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Gerhard Andersson - One of the best experts on this subject based on the ideXlab platform.

  • The effectiveness of guided internet-based cognitive behavioral therapy for social anxiety disorder in a routine care setting.
    Internet Interventions, 2018
    Co-Authors: Tine Nordgreen, Rolf Gjestad, Gerhard Andersson, Per Carlbring, Odd E. Havik
    Abstract:

    Abstract Social anxiety disorder (SAD) is a common mental disorder with high persistence when untreated. As access to effective Treatment is limited, guided internet-based cognitive behavioral therapy (ICBT) has been proposed as an effective alternative to Face-To-Face Treatment. In this study, we examined the effectiveness of a 14-week therapist-guided ICBT program for patients with SAD undergoing routine care. From 2014 to 2017, 169 patients were included in the study, of which 145 started the Treatment. The sample was all general practitioner-referred and had a lower educational level and higher rate of work absence compared to similar effectiveness studies. Regarding social anxiety symptoms, we identified significant within-group effect sizes (post-Treatment: d = 1.00–1.10; six-month follow-up: d = 1.03–1.55). We also found significant effects on secondary depression symptoms (d = 0.67). Clinically significant improvement was reported by 66.2% of the participants, and 16.6% had a significant deterioration. Clinical implications of the current study are that guided ICBT for SAD is an effective Treatment for the majority of the patients undergoing routine care. Future studies should explore interventions targeting non-responders and deteriorated patients.

  • Internet-Delivered Psychological Treatments
    Annual review of clinical psychology, 2015
    Co-Authors: Gerhard Andersson
    Abstract:

    During the past 15 years, much progress has been made in developing and testing Internet-delivered psychological Treatments. In particular, therapist-guided Internet Treatments have been found to be effective for a wide range of psychiatric and somatic conditions in well over 100 controlled trials. These Treatments require (a) a secure web platform, (b) robust assessment procedures, (c) Treatment contents that can be text based or offered in other formats, and (d) a therapist role that differs from that in Face-To-Face therapy. Studies suggest that guided Internet Treatments can be as effective as Face-To-Face Treatments, lead to sustained improvements, work in clinically representative conditions, and probably are cost-effective. Despite these research findings, Internet Treatment is not yet disseminated in most places, and clinical psychologists should consider using modern information technology and evidence-based Treatment programs as a complement to their other services, even though there will always be clients for whom Face-To-Face Treatment is the best option.

  • Internet-based Treatment of stress urinary incontinence : 1- and 2-year results of a randomized controlled trial with a focus on pelvic floor muscle training.
    BJU international, 2015
    Co-Authors: Malin Sjöström, Gerhard Andersson, Per Carlbring, Hans Stenlund, Göran Umefjord, Eva Samuelsson
    Abstract:

    OBJECTIVES: To evaluate the long-term effects of two non-Face-To-Face Treatment programmes for stress urinary incontinence (SUI) based on pelvic floor muscle training (PFMT).SUBJECTS AND METHODS: T ...

  • guided internet based vs face to face cognitive behavior therapy for psychiatric and somatic disorders a systematic review and meta analysis
    World Psychiatry, 2014
    Co-Authors: Gerhard Andersson, Per Carlbring, Pim Cuijpers, Heleen Riper, Erik Hedman
    Abstract:

    Internet-delivered cognitive behavior therapy (ICBT) has been tested in many research trials, but to a lesser extent directly compared to Face-To-Face delivered cognitive behavior therapy (CBT). We conducted a systematic review and meta-analysis of trials in which guided ICBT was directly compared to Face-To-Face CBT. Studies on psychiatric and somatic conditions were included. Systematic searches resulted in 13 studies (total N=1053) that met all criteria and were included in the review. There were three studies on social anxiety disorder, three on panic disorder, two on depressive symptoms, two on body dissatisfaction, one on tinnitus, one on male sexual dysfunction, and one on spider phobia. Face-To-Face CBT was either in the individual format (n=6) or in the group format (n=7). We also assessed quality and risk of bias. Results showed a pooled effect size (Hedges' g) at post-Treatment of −0.01 (95% CI: −0.13 to 0.12), indicating that guided ICBT and Face-To-Face Treatment produce equivalent overall effects. Study quality did not affect outcomes. While the overall results indicate equivalence, there are still few studies for each psychiatric and somatic condition and many conditions for which guided ICBT has not been compared to Face-To-Face Treatment. Thus, more research is needed to establish equivalence of the two Treatment formats.

  • The Wiley Blackwell Handbook of Social Anxiety Disorder - Internet‐Delivered Treatments for Social Anxiety Disorder
    The Wiley Blackwell Handbook of Social Anxiety Disorder, 2014
    Co-Authors: Gerhard Andersson, Per Carlbring, Tomas Furmark
    Abstract:

    In this chapter we review the literature on internet-delivered Treatment for social anxiety disorder (SAD). There are several different Treatment programs that have been tested in randomized controlled trials and evidence now suggests that guided internet-based cognitive behavior therapy (ICBT) can be as effective as Face-To-Face therapy, that therapists may need less training than in Face-To-Face Treatment, and that ICBT works in representative clinical settings, thereby supporting effectiveness. Moreover, there are studies to suggest that ICBT has enduring effects up to five years after Treatment and that it is cost-effective. Since there are advantages with internet Treatments, this Treatment option should be considered as a complement or alternative to Face-To-Face Treatments for SAD. Treatment mechanisms, including moderators and mediators of outcome, remain to be investigated.

Pim Cuijpers - One of the best experts on this subject based on the ideXlab platform.

  • Internet and mobile interventions for depression: Opportunities and challenges.
    Depression and anxiety, 2017
    Co-Authors: Pim Cuijpers, Annet Kleiboer, Eirini Karyotaki, Heleen Riper
    Abstract:

    Background The Internet offers several new ways of developing, implementing, and disseminating evidence-based interventions for depression. Methods In this paper, we narratively synthesized the evidence showing that Internet-based therapies are effective in treating depression. Results In the past decade, a considerable number of psychological Treatments have been developed for the Treatment of depression and several hundreds of randomized controlled trials have been conducted, showing that these interventions are effective and that there are no major differences in effects between therapies. Several meta-analyses show that Internet-based Treatments are also effective in depression. Direct comparisons with Face-To-Face Treatments do not indicate that there are relevant differences between Internet-based and Face-To-Face Treatment formats. The challenge for the near future is to examine how these Treatments can be integrated in mental health care. Major opportunities are in preventive services, primary care, specialized mental health care, and in patients with comorbid general medical disorders. New technological innovations through the smartphone, serious gaming, avatars, augmented reality, and virtual reality will give further possibilities to simplify and perhaps increase the effects of Treatments. Conclusions The Internet offers many possibilities to increase access to evidence-based psychological Treatments of depression. New technological may further improve access and, perhaps, the effects of Treatments.

  • Internet-based Treatment for depression in multiple sclerosis: A randomized controlled trial.
    Multiple sclerosis (Houndmills Basingstoke England), 2016
    Co-Authors: Rosa E. Boeschoten, Aartjan T.f. Beekman, Pim Cuijpers, Joost Dekker, Bernard M. J. Uitdehaag, Adriaan W. Hoogendoorn, Emma H. Collette, Magdalena M. Nieuwenhuis, Patricia Van Oppen
    Abstract:

    Background:Depression in multiple sclerosis (MS) patients is common but may stay untreated. Physical limitations impede Face-To-Face Treatment. Internet-based Treatment is therefore a promising too...

  • Economic evaluation of Internet-based problem-solving guided self-help Treatment in comparison with enhanced usual care for depressed outpatients waiting for Face-To-Face Treatment: A randomized controlled trial.
    Journal of affective disorders, 2016
    Co-Authors: Spyros Kolovos, Robin Maria Francisca Kenter, Judith E. Bosmans, Aartjan T.f. Beekman, Pim Cuijpers, Robin Niels Kok, Annemieke Van Straten
    Abstract:

    Abstract Background Previous studies have demonstrated the effectiveness of Internet-based interventions for depression in comparison with usual care. However, evidence on the cost-effectiveness of these interventions when delivered in outpatient clinics is lacking. The aim of this study was to estimate the cost-effectiveness of an Internet-based problem-solving guided self-help intervention in comparison with enhanced usual care for outpatients on a waiting list for Face-To-Face Treatment for major depression. After the waiting list period, participants from both groups received the same Treatment at outpatient clinics. Methods An economic evaluation was performed alongside a randomized controlled trial with 12 months follow-up. Outcomes were improvement in depressive symptom severity (measured by CES-D), response to Treatment and Quality-Adjusted Life-Years (QALYs). Statistical uncertainty around cost differences and incremental cost-effectiveness ratios were estimated using bootstrapping. Results Mean societal costs for the intervention group were €1579 higher than in usual care, but this was not statistically significant (95% CI - 1395 to 4382). Cost-effectiveness acceptability curves showed that the maximum probability of the intervention being cost-effective in comparison with usual care was 0.57 at a ceiling ratio of €15,000/additional point of improvement in CES-D, and 0.25 and 0.30 for an additional response to Treatment and an extra QALY respectively, at a ceiling ratio of €30,000. Sensitivity analysis showed that from a mental healthcare provider perspective the probability of the intervention being cost-effective was 0.68 for a ceiling ratio of 0 €/additional unit of effect for the CES-D score, response to Treatment and QALYs. As the ceiling ratio increased this probability decreased, because the mean costs in the intervention group were lower than the mean costs in the usual care group. Limitations The patients in the intervention group showed low adherence to the Internet-based Treatment. It is possible that greater adherence would have led to larger clinical effects. Conclusions Offering an Internet-based intervention to depressed outpatients on waiting list for Face-To-Face Treatment was not considered cost-effective in comparison with enhanced usual care from a societal perspective. There was a high probability of the intervention being cost-effective in comparison with enhanced usual care from the perspective of the mental healthcare provider.

  • Costs and effects of Internet cognitive behavioral Treatment blended with Face-To-Face Treatment: Results from a naturalistic study
    Internet Interventions, 2015
    Co-Authors: Robin Maria Francisca Kenter, Pim Cuijpers, Peter M. Van De Ven, Ger Koole, Safar Niamat, Rob S. Gerrits, Mark Willems, Annemieke Van Straten
    Abstract:

    Abstract Objective Research has convincingly demonstrated that Internet interventions are effective for anxiety and depression and it is suggested that these interventions can reduce therapist time and thus save costs. Therefore, many Dutch mental health organizations have started to implement these Treatments into their services. They usually apply the Internet interventions in combination with the Face-To-Face Treatments, i.e. blended Treatments. To date, no empirical work has examined if implementing blended Treatments actually contributes to Treatment effects and cost savings. The objective of this naturalistic study was to examine this issue, using routine mental health care data for patients with depression or anxiety. Methods All 4448 records of patients with depression or anxiety seeking help at a large mental health service between October 2009 and December 2012 were obtained. Data on GAF-index, therapist time, and therapist costs of patients who received Face-To-Face Treatments were compared with those who received blended care, using propensity score matching. Results Blended care was applied in 3.6% of all patients and was given more frequently to younger patients and patients with an anxiety disorder. There were no significant differences in symptom severity at baseline between the two Treatment groups, nor were there significant differences between the two groups in symptom improvement. Patients who received blended care had more Treatment sessions (Face-To-Face plus online sessions) than patients who received standard Treatment, which resulted in significantly more Treatment time and higher costs. Conclusion Findings suggest that in this sample blended care is more expensive compared to established Face-To-Face Treatments and doesn't lead to additional benefits in terms of general functioning. This might be caused by suboptimal implementation strateges.

  • guided internet based vs face to face cognitive behavior therapy for psychiatric and somatic disorders a systematic review and meta analysis
    World Psychiatry, 2014
    Co-Authors: Gerhard Andersson, Per Carlbring, Pim Cuijpers, Heleen Riper, Erik Hedman
    Abstract:

    Internet-delivered cognitive behavior therapy (ICBT) has been tested in many research trials, but to a lesser extent directly compared to Face-To-Face delivered cognitive behavior therapy (CBT). We conducted a systematic review and meta-analysis of trials in which guided ICBT was directly compared to Face-To-Face CBT. Studies on psychiatric and somatic conditions were included. Systematic searches resulted in 13 studies (total N=1053) that met all criteria and were included in the review. There were three studies on social anxiety disorder, three on panic disorder, two on depressive symptoms, two on body dissatisfaction, one on tinnitus, one on male sexual dysfunction, and one on spider phobia. Face-To-Face CBT was either in the individual format (n=6) or in the group format (n=7). We also assessed quality and risk of bias. Results showed a pooled effect size (Hedges' g) at post-Treatment of −0.01 (95% CI: −0.13 to 0.12), indicating that guided ICBT and Face-To-Face Treatment produce equivalent overall effects. Study quality did not affect outcomes. While the overall results indicate equivalence, there are still few studies for each psychiatric and somatic condition and many conditions for which guided ICBT has not been compared to Face-To-Face Treatment. Thus, more research is needed to establish equivalence of the two Treatment formats.

Annemieke Van Straten - One of the best experts on this subject based on the ideXlab platform.

  • Economic evaluation of Internet-based problem-solving guided self-help Treatment in comparison with enhanced usual care for depressed outpatients waiting for Face-To-Face Treatment: A randomized controlled trial.
    Journal of affective disorders, 2016
    Co-Authors: Spyros Kolovos, Robin Maria Francisca Kenter, Judith E. Bosmans, Aartjan T.f. Beekman, Pim Cuijpers, Robin Niels Kok, Annemieke Van Straten
    Abstract:

    Abstract Background Previous studies have demonstrated the effectiveness of Internet-based interventions for depression in comparison with usual care. However, evidence on the cost-effectiveness of these interventions when delivered in outpatient clinics is lacking. The aim of this study was to estimate the cost-effectiveness of an Internet-based problem-solving guided self-help intervention in comparison with enhanced usual care for outpatients on a waiting list for Face-To-Face Treatment for major depression. After the waiting list period, participants from both groups received the same Treatment at outpatient clinics. Methods An economic evaluation was performed alongside a randomized controlled trial with 12 months follow-up. Outcomes were improvement in depressive symptom severity (measured by CES-D), response to Treatment and Quality-Adjusted Life-Years (QALYs). Statistical uncertainty around cost differences and incremental cost-effectiveness ratios were estimated using bootstrapping. Results Mean societal costs for the intervention group were €1579 higher than in usual care, but this was not statistically significant (95% CI - 1395 to 4382). Cost-effectiveness acceptability curves showed that the maximum probability of the intervention being cost-effective in comparison with usual care was 0.57 at a ceiling ratio of €15,000/additional point of improvement in CES-D, and 0.25 and 0.30 for an additional response to Treatment and an extra QALY respectively, at a ceiling ratio of €30,000. Sensitivity analysis showed that from a mental healthcare provider perspective the probability of the intervention being cost-effective was 0.68 for a ceiling ratio of 0 €/additional unit of effect for the CES-D score, response to Treatment and QALYs. As the ceiling ratio increased this probability decreased, because the mean costs in the intervention group were lower than the mean costs in the usual care group. Limitations The patients in the intervention group showed low adherence to the Internet-based Treatment. It is possible that greater adherence would have led to larger clinical effects. Conclusions Offering an Internet-based intervention to depressed outpatients on waiting list for Face-To-Face Treatment was not considered cost-effective in comparison with enhanced usual care from a societal perspective. There was a high probability of the intervention being cost-effective in comparison with enhanced usual care from the perspective of the mental healthcare provider.

  • Guided Online or Face-To-Face Cognitive Behavioral Treatment for Insomnia: A Randomized Wait-List Controlled Trial.
    Sleep, 2016
    Co-Authors: Jaap Lancee, Annemieke Van Straten, Nexhmedin Morina, Viktor Kaldo, Jan H. Kamphuis
    Abstract:

    Study Objectives: To compare the efficacy of guided online and individual Face-To-Face cognitive behavioral Treatment for insomnia (CBT-I) to a wait-list condition. Methods: A randomized controlled trial comparing three conditions: guided online; Face-To-Face; wait-list. Posttest measurements were administered to all conditions, along with 3- and 6-mo follow-up assessments to the online and Face-To-Face conditions. Ninety media-recruited participants meeting the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for insomnia were randomly allocated to either guided online CBT-I (n = 30), individual Face-To-Face CBT-I (n = 30), or wait-list (n = 30). Results: At post-assessment, the online (Cohen d = 1.2) and Face-To-Face (Cohen d = 2.3) intervention groups showed significantly larger Treatment effects than the wait-list group on insomnia severity (insomnia severity index). Large Treatment effects were also found for the sleep diary estimates (except for total sleep time), and anxiety and depression measures (for depression only in the Face-To-Face condition). Face-To-Face Treatment yielded a statistically larger Treatment effect (Cohen d = 0.9) on insomnia severity than the online condition at all time points. In addition, a moderate differential effect size favoring Face-To-Face Treatment emerged at the 3- and 6-mo follow-up on all sleep diary estimates. Face-To-Face Treatment further outperformed online Treatment on depression and anxiety outcomes. Conclusions: These data show superior performance of Face-To-Face Treatment relative to online Treatment. Yet, our results also suggest that online Treatment may offer a potentially cost-effective alternative to and complement Face-To-Face Treatment.

  • Costs and effects of Internet cognitive behavioral Treatment blended with Face-To-Face Treatment: Results from a naturalistic study
    Internet Interventions, 2015
    Co-Authors: Robin Maria Francisca Kenter, Pim Cuijpers, Peter M. Van De Ven, Ger Koole, Safar Niamat, Rob S. Gerrits, Mark Willems, Annemieke Van Straten
    Abstract:

    Abstract Objective Research has convincingly demonstrated that Internet interventions are effective for anxiety and depression and it is suggested that these interventions can reduce therapist time and thus save costs. Therefore, many Dutch mental health organizations have started to implement these Treatments into their services. They usually apply the Internet interventions in combination with the Face-To-Face Treatments, i.e. blended Treatments. To date, no empirical work has examined if implementing blended Treatments actually contributes to Treatment effects and cost savings. The objective of this naturalistic study was to examine this issue, using routine mental health care data for patients with depression or anxiety. Methods All 4448 records of patients with depression or anxiety seeking help at a large mental health service between October 2009 and December 2012 were obtained. Data on GAF-index, therapist time, and therapist costs of patients who received Face-To-Face Treatments were compared with those who received blended care, using propensity score matching. Results Blended care was applied in 3.6% of all patients and was given more frequently to younger patients and patients with an anxiety disorder. There were no significant differences in symptom severity at baseline between the two Treatment groups, nor were there significant differences between the two groups in symptom improvement. Patients who received blended care had more Treatment sessions (Face-To-Face plus online sessions) than patients who received standard Treatment, which resulted in significantly more Treatment time and higher costs. Conclusion Findings suggest that in this sample blended care is more expensive compared to established Face-To-Face Treatments and doesn't lead to additional benefits in terms of general functioning. This might be caused by suboptimal implementation strateges.

  • Effectiveness and cost effectiveness of guided online Treatment for patients with major depressive disorder on a waiting list for psychotherapy: study protocol of a randomized controlled trial
    Trials, 2013
    Co-Authors: Robin Maria Francisca Kenter, Annemieke Van Straten, Sabine Heleen Hobbel, Filip Smit, Judith Bosmans, Aartjan Beekman, Pim Cuijpers
    Abstract:

    Background Depressive disorders are highly prevalent and result in negative consequences for both patients and society. It is therefore important that these disorders are treated adequately. However, due to increased demand for mental healthcare and subsequent increased costs, it would be desirable to reduce costs associated with major depressive disorder while maintaining or improving the quality of care within the healthcare system. Introducing evidence-based online self-help interventions in mental healthcare might be the way to maintain clinical effects while minimizing costs by reducing the number of Face-To-Face sessions. This study aims to evaluate the clinical and economical effects of a guided online self-help intervention when offered to patients with major depressive disorder on a waiting list for psychotherapy in specialized mental health centers (MHCs). Methods Patients at mental health centers identified with a Diagnostic and Statistical Manual of Mental Disorders , fourth edition (DSM-IV) diagnosis of major depression who are awaiting Face-To-Face Treatment are studied in a randomized controlled trial. During this waiting list period, patients are randomized and either (1) receive an internet-based guided self-help Treatment or (2) receive a self-help book. The 5-week internet-based guided self-help intervention and the self-help booklet are based on problem solving Treatment. After the intervention, patients are allowed to start regular Face-To-Face Treatment at MHCs. Costs and effects are measured at baseline, after the intervention at 6 to 8 weeks, 6 months and 12 months. The primary outcome measure is symptoms of depression. Secondary outcome measures are diagnosis of depression, number of Face-To-Face sessions, absence of work and healthcare uptake in general. Additional outcome measures are anxiety, insomnia, quality of life and mastery. Discussion This study evaluates the effectiveness and cost effectiveness of internet-based guided self-help in patients at specialized mental health centers. The aim is to demonstrate whether the introduction of internet-based self-help interventions in regular mental healthcare for depressive disorders can maintain clinical effects and reduce costs. Strengths and limitations of this study are discussed. Trial registration Netherlands Trial Register NTR2824

  • Effectiveness and cost effectiveness of guided online Treatment for patients with major depressive disorder on a waiting list for psychotherapy: study protocol of a randomized controlled trial
    Trials, 2013
    Co-Authors: Robin Maria Francisca Kenter, Judith E. Bosmans, Aartjan T.f. Beekman, Annemieke Van Straten, Sabine Heleen Hobbel, Filip Smit, Pim Cuijpers
    Abstract:

    Depressive disorders are highly prevalent and result in negative consequences for both patients and society. It is therefore important that these disorders are treated adequately. However, due to increased demand for mental healthcare and subsequent increased costs, it would be desirable to reduce costs associated with major depressive disorder while maintaining or improving the quality of care within the healthcare system. Introducing evidence-based online self-help interventions in mental healthcare might be the way to maintain clinical effects while minimizing costs by reducing the number of Face-To-Face sessions. This study aims to evaluate the clinical and economical effects of a guided online self-help intervention when offered to patients with major depressive disorder on a waiting list for psychotherapy in specialized mental health centers (MHCs). Patients at mental health centers identified with a Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) diagnosis of major depression who are awaiting Face-To-Face Treatment are studied in a randomized controlled trial. During this waiting list period, patients are randomized and either (1) receive an internet-based guided self-help Treatment or (2) receive a self-help book. The 5-week internet-based guided self-help intervention and the self-help booklet are based on problem solving Treatment. After the intervention, patients are allowed to start regular Face-To-Face Treatment at MHCs. Costs and effects are measured at baseline, after the intervention at 6 to 8 weeks, 6 months and 12 months. The primary outcome measure is symptoms of depression. Secondary outcome measures are diagnosis of depression, number of Face-To-Face sessions, absence of work and healthcare uptake in general. Additional outcome measures are anxiety, insomnia, quality of life and mastery. This study evaluates the effectiveness and cost effectiveness of internet-based guided self-help in patients at specialized mental health centers. The aim is to demonstrate whether the introduction of internet-based self-help interventions in regular mental healthcare for depressive disorders can maintain clinical effects and reduce costs. Strengths and limitations of this study are discussed. Netherlands Trial Register NTR2824

Eva Samuelsson - One of the best experts on this subject based on the ideXlab platform.

Per Carlbring - One of the best experts on this subject based on the ideXlab platform.

  • The effectiveness of guided internet-based cognitive behavioral therapy for social anxiety disorder in a routine care setting.
    Internet Interventions, 2018
    Co-Authors: Tine Nordgreen, Rolf Gjestad, Gerhard Andersson, Per Carlbring, Odd E. Havik
    Abstract:

    Abstract Social anxiety disorder (SAD) is a common mental disorder with high persistence when untreated. As access to effective Treatment is limited, guided internet-based cognitive behavioral therapy (ICBT) has been proposed as an effective alternative to Face-To-Face Treatment. In this study, we examined the effectiveness of a 14-week therapist-guided ICBT program for patients with SAD undergoing routine care. From 2014 to 2017, 169 patients were included in the study, of which 145 started the Treatment. The sample was all general practitioner-referred and had a lower educational level and higher rate of work absence compared to similar effectiveness studies. Regarding social anxiety symptoms, we identified significant within-group effect sizes (post-Treatment: d = 1.00–1.10; six-month follow-up: d = 1.03–1.55). We also found significant effects on secondary depression symptoms (d = 0.67). Clinically significant improvement was reported by 66.2% of the participants, and 16.6% had a significant deterioration. Clinical implications of the current study are that guided ICBT for SAD is an effective Treatment for the majority of the patients undergoing routine care. Future studies should explore interventions targeting non-responders and deteriorated patients.

  • Internet-based Treatment of stress urinary incontinence : 1- and 2-year results of a randomized controlled trial with a focus on pelvic floor muscle training.
    BJU international, 2015
    Co-Authors: Malin Sjöström, Gerhard Andersson, Per Carlbring, Hans Stenlund, Göran Umefjord, Eva Samuelsson
    Abstract:

    OBJECTIVES: To evaluate the long-term effects of two non-Face-To-Face Treatment programmes for stress urinary incontinence (SUI) based on pelvic floor muscle training (PFMT).SUBJECTS AND METHODS: T ...

  • guided internet based vs face to face cognitive behavior therapy for psychiatric and somatic disorders a systematic review and meta analysis
    World Psychiatry, 2014
    Co-Authors: Gerhard Andersson, Per Carlbring, Pim Cuijpers, Heleen Riper, Erik Hedman
    Abstract:

    Internet-delivered cognitive behavior therapy (ICBT) has been tested in many research trials, but to a lesser extent directly compared to Face-To-Face delivered cognitive behavior therapy (CBT). We conducted a systematic review and meta-analysis of trials in which guided ICBT was directly compared to Face-To-Face CBT. Studies on psychiatric and somatic conditions were included. Systematic searches resulted in 13 studies (total N=1053) that met all criteria and were included in the review. There were three studies on social anxiety disorder, three on panic disorder, two on depressive symptoms, two on body dissatisfaction, one on tinnitus, one on male sexual dysfunction, and one on spider phobia. Face-To-Face CBT was either in the individual format (n=6) or in the group format (n=7). We also assessed quality and risk of bias. Results showed a pooled effect size (Hedges' g) at post-Treatment of −0.01 (95% CI: −0.13 to 0.12), indicating that guided ICBT and Face-To-Face Treatment produce equivalent overall effects. Study quality did not affect outcomes. While the overall results indicate equivalence, there are still few studies for each psychiatric and somatic condition and many conditions for which guided ICBT has not been compared to Face-To-Face Treatment. Thus, more research is needed to establish equivalence of the two Treatment formats.

  • The Wiley Blackwell Handbook of Social Anxiety Disorder - Internet‐Delivered Treatments for Social Anxiety Disorder
    The Wiley Blackwell Handbook of Social Anxiety Disorder, 2014
    Co-Authors: Gerhard Andersson, Per Carlbring, Tomas Furmark
    Abstract:

    In this chapter we review the literature on internet-delivered Treatment for social anxiety disorder (SAD). There are several different Treatment programs that have been tested in randomized controlled trials and evidence now suggests that guided internet-based cognitive behavior therapy (ICBT) can be as effective as Face-To-Face therapy, that therapists may need less training than in Face-To-Face Treatment, and that ICBT works in representative clinical settings, thereby supporting effectiveness. Moreover, there are studies to suggest that ICBT has enduring effects up to five years after Treatment and that it is cost-effective. Since there are advantages with internet Treatments, this Treatment option should be considered as a complement or alternative to Face-To-Face Treatments for SAD. Treatment mechanisms, including moderators and mediators of outcome, remain to be investigated.

  • Internet-Based Vs. Face-To-Face Cognitive Behaviour Therapy for Psychiatric and Somatic Disorders : a Systematic Review and Meta-Analysis
    2014
    Co-Authors: Gerhard Andersson, Per Carlbring, Pim Cuijpers, Heleen Riper, Erik Hedman
    Abstract:

    Internet-delivered cognitive behaviour therapy (ICBT) has been tested in many research trials but to a lesser extent been directly compared against Face-To-Face delivered cognitive behaviour therapy (CBT). We conducted a systematic review and meta-analysis on trials in which guided ICBT was directly compared against Face-To-Face CBT within the same trial. Studies on psychiatric and somatic conditions were included. Systematic searches resulted in 13 studies (total N=1053) that met all review criteria and were included in the review. There were 3 studies on social anxiety disorder, 3 on panic disorder, 2 on depressive symptoms, 2 on body dissatisfaction, 1 on tinnitus, 1 on male sexual dysfunction, and 1 on spider phobia. Face-To-Face CBT was either in the individual format (n=6 ) or in the group format (n=7). We also assessed quality and risk of bias. Results showed a pooled effect size at post-Treatment across of Hedges g = -0.01 (95% CI, -0.13 to 0.12), indicating that ICBT and Face-To-Face Treatment produce equivalent overall effects. Study quality did not affect outcomes. While the overall results indicate equivalence, there are still few studies for each psychiatric and somatic condition and many for which guided ICBT has not been compared against Face-To-Face Treatment. Thus, more research is needed to establish equivalence of the two Treatment formats.