Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for generalized anxiety disorder and comorbid disorders: A randomized controlled trial. (December 2015)

• Record Type: Journal Article
• Authors: Dear, B.F.; Staples, L.G.; Terides, M.D.; Karin, E.; Zou, J.; Johnston, L.; Gandy, M.; Fogliati, V.J.; Wootton, B.M.; McEvoy, P.M.; Titov, N.
• Is Part Of: Journal of anxiety disorders. Volume 36(2015:Dec.)
• Page Start: 63
• Page End: 77
• Publication Date: 2015-12
• Subjects: Generalized anxiety disorder -- Anxiety disorders -- Treatment -- Transdiagnostic -- Disorder-specific -- Self-guided -- Clinician-guided -- Internet -- 24-Month follow-up -- Randomized controlled trial; Anxiety -- Periodicals; Anxiety Disorders -- Periodicals; Angoisse -- Périodiques; Electronic journals; 616.8522
• DOI: 10.1016/j.janxdis.2015.09.003
• Languages: English
• ISSNs: 0887-6185

Abstract

Highlights: Study compared disorder-specific and transdiagnostic treatment approaches. Study also compared clinician-guided and self-guided treatment approaches. Study is 1 of 4 related randomized controlled trials examining these issues. Study focused on generalized anxiety disorder and comorbid disorders. No marked differences were observed between the treatment approaches. Abstract: Generalized anxiety disorder (GAD) can be treated effectively with either disorder-specific cognitive behavior therapy (DS-CBT) or transdiagnostic CBT (TD-CBT). The relative benefits of DS-CBT and TD-CBT for GAD and the relative benefits of delivering treatment in clinician guided (CG-CBT) and self-guided (SG-CBT) formats have not been examined. Participants with GAD ( n = 338) were randomly allocated to receive an internet-delivered TD-CBT or DS-CBT intervention delivered in either CG-CBT or SG-CBT formats. Large reductions in symptoms of GAD (Cohen's d ≥ 1.48; avg. reduction ≥ 50%) and comorbid major depressive disorder (Cohen's d ≥ 1.64; avg. reduction ≥ 45%), social anxiety disorder (Cohen's d ≥ 0.80; avg. reduction ≥ 29%) and panic disorder (Cohen's d ≥ 0.55; avg. reduction ≥ 33%) were found across the conditions. No substantive differences were observed between DS-CBT and TD-CBT or CG-CBT and SG-CBT, highlighting the public health potential of carefully developed TD-CBT and SG-CBT.