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Title: Reducing behavioral avoidance with internet-delivered cognitive behavior therapy for generalized anxiety disorder
Contributor(s): Mahoney, Alison E J (author); Newby, Jill M (author); Hobbs, Megan J  (author)orcid ; Williams, Alishia D (author); Andrews, Gavin (author)
Publication Date: 2019-03
Early Online Version: 2017-11-10
Open Access: Yes
DOI: 10.1016/j.invent.2017.11.004Open Access Link
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Abstract: Recent research has sought to identify maladaptive behaviors that are associated with generalized anxiety disorder (GAD). Although maladaptive behaviors may contribute to the maintenance of the disorder, little is known about how these behaviors change during the course of cognitive behavior therapy and whether such changes relate to treatment outcomes. This study examined changes in maladaptive behaviors, symptoms of GAD and depression, and disability across internet-based cognitive behavior therapy (iCBT) for GAD in two large clinical samples (N = 206 and 298). Assessments were completed at pre and post-treatment. Significant reductions in patients' maladaptive behaviors (WBI), GAD and depression severity (GAD-7 and PHQ-9), and disability (WHODAS-II) were observed following iCBT. Reductions in maladaptive behaviors predicted post-treatment GAD symptom severity after controlling for pre-treatment GAD symptom severity and reductions in depression and disability. Findings provide further support for the importance of maladaptive behaviors in contemporary conceptualizations of GAD and highlight the need for experimental investigations to examine the possible causal relationships between maladaptive behaviors and GAD.
Publication Type: Journal Article
Grant Details: NHMRC/1033787
Source of Publication: Internet Interventions, v.15, p. 105-109
Publisher: Elsevier BV
Place of Publication: The Netherlands
ISSN: 2214-7829
Field of Research (FoR) 2008: 110319 Psychiatry (incl. Psychotherapy)
111714 Mental Health
170106 Health, Clinical and Counselling Psychology
Field of Research (FoR) 2020: 320221 Psychiatry (incl. psychotherapy)
520302 Clinical psychology
520303 Counselling psychology
520304 Health psychology
Socio-Economic Objective (SEO) 2008: 920410 Mental Health
920204 Evaluation of Health Outcomes
Socio-Economic Objective (SEO) 2020: 200409 Mental health
200202 Evaluation of health outcomes
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article

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