Internet-based CBT Program with and without videoconference guidance sessions: a randomized controlled trial to treat work-related symptoms of anxiety and depression
Entity
UAM. Departamento de Psicología Biológica y de la SaludPublisher
WileyDate
2021-02-15Citation
10.1002/cpp.2571
Clinical Psychology & Psychotherapy 28.5 (2021): 1230-1242
ISSN
1063-3995 (print); 1099-0879 (online)DOI
10.1002/cpp.2571Editor's Version
https://doi.org/10.1002/cpp.2571Subjects
adherence; efficacy; Internet therapy; satisfaction; work-related anxiety; work-related depression; PsicologíaRights
© 2021 John Wiley & Sons, Ltd.Abstract
This study provides the results from the implementation of a highly structuredtherapist-guided iCBT programme for people with work-related anxiety and depres-sion, in terms of programme efficacy, participants' adherence and satisfaction.Seventy-seven national police workers were randomly allocated to one of twogroups: without additional videoconference sessions (web platform with guidance oftherapist) and with additional videoconference sessions (same intervention as theprevious group, plus two videoconference guidance sessions with a psychologist).The intervention was composed of 12 sessions and took place for 17–20 weeks. Wefound an adherence rate of 36.4%, with no differences between groups. All partici-pants endorsed lower depression (BDI-IIF(1) = 36.98,p< .001; ATQF(1) = 24.22,p< .001), and anxiety (STAI-StateF(1) = 76.62,p< .001) after the programme. As avariable related to anxiety and depression in workplace, participants also showedhigher assertiveness levels (RASF(1) = 8.96,p< .001). A significant reduction of themean level of anxiety perceived by participants as the intervention programme prog-ressed was observed in both groups (F(2) = 7.44;p= .003). Participants were satisfiedwith the therapists' intervention and with the programme. No significant groupeffects were found for any of the measures. Reduction in depression levels wasmaintained in the 12-month follow-up, but levels of anxiety increased. This study isinnovative, as it is the first controlled trial to analyse the effect of two added video-conference sessions, and it includes short- and long-term measures, which is notusual. The results are discussed to clarify the role of the contact with the therapist toimprove treatment adherence
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Google Scholar:Calero‑Elvira, Ana
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Santacreu Ivars, Marta
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Marchena Giráldez, Carlos
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Shih Ma, Pei-Chun
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