Swipe om te navigeren naar een ander artikel
Technology-based interventions have the potential to drastically increase the reach of efficacious treatments for psychiatric disorders by overcoming common barriers to treatment such as cost, accessibility, and convenience. One such treatment, the Cognitive Anxiety Sensitivity Treatment (CAST), has demonstrated efficacy in the treatment of anxiety and mood pathology. The current study explored the reach, acceptability, and efficacy of CAST delivered for free online using Craigslist as an advertising platform. Participants (N = 103) accessed the treatment through a Craigslist advertisement posted in the “Community” page, under the “Volunteer” category. Results revealed that this strategy was effective in reaching individuals with significant self-reported anxiety and mood symptoms, those who report not currently receiving mental health treatment, and those in areas with likely lower access to mental health resources, though the overall response rate was disappointing. Further, results demonstrate high levels of participant rated acceptability and efficacy in the reduction of psychiatric symptoms and impairment. These results suggest that CAST can be delivered effectively over the Internet and that Craigslist is a viable option to reach individuals in need of treatment. Future work should examine how to increase the number of participants who access the online intervention.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Allan, N. P., Raines, A. M., Capron, D. W., Norr, A. M., Zvolensky, M. J., & Schmidt, N. B. (2014). Identification of anxiety sensitivity classes and clinical cut-scores in a sample of adult smokers: Results from a factor mixture model. Journal of Anxiety Disorders, 28, 696–703. doi: 10.1016/j.janxdis.2014.07.006. CrossRefPubMedPubMedCentral
American FactFinder-Community Facts. (n.d.). Retrieved February 18, 2016, from http://factfinder.census.gov/faces/nav/jsf/pages/community_facts.xhtml.
American Psychiatric Association (2013). The Diagnostic and Statistical Manual of Mental Disorders (5th edn.). Washington, DC: American Psychiatric Publishing. CrossRef
Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item versions of the depression anxiety stress scales in clinical groups and a community sample. Psychological Assessment, 10, 176. doi: 10.1037/1040-3522.214.171.124. CrossRef
Antoun, C., Zhang, C., Conrad, F.G., & Schober, M.F. (2015). Comparisons of online recruitment strategies for convenience samples Craigslist, Google AdWords, Facebook, and Amazon Mechanical Turk. Field Methods, doi: 10.1177/1525822X15603149.
Capron, D. W., Norr, A. M., Macatee, R. J., & Schmidt, N. B. (2013). Distress tolerance and anxiety sensitivity cognitive concerns: Testing the incremental contributions of affect dysregulation constructs on suicidal ideation and suicide attempt. Behavior Therapy, 44, 349–358. doi: 10.1016/j.beth.2012.12.002. CrossRefPubMed
Craske, M. G., Rowe, M., Lewin, M., & Noriega-Dimitri, R. (1997). Interoceptive exposure versus breathing retraining within cognitive-behavioral therapy for panic disorder with agoraphobia. British Journal of Clinical Psychology, 36, 85–99. doi: 10.1111/j.2044-8260.1997.tb01233.x. CrossRefPubMed
Kessler, R. C., Petukhova, M., Sampson, N. A., Zaslacsky, A. M., & Wittchen, H. U. (2012). Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. International Journal of Methods in Psychiatric Research, 21, 169–184. doi: 10.1002/mpr.1359. CrossRefPubMedPubMedCentral
Lovibond, S.H., & Lovibond, P.F. (1995). Manual for the depression anxiety & stress scales. (2nd Ed.). Sydney : Psychology Foundation.
Martinez, O., Wu, E., Shultz, A. Z., Capote, J., Lopez Rios, J., Sandfort, T., et al. (2014). Still a hard-to-reach population? Using social media to recruit Latino gay couples for an HIV intervention adaptation study. Journal of Medical Internet Research, 16, e113. doi: 10.2196/jmir.3311. CrossRefPubMedPubMedCentral
Mitchell, M. A., Capron, D. W., Raines, A. M., & Schmidt, N. B. (2014). Reduction of cognitive concerns of anxiety sensitivity is uniquely associated with reduction of PTSD and depressive symptoms: A comparison of civilians and veterans. Journal of Psychiatric Research, 48, 25–31. doi: 10.1016/j.jpsychires.2013.10.013. CrossRefPubMed
Muñoz, R. F., Bunge, E. L., Chen, K., Schueller, S. M., Bravin, J. I., Shaughnessy, E. A., & Perez-Stable, E. J. (2015). Massive open online interventions: A novel model for delivering behavioral-health services worldwide. Clinical Psychological Science. doi: 10.1177/2167702615583840.
Otto, M. W., Smits, J.A.J., & Reese, H. E. (2004). Cognitive-behavioral therapy for the treatment of anxiety disorders. Journal of Clinical Psychiatry, 65, 34–41. PubMed
Raines, A. M., Short, N. A., Allan, N. P., Oglesby, M. E., & Schmidt, N. B. (2015). Examination of a brief anxiety sensitivity cognitive concerns intervention on suicidality among individuals with obsessive–compulsive symptoms. Contemporary Clinical Trials, 45, 191–195. doi: 10.1016/j.cct.2015.09.006. CrossRefPubMed
Schmidt, N. B., Eggleston, A. M., Woolaway-Bickel, K., Fitzpatrick, K. K., Vasey, M. W., & Richey, J. A. (2007). Anxiety sensitivity amelioration training (ASAT): A longitudinal primary prevention program targeting cognitive vulnerability. Journal of Anxiety Disorders, 21, 302–319. doi: 10.1016/j.janxdis.2006.06.002. CrossRefPubMed
Short, N. A., Fuller, K., Norr, A. M., & Schmidt, N. B. (in press). Acceptability of a brief computer-based intervention targeting anxiety sensitivity cognitive concerns. Cognitive Behaviour Therapy. doi: 10.1080/16506073.2016.1232748.
Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., et al. (2007). Robust dimensions of anxiety sensitivity: development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19, 176. doi: 10.1037/1040-35126.96.36.199. CrossRefPubMed
Temple, E. C., & Brown, R. F. (2012). A comparison of internet-based participant recruitment methods: Engaging the hidden population of cannabis users in research. Journal of Research Practice, 7, 2.
U. S Department of Commerce, Economics and Statistics Administration, U.S. Census Bureau. (2011). Overview of race and Hispanic origin: 2010 (Publication No. C2010BR-02). Retrieved from http://www.census.gov/prod/cen2010/briefs/c2010br-02.pdf.
World Health Organization (2008). Task shifting: Global recommendations and guidelines. Geneva: WHO.
- Online Dissemination of the Cognitive Anxiety Sensitivity Treatment (CAST) Using Craigslist: A Pilot Study
Aaron M. Norr
Brittany A. Gibby
Kelly L. Fuller
Amberly K. Portero
Norman B. Schmidt
- Springer US