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Topooco, N., Berg, M., Johansson, S., Liljethörn, L., Radvogin, E., Vlaescu, G., . . . Andersson, G. (2018). Chat- and internet-based cognitive-behavioural therapy in treatment of adolescent depression: randomised controlled trial. Bjpsych Open, 4(4), 199-207
Open this publication in new window or tab >>Chat- and internet-based cognitive-behavioural therapy in treatment of adolescent depression: randomised controlled trial
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2018 (English)In: Bjpsych Open, ISSN 2056-4724, Vol. 4, no 4, p. 199-207Article in journal (Refereed) Published
Abstract [en]

Background

Depression is a major contributor to the burden of disease in the adolescent population. Internet-based interventions can increase access to treatment.

Aims

To evaluate the efficacy of internet-based cognitive–behavioural therapy (iCBT), including therapist chat communication, in treatment of adolescent depression.

Method

Seventy adolescents, 15–19 years of age and presenting with depressive symptoms, were randomised to iCBT or attention control. The primary outcome was the Beck Depression Inventory II (BDI-II).

Results

Significant reductions in depressive symptoms were found, favouring iCBT over the control condition (F(1,67) = 6.18, P < 0.05). The between-group effect size was Cohen's d = 0.71 (95% CI 0.22–1.19). A significantly higher proportion of iCBT participants (42.4%) than controls (13.5%) showed a 50% decrease in BDI-II score post-treatment (P < 0.01). The improvement for the iCBT group was maintained at 6 months.

Conclusions

The intervention appears to effectively reduce symptoms of depression in adolescents and may be helpful in overcoming barriers to care among young people.

Declaration of interest

N.T. and G.A. designed the programme. N.T. authored the treatment material. The web platform used for treatment is owned by Linköping University and run on a non-for-profit basis. None of the authors receives any income from the programme.

Place, publisher, year, edition, pages
Cambridge University Press, 2018
Keywords
Cognitive–behavioural therapy, blended treatment, adolescent, depression, treatment gap, stigma, internet-based treatment, internet-supported, digital, iCBT
National Category
Psychiatry
Identifiers
urn:nbn:se:liu:diva-149803 (URN)10.1192/bjo.2018.18 (DOI)000436934800006 ()29988969 (PubMedID)
Available from: 2018-07-25 Created: 2018-07-25 Last updated: 2018-08-14Bibliographically approved
Andersson, G. (2018). Internet interventions: Past, present and future. Internet Interventions, 12, 181-188
Open this publication in new window or tab >>Internet interventions: Past, present and future
2018 (English)In: Internet Interventions, ISSN 2214-7829, Vol. 12, p. 181-188Article in journal (Refereed) Published
Abstract [en]

Internet interventions have been around now for about 20 years. While the field still suffers from a scattered terminology a large number of programs and studies exist. In the present paper I present an overview of my experiences of studying internet-supported cognitive-behaviour therapy (ICBT), but also mention other approaches including the use of smartphones. The paper covers the history of ICBT, short-term effects in controlled trials for a range of conditions, long-term effects, comparisons against face-to-face therapy, effectiveness studies, prediction studies, how the treatment is perceived, critique, and finally future directions. I conclude that we have now reached a stage in which we have numerous evidence-based treatments and procedures, and increasingly internet interventions including ICBT are disseminated.

Keywords
Anxiety, Internet treatment, Mood disorders, Somatic disorders, Therapist guidance
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-151838 (URN)10.1016/j.invent.2018.03.008 (DOI)30135782 (PubMedID)2-s2.0-85045213909 (Scopus ID)
Available from: 2018-10-05 Created: 2018-10-05 Last updated: 2018-10-29Bibliographically approved
Carlbring, P., Andersson, G., Cuijpers, P., Riper, H. & Hedman-Lagerlöf, E. (2018). Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: an updated systematic review and meta-analysis. Cognitive Behaviour Therapy, 47(1), 1-18
Open this publication in new window or tab >>Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: an updated systematic review and meta-analysis
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2018 (English)In: Cognitive Behaviour Therapy, ISSN 1650-6073, E-ISSN 1651-2316, Vol. 47, no 1, p. 1-18Article, review/survey (Refereed) Published
Abstract [en]

During the last two decades, Internet-delivered cognitive behavior therapy (ICBT) has been tested in hundreds of randomized controlled trials, often with promising results. However, the control groups were often waitlisted, care-as-usual or attention control. Hence, little is known about the relative efficacy of ICBT as compared to face-to-face cognitive behavior therapy (CBT). In the present systematic review and meta-analysis, which included 1418 participants, guided ICBT for psychiatric and somatic conditions were directly compared to face-to-face CBT within the same trial. Out of the 2078 articles screened, a total of 20 studies met all inclusion criteria. Results showed a pooled effect size at post-treatment of Hedges g = .05 (95% CI, -.09 to .20), indicating that ICBT and face-to-face treatment produced equivalent overall effects. Study quality did not affect outcomes. While the overall results indicate equivalence, there have been few studies of the individual psychiatric and somatic conditions so far, and for the majority, guided ICBT has not been compared against face-to-face treatment. Thus, more research, preferably with larger sample sizes, is needed to establish the general equivalence of the two treatment formats.

Place, publisher, year, edition, pages
Routledge, 2018
Keywords
Guided internet-delivered cognitive behavior therapy, anxiety and mood disorders, face-to-face therapy, meta-analysis, somatic disorders
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-143848 (URN)10.1080/16506073.2017.1401115 (DOI)000419952900001 ()29215315 (PubMedID)2-s2.0-85037730265 (Scopus ID)
Available from: 2017-12-21 Created: 2017-12-21 Last updated: 2018-01-29Bibliographically approved
Lundgren, O., Garvin, P., Andersson, G., Jonasson, L. & Kristenson, M. (2018). Inverted items and validity: A psychobiological evaluation of two measures of psychological resources and one depression scale. Health psychology open, 5(1), Article ID 2055102918755045.
Open this publication in new window or tab >>Inverted items and validity: A psychobiological evaluation of two measures of psychological resources and one depression scale
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2018 (English)In: Health psychology open, ISSN 2055-1029, Vol. 5, no 1, article id 2055102918755045Article in journal (Refereed) Published
Abstract [en]

Psychological resources and risk factors influence risk of coronary heart disease. We evaluated whether inverted items in the Self-esteem, Mastery, and Center for Epidemiological Studies Depression scales compromise validity in the context of coronary heart disease. In a population-based sample, validity was investigated by calculating correlations with other scales (n = 1004) and interleukin-6 (n = 374), and by analyzing the relationship with 8-year coronary heart disease risk (n = 1000). Negative items did not affect the validity of the resource scales. In contrast, positive items from Center for Epidemiological Studies Depression showed no significant relationships with biological variables. However, they had no major impact on the validity of the original scale.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
coronary heart disease, depressiveness, interleukin-6, mastery, self-esteem, wording effect
National Category
General Practice
Identifiers
urn:nbn:se:liu:diva-146087 (URN)10.1177/2055102918755045 (DOI)29479456 (PubMedID)
Available from: 2018-03-27 Created: 2018-03-27 Last updated: 2018-06-08Bibliographically approved
Rozental, A., Castonguay, L., Dimidjian, S., Lambert, M., Shafran, R., Andersson, G. & Carlbring, P. (2018). Negative effects in psychotherapy: commentary and recommendations for future research and clinical practice.. BJPsych open, 4(4), 307-312
Open this publication in new window or tab >>Negative effects in psychotherapy: commentary and recommendations for future research and clinical practice.
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2018 (English)In: BJPsych open, ISSN 2056-4724, Vol. 4, no 4, p. 307-312Article in journal (Refereed) Published
Abstract [en]

Background: Psychotherapy can alleviate mental distress and improve quality of life, but little is known about its potential negative effects and how to determine their frequency.

Aims: To present a commentary on the current understanding and future research directions of negative effects in psychotherapy.

Method: An anonymous survey was distributed to a select group of researchers, using an analytical framework known as strengths, weaknesses, opportunities and threats.

Results: The researchers perceive an increased awareness of negative effects in psychotherapy in recent years, but also discuss some of the unresolved issues in relation to their definition, assessment and reporting. Qualitative methods and naturalistic designs are regarded as important to pursue, although a number of obstacles to using such methods are identified.

Conclusion: Negative effects of psychotherapy are multifaceted, warranting careful considerations in order for them to be monitored and reported in research settings and routine care.

Declaration of interest: None.

Place, publisher, year, edition, pages
Cambridge University Press, 2018
Keywords
Negative effects, SWOT, commentary, psychotherapy
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-151836 (URN)10.1192/bjo.2018.42 (DOI)30083384 (PubMedID)
Available from: 2018-10-05 Created: 2018-10-05 Last updated: 2018-10-29Bibliographically approved
Manchaiah, V., Ratinaud, P. & Andersson, G. (2018). Representation of Tinnitus in the US Newspaper Media and in Facebook Pages: Cross-Sectional Analysis of Secondary Data. Interactive journal of medical research, 7(1), Article ID e9.
Open this publication in new window or tab >>Representation of Tinnitus in the US Newspaper Media and in Facebook Pages: Cross-Sectional Analysis of Secondary Data
2018 (English)In: Interactive journal of medical research, ISSN 1929-073X, Vol. 7, no 1, article id e9Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: When people with health conditions begin to manage their health issues, one important issue that emerges is the question as to what exactly do they do with the information that they have obtained through various sources (eg, news media, social media, health professionals, friends, and family). The information they gather helps form their opinions and, to some degree, influences their attitudes toward managing their condition.

OBJECTIVE: This study aimed to understand how tinnitus is represented in the US newspaper media and in Facebook pages (ie, social media) using text pattern analysis.

METHODS: This was a cross-sectional study based upon secondary analyses of publicly available data. The 2 datasets (ie, text corpuses) analyzed in this study were generated from US newspaper media during 1980-2017 (downloaded from the database US Major Dailies by ProQuest) and Facebook pages during 2010-2016. The text corpuses were analyzed using the Iramuteq software using cluster analysis and chi-square tests.

RESULTS: The newspaper dataset had 432 articles. The cluster analysis resulted in 5 clusters, which were named as follows: (1) brain stimulation (26.2%), (2) symptoms (13.5%), (3) coping (19.8%), (4) social support (24.2%), and (5) treatment innovation (16.4%). A time series analysis of clusters indicated a change in the pattern of information presented in newspaper media during 1980-2017 (eg, more emphasis on cluster 5, focusing on treatment inventions). The Facebook dataset had 1569 texts. The cluster analysis resulted in 7 clusters, which were named as: (1) diagnosis (21.9%), (2) cause (4.1%), (3) research and development (13.6%), (4) social support (18.8%), (5) challenges (11.1%), (6) symptoms (21.4%), and (7) coping (9.2%). A time series analysis of clusters indicated no change in information presented in Facebook pages on tinnitus during 2011-2016.

CONCLUSIONS: The study highlights the specific aspects about tinnitus that the US newspaper media and Facebook pages focus on, as well as how these aspects change over time. These findings can help health care providers better understand the presuppositions that tinnitus patients may have. More importantly, the findings can help public health experts and health communication experts in tailoring health information about tinnitus to promote self-management, as well as assisting in appropriate choices of treatment for those living with tinnitus.

Place, publisher, year, edition, pages
Toronto, Canada: J M I R Publications, Inc., 2018
Keywords
chronic condition, health communication, health information, media, news media, social media, tinnitus
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-151840 (URN)10.2196/ijmr.9065 (DOI)000438827500009 ()29739734 (PubMedID)2-s2.0-85047528597 (Scopus ID)
Available from: 2018-10-05 Created: 2018-10-05 Last updated: 2018-10-29Bibliographically approved
Rozental, A., Bennett, S., Forsström, D., Ebert, D. D., Shafran, R., Andersson, G. & Carlbring, P. (2018). Targeting Procrastination Using Psychological Treatments: A Systematic Review and Meta-Analysis. Frontiers in Psychology, 9, Article ID 1588.
Open this publication in new window or tab >>Targeting Procrastination Using Psychological Treatments: A Systematic Review and Meta-Analysis
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2018 (English)In: Frontiers in Psychology, ISSN 1664-1078, E-ISSN 1664-1078, Vol. 9, article id 1588Article, review/survey (Refereed) Published
Abstract [en]

Background: Procrastination can be stressful and frustrating, but it seldom causes any major distress. However, for some people, it can become problematic, resulting in anxiety, lowered mood, physical complaints, and decreased well-being. Still, few studies have investigated the benefits of targeting procrastination. In addition, no attempt has previously been made to determine the overall efficacy of providing psychological treatments. Methods: A systematic review and meta-analysis was conducted by searching for eligible records in Scopus, Proquest, and Google Scholar. Only randomized controlled trials comparing psychological treatments for procrastination to an inactive comparator and assessing the outcomes by a self-report measure were included. A random effects model was used to determine the standardized mean difference Hedges g at post-treatment. Furthermore, test for heterogeneity was performed, fail-safe N was calculated, and the risk of bias was explored. The study was pre-registered at Prospero: CRD42017069981. Results: A total of 1,639 records were identified, with 12 studies (21 comparisons, N = 718) being included in the quantitative synthesis. Overall effect size g when comparing treatment to control was 0.34, 95% Confidence Interval [0.11, 0.56], but revealing significant heterogeneity, Q(20) = 46.99, p amp;lt; 0.00, and I-2 = 61.14%, 95% CI [32.83, 84.24]. Conducting a subgroup analysis of three out of four studies using cognitive behavior therapy (CBT) found an effect size g of 0.55, 95% CI [0.32, 0.77], and no longer showing any heterogeneity, Q(4) = 3.92, p = 0.42, I-2 = 0.00%, 95% CI [0.00, 91.02] (N = 236). Risk of publication bias, as assessed by the Eggers test was not significant, z = -1.05, p = 0.30, fail-safe N was 370 studies, and there was some risk of bias as rated by two independent researchers. In terms of secondary outcomes, the self-report measures were too varied to present an aggregated estimate. Conclusions: Psychological treatments seem to have small benefits on procrastination, but the studies displayed significant between-study variation. Meanwhile, CBT was associated with a moderate benefit, but consisted of only three studies. Recommendations for future research are provided, including the use of more valid and reliable outcomes and a screening interview at intake.

Place, publisher, year, edition, pages
FRONTIERS MEDIA SA, 2018
Keywords
procrastination; psychological treatments; systematic review; meta-analysis; cognitive behavior therapy
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-151198 (URN)10.3389/fpsyg.2018.01588 (DOI)000443190200001 ()
Available from: 2018-09-13 Created: 2018-09-13 Last updated: 2018-10-05
Kues, J. N., Janda, C., Krzikalla, C., Andersson, G. & Weise, C. (2018). The effect of manipulated information about premenstrual changes on the report of positive and negative premenstrual changes.. Women & health, 58(1), 16-37
Open this publication in new window or tab >>The effect of manipulated information about premenstrual changes on the report of positive and negative premenstrual changes.
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2018 (English)In: Women & health, ISSN 0363-0242, E-ISSN 1541-0331, Vol. 58, no 1, p. 16-37Article in journal (Refereed) Published
Abstract [en]

Although women predominantly report negative premenstrual changes, a substantial portion of women also reports positive changes. Little is known about factors related to report of positive and negative premenstrual changes. The aim of this experimental study at the Philipps-University of Marburg from January and February 2015 was to investigate the effect of manipulated information about premenstrual changes on the retrospective report of premenstrual changes. A total of 241 healthy women were randomly assigned either to an experimental group (EG) reading: (1) text focusing on negative and positive premenstrual changes (EG1 (+/-)); (2) text focusing on negative changes (EG2 (-)); or (3) control group (CG) text. At least one positive premenstrual change was reported by the majority of the participating women. The results of the MANOVA and discriminant analysis showed that, after having read the text, EG2 (-) reported more negative and fewer positive premenstrual changes in a retrospective screening compared to EG1 (+/-) and CG. No significant difference was observed between EG1 (+/-) and CG. The results show the negative influence of information focusing on negative premenstrual changes on the retrospective report of both negative and positive premenstrual changes.

Place, publisher, year, edition, pages
Routledge, 2018
Keywords
Expectations, information, menstruation, positive premenstrual changes, premenstrual syndrome
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-143854 (URN)10.1080/03630242.2016.1263274 (DOI)000428206400002 ()27892822 (PubMedID)2-s2.0-85006930893 (Scopus ID)
Available from: 2017-12-21 Created: 2017-12-21 Last updated: 2018-05-15Bibliographically approved
Nordgreen, T., Gjestad, R., Andersson, G., Carlbring, P. & Havik, O. E. (2018). The implementation of guided Internet-based cognitive behaviour therapy for panic disorder in a routine-care setting: effectiveness and implementation efforts. Cognitive Behaviour Therapy, 47(1), 62-75
Open this publication in new window or tab >>The implementation of guided Internet-based cognitive behaviour therapy for panic disorder in a routine-care setting: effectiveness and implementation efforts
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2018 (English)In: Cognitive Behaviour Therapy, ISSN 1650-6073, E-ISSN 1651-2316, Vol. 47, no 1, p. 62-75Article in journal (Refereed) Published
Abstract [en]

Panic disorder is a common mental disorder. Guided Internet-based cognitive behavioural therapy (Guided Internet-based cognitive behaviour therapy (ICBT)) is a promising approach to reach more people in need of help. In the present effectiveness study, we investigated the outcome of guided ICBT for panic disorder after implementation in routine care. A total of 124 patients were included in the study, of which 114 started the treatment. Large within-group effect sizes were observed on the primary panic disorder symptoms (post-treatment: d = 1.24; 6-month follow-up: d = 1.39) and moderate and large effects on secondary panic disorder symptoms and depressive symptoms at post-treatment and follow-up (d = .55-1.13). More than half (56.1%) of the patients who started treatment recovered or improved at post-treatment. Among treatment takers (completed at least five of the nine modules), 69.9% recovered or improved. The effectiveness reported in the present trial is in line with previous effectiveness and efficacy trials of guided ICBT for panic disorder. This provides additional support for guided ICBT as a treatment alternative in routine care.

Place, publisher, year, edition, pages
Routledge, 2018
Keywords
Panic disorder, cognitive behavioural therapy, effectiveness, guided Internet-based treatment, implementation
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-143853 (URN)10.1080/16506073.2017.1348389 (DOI)000419952900005 ()28714775 (PubMedID)2-s2.0-85024385408 (Scopus ID)
Available from: 2017-12-21 Created: 2017-12-21 Last updated: 2018-01-29Bibliographically approved
Rozental, A., Forsström, D., Lindner, P., Nilsson, S., Mårtensson, L., Rizzo, A., . . . Carlbring, P. (2018). Treating Procrastination Using Cognitive Behavior Therapy: A Pragmatic Randomized Controlled Trial Comparing Treatment Delivered via the Internet or in Groups.. Behavior Therapy, 49(2), 180-197
Open this publication in new window or tab >>Treating Procrastination Using Cognitive Behavior Therapy: A Pragmatic Randomized Controlled Trial Comparing Treatment Delivered via the Internet or in Groups.
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2018 (English)In: Behavior Therapy, ISSN 0005-7894, E-ISSN 1878-1888, Vol. 49, no 2, p. 180-197Article in journal (Refereed) Published
Abstract [en]

Procrastination is a common problem among university students, with at least half of the population reporting great difficulties initiating or completing tasks and assignments. Procrastination can have a negative impact on course grades and the ability to achieve a university degree, but can also lead to psychological distress. Cognitive behavior therapy (CBT) is believed to reduce procrastination, but few studies have investigated its effectiveness in a regular clinical setting. The current study explored its effects using a pragmatic randomized controlled trial comparing treatment delivered during 8 weeks as self-guided CBT via the Internet (ICBT) or as group CBT. In total, 92 university students with severe procrastination were included in the study (registered as a clinical trial on Clinicaltrials.gov: NCT02112383). Outcome measures on procrastination, depression, anxiety, and well-being were distributed at pre- and posttreatment as well as 6-month follow-up. An outcome measure of procrastination was administered weekly. Linear mixed and fixed effects models were calculated, along with improvement and deterioration rates. The results showed large within-group effect sizes on procrastination, Cohen's d of 1.29 for ICBT, 95% Confidence Interval (CI) [0.81, 1.74], and d of 1.24 for group CBT, 95% CI [0.76, 1.70], and small to moderate benefits for depression, anxiety, and well-being. In total, 33.7% were regarded as improved at posttreatment and 46.7% at follow-up. No differences between conditions were observed after the treatment period, however, participants in group CBT continued or maintained their improvement at follow-up, while participants in self-guided ICBT showed some signs of deterioration. The findings from the current study suggest that CBT might be an effective treatment for those struggling with severe procrastination, but that a group format may be better for some to sustain their benefits over time and that the clinical significance of the results need to be investigated further.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
cognitive behavior therapy, group therapy, internet interventions, procrastination
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-146086 (URN)10.1016/j.beth.2017.08.002 (DOI)000429632800003 ()29530258 (PubMedID)2-s2.0-85028705317 (Scopus ID)
Note

Funding agencies: Linkoping University

Available from: 2018-03-27 Created: 2018-03-27 Last updated: 2018-04-26Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-4753-6745

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