Brief internet-delivered cognitive behavioral therapy for anxiety in older adults: a feasibility trial.
This study examined the efficacy of an Internet-delivered cognitive-behavior therapy program developed for older adults. Twenty-two participants with elevated scores (≥8) on the Generalized Anxiety Disorder 7-Item Scale (GAD-7) participated in the course, which consisted of five lessons, homework tasks, additional resources, a moderated discussion forum, and weekly telephone support from a Clinical Psychologist. Ninety-five percent of the sample met diagnostic criteria for an anxiety disorder at pre-treatment. All participants completed the five lessons within the allotted eight weeks. Three-month follow-up data was collected from 95% of participants. Reductions in symptoms of anxiety and stress, with large within-group effect sizes (Cohen's d) were found on the GAD-7 (d=1.03) and the Depression, Anxiety and Stress Scales - 21 Items (d=0.98) at follow-up. Participants reported high levels of satisfaction with the program. These encouraging results provide tentative support for the online treatment of older adults with anxiety.
The Centre for Emotional Health, Department of Psychology, Macquarie University, NSW 2109, Australia. judy.zou@mq.edu.au
Judy B
JB
Zou
Blake F
BF
Dear
Nickolai
N
Titov
Carolyn N
CN
Lorian
Luke
L
Johnston
Jay
J
Spence
Robert G
RG
Knight
Tracy
T
Anderson
Perminder
P
Sachdev
D000368:Aged; D001008:Anxiety Disorders / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000295:instrumentation / Q000379:methods*; D003194:Computer-Assisted Instruction / Q000379:methods*; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data; D011614:Psychotherapy, Brief / Q000379:methods*; D017216:Telemedicine / Q000295:instrumentation / Q000379:methods*; D013813:Therapy, Computer-Assisted / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome