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Gepubliceerd in: Cognitive Therapy and Research 5/2018

15-05-2018 | Original Article

An Evaluation of the Effectiveness of a Transdiagnostic Bibliotherapy Program for Anxiety and Related Disorders: Results From Two Studies Using a Benchmarking Approach

Auteurs: Bethany M. Wootton, Shari A. Steinman, Alana Czerniawski, Kimberly Norris, Colin Baptie, Gretchen Diefenbach, David F. Tolin

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 5/2018

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Abstract

Anxiety and related disorders are common and cognitive behavior therapy (CBT) has been demonstrated to be an effective treatment for these disorders. However, patients face many barriers to accessing this treatment. Remote delivery of treatment using bibliotherapy-administered CBT (BCBT) has the potential to increase accessibility to evidence-based treatment for patients with anxiety and related disorders. This study investigated the effectiveness of a transdiagnostic BCBT intervention in two open trials. While the BCBT intervention in both studies were identical, the first study was unguided (i.e., no clinician support provided), and the second study was guided (i.e., patients were provided with brief clinician support via telephone). Twenty-three participants with mixed anxiety disorders completed the first Study (unguided treatment) and results exhibited significant reductions on the primary outcome measure with within-group effect sizes of d = 1.29 (95% CI 0.64–1.91) at post-treatment and d = 1.52 (95% CI 0.84–2.15) at 3-month follow up. Forty-one participants with various anxiety and related disorders completed Study 2 (guided intervention) and results were similar to Study 1 with large within-group effect sizes seen at post-treatment (d = 0.95; 95% CI 0.49–1.40) and 3-month follow up (d = 0.87; 95% CI 0.41–1.31). In both studies participants found the intervention to be highly acceptable, and benchmarking analyses indicated that the outcomes were largely consistent with those of controlled trials. These are the first studies to investigate the effectiveness of a transdiagnostic BCBT program for the treatment of anxiety and related disorders and the results demonstrate preliminary support for this treatment methodology.
Literatuur
go back to reference Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory 2. San Antonio, TX: Psychological Corporation. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory 2. San Antonio, TX: Psychological Corporation.
go back to reference Dear, B. F., Staples, L. G., Terides, M. D., Fogliati, V. J., Sheehan, J., Johnston, L., et al., (2016). Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for Social Anxiety Disorder and comorbid disorders: A randomized controlled trial. Journal of Anxiety Disorders, 42, 30–44. https://doi.org/10.1016/j.janxdis.2016.05.004.CrossRefPubMed Dear, B. F., Staples, L. G., Terides, M. D., Fogliati, V. J., Sheehan, J., Johnston, L., et al., (2016). Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for Social Anxiety Disorder and comorbid disorders: A randomized controlled trial. Journal of Anxiety Disorders, 42, 30–44. https://​doi.​org/​10.​1016/​j.​janxdis.​2016.​05.​004.CrossRefPubMed
go back to reference Dear, B. F., Staples, L. G., Terides, M. D., Karin, E., Zou, J., Johnston, L., et al. (2015). Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for generalized anxiety disorder and comorbid disorders: A randomized controlled trial. Journal of Anxiety Disorders, 36, 63–77. https://doi.org/10.1016/j.janxdis.2015.09.003.CrossRefPubMed Dear, B. F., Staples, L. G., Terides, M. D., Karin, E., Zou, J., Johnston, L., et al. (2015). Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for generalized anxiety disorder and comorbid disorders: A randomized controlled trial. Journal of Anxiety Disorders, 36, 63–77. https://​doi.​org/​10.​1016/​j.​janxdis.​2015.​09.​003.CrossRefPubMed
go back to reference Dear, B. F., Titov, N., Sunderland, M., McMillan, D., Anderson, T., Lorian, C., & Robinson, E. (2011). Psychometric comparison of the Generalized Anxiety Disorder Scale-7 and the Penn State Worry Questionnaire for measuring response during treatment of Generalised Anxiety Disorder. Cognitive Behaviour Therapy, 40(3), 216–227. https://doi.org/10.1080/16506073.2011.582138.CrossRefPubMed Dear, B. F., Titov, N., Sunderland, M., McMillan, D., Anderson, T., Lorian, C., & Robinson, E. (2011). Psychometric comparison of the Generalized Anxiety Disorder Scale-7 and the Penn State Worry Questionnaire for measuring response during treatment of Generalised Anxiety Disorder. Cognitive Behaviour Therapy, 40(3), 216–227. https://​doi.​org/​10.​1080/​16506073.​2011.​582138.CrossRefPubMed
go back to reference Furmark, T., Carlbring, P., Hedman, E., Sonnenstein, A., Clevberger, P., Bohman, B., et al. (2009). Guided and unguided self-help for social anxiety disorder: Randomised controlled trial. British Journal of Psychiatry, 195(5), 440–447.CrossRefPubMed Furmark, T., Carlbring, P., Hedman, E., Sonnenstein, A., Clevberger, P., Bohman, B., et al. (2009). Guided and unguided self-help for social anxiety disorder: Randomised controlled trial. British Journal of Psychiatry, 195(5), 440–447.CrossRefPubMed
go back to reference Guy, W. (1976). ECDEU assessment manual for psychopharmacology. Rockville, MD: National Institute of Mental Health (U.S.). Guy, W. (1976). ECDEU assessment manual for psychopharmacology. Rockville, MD: National Institute of Mental Health (U.S.).
go back to reference Hannan, S. E., & Tolin, D. F. (2007). Examination of the validity of therapist rated and patient rated Clinical Global Impression scores. Paper presented at the annual meeting of the Association of Behavioral and Cognitive Therapies, Philadelphia. Hannan, S. E., & Tolin, D. F. (2007). Examination of the validity of therapist rated and patient rated Clinical Global Impression scores. Paper presented at the annual meeting of the Association of Behavioral and Cognitive Therapies, Philadelphia.
go back to reference Hedman, E., Axelsson, E., Andersson, E., Lekander, M., & Ljótsson, B. (2016). Exposure-based cognitive-behavioural therapy via the internet and as bibliotherapy for somatic symptom disorder and illness anxiety disorder: Randomised controlled trial. British Journal of Psychiatry, 209(5), 407–413. https://doi.org/10.1192/bjp.bp.116181396.CrossRefPubMed Hedman, E., Axelsson, E., Andersson, E., Lekander, M., & Ljótsson, B. (2016). Exposure-based cognitive-behavioural therapy via the internet and as bibliotherapy for somatic symptom disorder and illness anxiety disorder: Randomised controlled trial. British Journal of Psychiatry, 209(5), 407–413. https://​doi.​org/​10.​1192/​bjp.​bp.​116181396.CrossRefPubMed
go back to reference Kelly, P. J., Kyngdon, F., Ingram, I., Deane, F. P., Baker, A. L., & Osborne, B. A. (2017). The Client Satisfaction Questionnaire-8: Psychometric properties in a cross-sectional survey of people attending residential substance abuse treatment. Drug and Alcohol Review. https://doi.org/10.1111/dar.12522.CrossRefPubMed Kelly, P. J., Kyngdon, F., Ingram, I., Deane, F. P., Baker, A. L., & Osborne, B. A. (2017). The Client Satisfaction Questionnaire-8: Psychometric properties in a cross-sectional survey of people attending residential substance abuse treatment. Drug and Alcohol Review. https://​doi.​org/​10.​1111/​dar.​12522.CrossRefPubMed
go back to reference Leon, A. C., Olfson, M., Portera, L., Farber, L., & Sheehan, D. V. (1997). Assessing psychiatric impairment in primary care with the Sheehan Disability Scale. International Journal of Psychiatry in Medicine, 27(2), 93–105.CrossRefPubMed Leon, A. C., Olfson, M., Portera, L., Farber, L., & Sheehan, D. V. (1997). Assessing psychiatric impairment in primary care with the Sheehan Disability Scale. International Journal of Psychiatry in Medicine, 27(2), 93–105.CrossRefPubMed
go back to reference Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales. Sydney: Psychology Foudation of Australia. Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales. Sydney: Psychology Foudation of Australia.
go back to reference Norman, S. B., Hami-Cissell, S., Means-Christensen, A. J., & Stein, M. B. (2006). Development and validation of an Overall Anxiety Severity and Impairment Scale (OASIS). Depression and Anxiety, 23, 245–249.CrossRefPubMed Norman, S. B., Hami-Cissell, S., Means-Christensen, A. J., & Stein, M. B. (2006). Development and validation of an Overall Anxiety Severity and Impairment Scale (OASIS). Depression and Anxiety, 23, 245–249.CrossRefPubMed
go back to reference Peters, L., Sunderland, M., Andrews, G., Rapee, R. M., & Mattick, R. P. (2012). Development of a short form Social Interaction Anxiety (SIAS) and Social Phobia Scale (SPS) using nonparametric item response theory: The SIAS-6 and the SPS-6. Psychological Assessment, 24(1), 66–76. https://doi.org/10.1037/a0024544.CrossRefPubMed Peters, L., Sunderland, M., Andrews, G., Rapee, R. M., & Mattick, R. P. (2012). Development of a short form Social Interaction Anxiety (SIAS) and Social Phobia Scale (SPS) using nonparametric item response theory: The SIAS-6 and the SPS-6. Psychological Assessment, 24(1), 66–76. https://​doi.​org/​10.​1037/​a0024544.CrossRefPubMed
go back to reference Shear, M. K., Bilt, J. V., Rucci, P., Endicott, J., Lydiard, B., Otto, M. W., et al. (2001). Reliability and validity of a structured interview guide for the Hamilton Anxiety Rating Scale (SIGH-A). Depression and Anxiety, 13(4), 166–178.CrossRefPubMed Shear, M. K., Bilt, J. V., Rucci, P., Endicott, J., Lydiard, B., Otto, M. W., et al. (2001). Reliability and validity of a structured interview guide for the Hamilton Anxiety Rating Scale (SIGH-A). Depression and Anxiety, 13(4), 166–178.CrossRefPubMed
go back to reference Shear, M. K., Brown, T. A., Barlow, D. H., Money, R., Sholomskas, D. E., Woods, S. W., et al. (1997). Multicenter collaborative panic disorder severity scale. American Journal of Psychiatry, 154(11), 1571–1575.CrossRefPubMed Shear, M. K., Brown, T. A., Barlow, D. H., Money, R., Sholomskas, D. E., Woods, S. W., et al. (1997). Multicenter collaborative panic disorder severity scale. American Journal of Psychiatry, 154(11), 1571–1575.CrossRefPubMed
go back to reference Sheehan, D. V. (1983). The anxiety disease. New York: Scribner. Sheehan, D. V. (1983). The anxiety disease. New York: Scribner.
go back to reference Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., et al. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(SUPPL. 20), 22–33.PubMed Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., et al. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(SUPPL. 20), 22–33.PubMed
go back to reference Sinclair, S. J., Siefert, C. J., Slavin-Mulford, J. M., Stein, M. B., Renna, M., & Blais, M. A. (2012). Psychometric evaluation and normative data for the Depression, Anxiety, and Stress Scales-21 (DASS-21) in a nonclinical sample of U.S. adults. Evaluation and the Health Professions, 35(3), 259–279. https://doi.org/10.1177/0163278711424282.CrossRefPubMed Sinclair, S. J., Siefert, C. J., Slavin-Mulford, J. M., Stein, M. B., Renna, M., & Blais, M. A. (2012). Psychometric evaluation and normative data for the Depression, Anxiety, and Stress Scales-21 (DASS-21) in a nonclinical sample of U.S. adults. Evaluation and the Health Professions, 35(3), 259–279. https://​doi.​org/​10.​1177/​0163278711424282​.CrossRefPubMed
go back to reference Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine.., 166(10), 1092–1097.CrossRefPubMed Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine.., 166(10), 1092–1097.CrossRefPubMed
go back to reference Tolin, D. F. (2012). Face your fears: A proven plan to beat anxiety, panic, phobias, and obsessions. Hoboken, NJ: Wiley. Tolin, D. F. (2012). Face your fears: A proven plan to beat anxiety, panic, phobias, and obsessions. Hoboken, NJ: Wiley.
Metagegevens
Titel
An Evaluation of the Effectiveness of a Transdiagnostic Bibliotherapy Program for Anxiety and Related Disorders: Results From Two Studies Using a Benchmarking Approach
Auteurs
Bethany M. Wootton
Shari A. Steinman
Alana Czerniawski
Kimberly Norris
Colin Baptie
Gretchen Diefenbach
David F. Tolin
Publicatiedatum
15-05-2018
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 5/2018
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-018-9921-x

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