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https://hdl.handle.net/1959.11/28745
Title: | Integrating iCBT for generalized anxiety disorder into routine clinical care: Treatment effects across the adult lifespan | Contributor(s): | Hobbs, Megan J (author) ; Mahoney, Alison E J (author); Andrews, Gavin (author) | Publication Date: | 2017-10 | Early Online Version: | 2017-09-11 | DOI: | 10.1016/j.janxdis.2017.09.003 | Handle Link: | https://hdl.handle.net/1959.11/28745 | Abstract: | The burden attributable to late-life Generalized Anxiety Disorder (GAD) is set to increase alongside the ageing population. Yet, the psychogeriatric workforce is limited in size and few studies have focused on the treatment of GAD among older patients. Internet-delivered cognitive behavioral therapy (iCBT) could be integrated into existing infrastructure and scale the psychogeriatric workforce, if shown to be effective across the adult lifespan. This study examined age-related differences in presentation, adherence and effects of iCBT for GAD among patients in routine clinical care (N = 942; 18–29 years (n = 267); 30–39 years (n = 260); 40–49 years (n = 180); 50–59 years (n = 124); and 60+ years (n = 111)). Compared to younger patients, older patients were less likely to present with probable GAD and MDD diagnoses (<60 years vs. 60+ years) and more likely to complete treatment (<50 years vs. 50+ years). iCBT produced moderate to large effect size reductions in symptom severity, distress and impairment independent of age. iCBT is therefore an effective treatment for GAD across the adult lifespan, which can be delivered in routine clinical care. Continuing to integrate iCBT into existing services has the potential to improve the capacity of the existing workforce to manage those seeking help for GAD particularly as the population ages. | Publication Type: | Journal Article | Grant Details: | NHMRC/1093083 | Source of Publication: | Journal of Anxiety Disorders, v.51, p. 47-54 | Publisher: | Elsevier Ltd | Place of Publication: | United Kingdom | ISSN: | 1873-7897 0887-6185 |
Fields of Research (FoR) 2008: | 110319 Psychiatry (incl. Psychotherapy) 111717 Primary Health Care 170102 Developmental Psychology and Ageing |
Fields of Research (FoR) 2020: | 420319 Primary health care 320221 Psychiatry (incl. psychotherapy) 520106 Psychology of ageing |
Socio-Economic Objective (SEO) 2008: | 920410 Mental Health 920209 Mental Health Services 920204 Evaluation of Health Outcomes |
Socio-Economic Objective (SEO) 2020: | 200202 Evaluation of health outcomes 200409 Mental health 200305 Mental health services |
Peer Reviewed: | Yes | HERDC Category Description: | C1 Refereed Article in a Scholarly Journal |
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Appears in Collections: | Journal Article |
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