Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/28747
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dc.contributor.authorMorgan, Carlaen
dc.contributor.authorMason, Elizabethen
dc.contributor.authorNewby, Jill Men
dc.contributor.authorMahoney, Alison E Jen
dc.contributor.authorHobbs, Megan Jen
dc.contributor.authorMcAloon, Johnen
dc.contributor.authorAndrews, Gavinen
dc.date.accessioned2020-05-21T04:28:28Z-
dc.date.available2020-05-21T04:28:28Z-
dc.date.issued2017-12-
dc.identifier.citationInternet Interventions, v.10, p. 47-53en
dc.identifier.issn2214-7829en
dc.identifier.urihttps://hdl.handle.net/1959.11/28747-
dc.description.abstractClinician-guided internet-delivered cognitive behavioral therapy (iCBT) is an effective treatment for depression and anxiety disorders. However, few studies have examined the effectiveness of completely unguided iCBT. The current research investigated adherence to, and the effects of two brief unguided iCBT programs on depression and anxiety symptom severity, and psychological distress. Study 1 evaluated a four-lesson transdiagnostic iCBT program for anxiety and depression (N = 927). Study 2 then evaluated a three-lesson version of the same program (N = 5107) in order to determine whether reducing the duration of treatment would influence adherence and treatment effects. Cross-tabulations and independent t-tests were used to examine the extent to which users adhered and remitted with treatment. Linear mixed models were used to evaluate the effects of treatment in the entire sample, and stratified by gender and completer-type (e.g., users who completed some but not all lessons vs. those who completed all lessons of treatment). Among those who began treatment, 13.83% completed all four lessons in Study 1. Shortening the course to three lessons did not improve adherence (e.g., 13.11% in Study 2). In both studies, users, on average, experienced moderate to large effect size reductions in anxiety and depressive symptom severity, as well as psychological distress. This pattern of results was robust across gender and for those who did and did not complete treatment. Approximately two-thirds of those who completed treatment experienced remission. These data show that unguided iCBT programs, which have the capacity to attract large numbers of individuals with clinically significant symptoms of depression and anxiety, and psychological distress, can produce significant improvements in wellbeing.en
dc.languageenen
dc.publisherElsevier BVen
dc.relation.ispartofInternet Interventionsen
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.titleThe effectiveness of unguided internet cognitive behavioural therapy for mixed anxiety and depressionen
dc.typeJournal Articleen
dc.identifier.doi10.1016/j.invent.2017.10.003en
dcterms.accessRightsGolden
local.contributor.firstnameCarlaen
local.contributor.firstnameElizabethen
local.contributor.firstnameJill Men
local.contributor.firstnameAlison E Jen
local.contributor.firstnameMegan Jen
local.contributor.firstnameJohnen
local.contributor.firstnameGavinen
local.relation.isfundedbyNHMRCen
local.subject.for2008110319 Psychiatry (incl. Psychotherapy)en
local.subject.for2008111714 Mental Healthen
local.subject.for2008170106 Health, Clinical and Counselling Psychologyen
local.subject.seo2008920410 Mental Healthen
local.subject.seo2008920209 Mental Health Servicesen
local.subject.seo2008920204 Evaluation of Health Outcomesen
local.profile.schoolNew England Institute of Healthcare Research, Faculty of Medicine and Healthen
local.profile.emailmegan.hobbs@une.edu.auen
local.output.categoryC1en
local.grant.number1037787en
local.record.placeauen
local.record.institutionUniversity of New Englanden
local.publisher.placeNetherlandsen
local.format.startpage47en
local.format.endpage53en
local.peerreviewedYesen
local.identifier.volume10en
local.access.fulltextYesen
local.contributor.lastnameMorganen
local.contributor.lastnameMasonen
local.contributor.lastnameNewbyen
local.contributor.lastnameMahoneyen
local.contributor.lastnameHobbsen
local.contributor.lastnameMcAloonen
local.contributor.lastnameAndrewsen
dc.identifier.staffune-id:mhobbs8en
local.profile.orcid0000-0003-0131-0089en
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
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local.identifier.unepublicationidune:1959.11/28747en
local.date.onlineversion2017-10-24-
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
local.title.maintitleThe effectiveness of unguided internet cognitive behavioural therapy for mixed anxiety and depressionen
local.relation.fundingsourcenoteAustralian Government Research Training Program Scholarshipen
local.output.categorydescriptionC1 Refereed Article in a Scholarly Journalen
local.relation.grantdescriptionNHMRC/1037787en
local.search.authorMorgan, Carlaen
local.search.authorMason, Elizabethen
local.search.authorNewby, Jill Men
local.search.authorMahoney, Alison E Jen
local.search.authorHobbs, Megan Jen
local.search.authorMcAloon, Johnen
local.search.authorAndrews, Gavinen
local.istranslatedNoen
local.uneassociationNoen
local.atsiresearchNoen
local.sensitive.culturalNoen
local.year.available2017en
local.year.published2017en
local.fileurl.closedpublishedhttps://rune.une.edu.au/web/retrieve/454c8c12-7610-43ba-a162-dea971832efben
local.subject.for2020520303 Counselling psychologyen
local.subject.for2020520304 Health psychologyen
local.subject.for2020320221 Psychiatry (incl. psychotherapy)en
local.subject.seo2020200305 Mental health servicesen
local.subject.seo2020200409 Mental healthen
local.subject.seo2020200202 Evaluation of health outcomesen
dc.notification.token77fb7928-0af5-4502-8a63-aeebc81bedb6en
local.codeupdate.date2022-03-24T15:30:10.894en
local.codeupdate.epersonghart4@une.edu.auen
local.codeupdate.finalisedtrueen
local.original.for2020undefineden
local.original.for2020520302 Clinical psychologyen
local.original.for2020320221 Psychiatry (incl. psychotherapy)en
local.original.for2020520303 Counselling psychologyen
local.original.for2020520304 Health psychologyen
local.original.seo2020200305 Mental health servicesen
local.original.seo2020200202 Evaluation of health outcomesen
local.original.seo2020200409 Mental healthen
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