The Efficacy and Effectiveness of Online CBT - Jeroen Ruwaard

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Ruwaard, J., Broeksteeg, J., Schrieken, B., Emmelkamp, P., & Lange, A. (2010). Web-based therapistassistedcognitive behavioral treatment of panic symptoms: A randomized controlled trial with athree-year follow-up. Journal of Anxiety Disorders, 24, 387-396. doi: 10.1016/j.janxdis.2010.01.010
Chapter 4Online Cognitive Behavioural Treatment ofPanic SymptomsBackground Internet-delivered treatment may reduce barriers to care in those unwilling or unable toaccess traditional forms of treatment. Objective To assesses the efficacy of web-based therapist-assistedcognitive behavioral treatment (web-CBT) of panic symptoms. Design A randomized waiting-listcontrolled trial with an uncontrolled three-year follow-up. Participants A community sample of 58participants with chronic panic symptoms of varying severity (immediate treatment: n = 27, waitinglistcontrol: n = 31). Outcome Measures The primary outcome measures were a one-week PanicDiary and the Panic Disorder Severity Scale Self-Report (PDSS-SR); secondary measures were theAgoraphobic Cognitions Questionnaire (ACQ), the Body Sensations Questionnaire (BSQ), the MobilityInventory - Alone subscale (MI-AAL), and the Depression Anxiety Stress Scales (DASS-42). Results Inthe RCT, 54 participants (93%) completed posttest measurements. With regard to the primary outcomemeasures, intention-to-treat ANCOVA’s revealed that participants in the treatment condition improvedmore than the participants in the waiting-list control condition (P < .03), with a pooled between-groupeffect size of d = .7. After three years (n = 47; 81% study compliance), effects were more pronounced.Conclusion The results demonstrate the efficacy of therapist-assisted Web-CBT in the treatment ofpanic symptoms.61
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The Efficacy andEffectiveness ofOnl
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The studies in this thesis were sup
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Promotiecommissie:Promotores: Prof.
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6 Online CBT in Routine Clinical Pr
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Chapter 7General DiscussionPrevious
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7.1. Key Findings 1277.1.2 The effe
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7.1. Key Findings 129Work−related
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7.2. Strengths and limitations 1317
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7.2. Strengths and limitations 133s
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7.3. Implications for clinical prac
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7.4. Suggestions for future researc
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7.5. Conclusion 139Post-treatment b
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142 Summaryof the introduction prov
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144 Summarythat face-to-face contac
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146 Summarycomplex, routine practic
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SamenvattingIn 1997 ontwikkelden on
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Samenvatting 151startten direct met
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Samenvatting 153up-metingen suggere
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Samenvatting 155ongeveer gelijk zou
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ReferencesAben, I., Verhey, F., Lou
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References 159Bickel, R. (2007). Mu
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References 161apy Research, 1(2), 8
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References 163Hay, P. P., Bacaltchu
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References 165for bulimia nervosa:
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References 167Mond, J. M., Hay, P.
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References 169(2003). The developme
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References 171of change in psycholo
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DankwoordAlleen mijn naam staat op
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Dankwoord 175en Janneke Broeksteeg
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178 Curriculum VitaeLange, A., & Ru
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The Efficacy and Effectiveness of Online CBT - Jeroen Ruwaard

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