKaEvqcZr0PYCatsg2-1Pgcg0O7ENHaOQ8poaX_aSHP6K1NIRqISHmDzsJQKjQ6m4cxh-H28g1aoi8FCIP9ddXDlZ4rx020yj2uHuyUS_DkZj-uvr5_t1l9rE8_fVivlqe1akmba7PlO2V6zBhrRc8ow4yYTtCO8fLfvqO4YbBlTLSUGmJwX0LvNGs6pcq8RHNcvbjWHWO4mCBlOdikwTnlIUxJEsGFaDjlfUGf_4Oehyn60l2hBOUtbrv2_xTvWUsxPTz78prSMaQUYSfHaAcVZ0mwPBgs7wwu8LMbyWk7gLlF_zp6p6ZGJcfilIpl5A6SnmIEnw9isueSyF40fwCAUbAm</recordid><startdate>201801</startdate><enddate>201801</enddate><creator>Newby, Jill M</creator><creator>Smith, Jessica</creator><creator>Uppal, Shivani</creator><creator>Mason, Elizabeth</creator><creator>Mahoney, Alison E. J</creator><creator>Andrews, Gavin</creator><general>American Psychological Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7QJ</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5334-6222</orcidid><orcidid>https://orcid.org/0000-0002-6473-9811</orcidid></search><sort><creationdate>201801</creationdate><title>Internet-Based Cognitive Behavioral Therapy Versus Psychoeducation Control for Illness Anxiety Disorder and Somatic Symptom Disorder: A Randomized Controlled Trial</title><author>Newby, Jill M ; Smith, Jessica ; Uppal, Shivani ; Mason, Elizabeth ; Mahoney, Alison E. J ; Andrews, Gavin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a414t-db6fad80555498525051d792756291872035eb559422d1d081d0cfc537aa11793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Anxiety</topic><topic>Anxiety Disorders</topic><topic>Anxiety Disorders - therapy</topic><topic>Avoidance behavior</topic><topic>Behavior modification</topic><topic>Clinical trials</topic><topic>Cognitive Behavior Therapy</topic><topic>Cognitive behavioral therapy</topic><topic>Cognitive Behavioral Therapy - methods</topic><topic>Cognitive therapy</topic><topic>Confidence intervals</topic><topic>Control groups</topic><topic>Diagnostic and Statistical Manual</topic><topic>Efficacy</topic><topic>Female</topic><topic>Functional impairment</topic><topic>Health</topic><topic>Health Anxiety</topic><topic>Human</topic><topic>Humans</topic><topic>Illnesses</topic><topic>Internet</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medically Unexplained Symptoms</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health care</topic><topic>Online Therapy</topic><topic>Patient Education as Topic - methods</topic><topic>Psychoeducation</topic><topic>Psychoeducational treatment</topic><topic>Safety behaviour</topic><topic>Self report</topic><topic>Somatoform Disorders</topic><topic>Somatoform Disorders - therapy</topic><topic>Telemedicine</topic><topic>Treatment Compliance</topic><topic>Treatment Effectiveness Evaluation</topic><topic>Treatment Outcome</topic><topic>Uncertainty</topic><topic>Vigilance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Newby, Jill M</creatorcontrib><creatorcontrib>Smith, Jessica</creatorcontrib><creatorcontrib>Uppal, Shivani</creatorcontrib><creatorcontrib>Mason, Elizabeth</creatorcontrib><creatorcontrib>Mahoney, Alison E. J</creatorcontrib><creatorcontrib>Andrews, Gavin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>APA PsycArticles®</collection><collection>ProQuest One Psychology</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of consulting and clinical psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Newby, Jill M</au><au>Smith, Jessica</au><au>Uppal, Shivani</au><au>Mason, Elizabeth</au><au>Mahoney, Alison E. J</au><au>Andrews, Gavin</au><au>Davila, Joanne</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Internet-Based Cognitive Behavioral Therapy Versus Psychoeducation Control for Illness Anxiety Disorder and Somatic Symptom Disorder: A Randomized Controlled Trial</atitle><jtitle>Journal of consulting and clinical psychology</jtitle><addtitle>J Consult Clin Psychol</addtitle><date>2018-01</date><risdate>2018</risdate><volume>86</volume><issue>1</issue><spage>89</spage><epage>98</epage><pages>89-98</pages><issn>0022-006X</issn><eissn>1939-2117</eissn><abstract>Objective: To examine the efficacy of an Internet-delivered cognitive-behavioral therapy (iCBT) program for health anxiety compared to an active psychoeducation control group. Method: Individuals (N = 86, mean age: 30 years, 87% female) with a Diagnostic and Statistical Manual of Mental Disorders (5th ed.) diagnosis of illness anxiety disorder or somatic symptom disorder with health anxiety were randomized to either a 6-lesson clinician-guided iCBT program for health anxiety (n = 45) or an active control group who received anxiety psychoeducation, clinical support, and monitoring (control, n = 41) over a 12-week period. Results: Both groups experienced significant improvements between baseline and posttreatment on self-report measures of health anxiety, depression, general anxiety, and functional impairment. Intention-to-treat analyses indicated that the iCBT group experienced greater improvements in health anxiety on the Short Health Anxiety Inventory (SHAI) compared to controls (between-groups effect size = 1.39, 95% confidence interval [0.87, 1.93]), and a greater proportion of the iCBT group showed clinically reliable change on the SHAI (84% vs. 34% in the control group). Similarly, the iCBT group outperformed the control group on secondary measures of depression, generalized anxiety, functional impairment, maladaptive cognitions, body hypervigilance, safety behaviors and avoidance, and intolerance of uncertainty. Gains were maintained at 3-month follow-up in the iCBT group. Conclusion: iCBT for health anxiety is more effective than psychoeducation, clinical support, and monitoring, and presents an efficacious and accessible treatment option for people with health anxiety.
What is the public health significance of this article?
This study suggests that Internet cognitive-behavioral therapy is an effective and accessible treatment for individuals with health anxiety.</abstract><cop>United States</cop><pub>American Psychological Association</pub><pmid>29172593</pmid><doi>10.1037/ccp0000248</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-5334-6222</orcidid><orcidid>https://orcid.org/0000-0002-6473-9811</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-006X |
| ispartof | Journal of consulting and clinical psychology, 2018-01, Vol.86 (1), p.89-98 |
| issn | 0022-006X 1939-2117 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1969936268 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; EBSCOhost APA PsycARTICLES |
| subjects | Adult Anxiety Anxiety Disorders Anxiety Disorders - therapy Avoidance behavior Behavior modification Clinical trials Cognitive Behavior Therapy Cognitive behavioral therapy Cognitive Behavioral Therapy - methods Cognitive therapy Confidence intervals Control groups Diagnostic and Statistical Manual Efficacy Female Functional impairment Health Health Anxiety Human Humans Illnesses Internet Male Medical diagnosis Medically Unexplained Symptoms Mental depression Mental disorders Mental health care Online Therapy Patient Education as Topic - methods Psychoeducation Psychoeducational treatment Safety behaviour Self report Somatoform Disorders Somatoform Disorders - therapy Telemedicine Treatment Compliance Treatment Effectiveness Evaluation Treatment Outcome Uncertainty Vigilance |
| title | Internet-Based Cognitive Behavioral Therapy Versus Psychoeducation Control for Illness Anxiety Disorder and Somatic Symptom Disorder: A Randomized Controlled Trial |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T19%3A02%3A31IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Internet-Based%20Cognitive%20Behavioral%20Therapy%20Versus%20Psychoeducation%20Control%20for%20Illness%20Anxiety%20Disorder%20and%20Somatic%20Symptom%20Disorder:%20A%20Randomized%20Controlled%20Trial&rft.jtitle=Journal%20of%20consulting%20and%20clinical%20psychology&rft.au=Newby,%20Jill%20M&rft.date=2018-01&rft.volume=86&rft.issue=1&rft.spage=89&rft.epage=98&rft.pages=89-98&rft.issn=0022-006X&rft.eissn=1939-2117&rft_id=info:doi/10.1037/ccp0000248&rft_dat=%3Cproquest_cross%3E1992640474%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1968542029&rft_id=info:pmid/29172593&rfr_iscdi=true |