Treating anxiety and depression in older adults: randomised controlled trial comparing guided v. self-guided internet-delivered cognitive-behavioural therapy

Title
Treating anxiety and depression in older adults: randomised controlled trial comparing guided v. self-guided internet-delivered cognitive-behavioural therapy
Publication Date
2016
Author(s)
Titov, Nickolai
Fogliati, Vincent J
Staples, Lauren G
Gandy, Milena
Johnston, Luke
Wootton, Bethany
( author )
OrcID: https://orcid.org/0000-0001-9036-0699
Email: bwootton@une.edu.au
UNE Id une-id:bwootton
Nielssen, Olav
Dear, Blake F
Type of document
Journal Article
Language
en
Entity Type
Publication
Publisher
Royal College of Psychiatrists
Place of publication
United Kingdom
DOI
10.1192/bjpo.bp.115.002139
UNE publication id
une:20706
Abstract
Background. Symptoms of anxiety and depression are prevalent in older adults. Aims. To compare clinician-guided and self-guided versions of a transdiagnostic internet-delivered cognitive-behavioural therapy (iCBT) intervention for adults aged 60 years and above. Method. Adults (n=433) with symptoms of anxiety and depression were randomly allocated to: (1) clinician-guided treatment (n=153); (2) initial clinician interview followed by self-guided treatment (n=140); or (3) self-guided treatment without interview (n=140). Results. Large reductions (d ≥1.00) in symptoms of depression and anxiety were observed across groups, and sustained at follow-up. No differences were observed in clinical outcomes or satisfaction ratings. Age did not affect outcomes. Conclusions. Carefully developed iCBT interventions may significantly reduce symptoms of anxiety and depression in older adults when delivered in either clinician-guided or self-guided formats.
Link
Citation
British Journal of Psychiatry Open, 2(1), p. 50-58
ISSN
2056-4724
Start page
50
End page
58

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