000144811 001__ 144811
000144811 005__ 20240912134240.0
000144811 0247_ $$2doi$$a10.1016/j.jad.2014.12.060
000144811 0248_ $$2sideral$$a89681
000144811 037__ $$aART-2015-89681
000144811 041__ $$aeng
000144811 100__ $$0(orcid)0000-0003-2088-4272$$aHerrera-Mercadal, Paola$$uUniversidad de Zaragoza
000144811 245__ $$aThe efficacy and pattern of use of a computer-assisted programme for the treatment of anxiety: A naturalistic study using mixed methods in primary care in Spain
000144811 260__ $$c2015
000144811 5203_ $$aBackground
Naturalistic studies to assess the efficacy and pattern of use of computer-delivered psychotherapy programmes in real daily clinical conditions are infrequent. Anxiety disorders are the most common mental disorders, and many of them do not receive adequate management, especially in primary care settings. The objective of this study is to assess the efficacy of an internet-delivered programme for anxiety in primary care.
Methods
Multicentre, naturalistic study. Patients with generalised anxiety disorder were recruited (N=229). The generalised anxiety disorder 7-item scale (GAD-7) was the only outcome measured. Qualitative methods were used to analyse patient–therapist interactions.
Results
Only 13.5% of patients completed the programme. Analysis per intent-to-treat using Last Observation Carried Forward showed a significant GAD-7 decrease post-treatment (−2.17: SD=4.77; p=0.001) (Cohen׳s d=0.43) with a correlation between the number of sessions and decrease in anxiety (Rho=−0.34, p=0.001). The analysis per protocol showed significantly decreased GAD-7 (−4.13; SD=6.82; p=0.002) (d=0.80). Withdrawal was related to low programme friendliness, lack of a partner, and higher education. Only 17.47% of the patients consulted their therapists. Facilitators were patient demand for information and sufficient time. Barriers were lack of motivation and lack of connection with the programme.
Limitations
The main limitations of this study included the use of an open trial design, the lack of follow-up, and the inclusion of only one outcome (GAD-7).
Conclusions
To our knowledge, this is the first study with computer-delivered psychotherapy (CDP) on GAD. CDP for anxiety is efficacious in naturalistic environments. Specific facilitators and barriers should be considered.
000144811 540__ $$9info:eu-repo/semantics/closedAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000144811 590__ $$a3.57$$b2015
000144811 591__ $$aCLINICAL NEUROLOGY$$b45 / 192 = 0.234$$c2015$$dQ1$$eT1
000144811 591__ $$aPSYCHIATRY$$b22 / 139 = 0.158$$c2015$$dQ1$$eT1
000144811 591__ $$aPSYCHIATRY$$b37 / 142 = 0.261$$c2015$$dQ2$$eT1
000144811 592__ $$a1.945$$b2015
000144811 593__ $$aPsychiatry and Mental Health$$c2015$$dQ1
000144811 593__ $$aClinical Psychology$$c2015$$dQ1
000144811 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000144811 700__ $$0(orcid)0000-0001-5677-1662$$aMontero-Marin, Jesús
000144811 700__ $$0(orcid)0000-0001-7550-6688$$aPlaza, Inmaculada$$uUniversidad de Zaragoza
000144811 700__ $$0(orcid)0000-0001-7671-7540$$aMedrano, Carlos$$uUniversidad de Zaragoza
000144811 700__ $$aAndrés, Eva
000144811 700__ $$0(orcid)0000-0002-1690-4130$$aLópez-Del-Hoyo, Yolanda$$uUniversidad de Zaragoza
000144811 700__ $$aGili, Margalida
000144811 700__ $$0(orcid)0000-0002-3797-4218$$aGarcía-Campayo, Javier$$uUniversidad de Zaragoza
000144811 7102_ $$15008$$2785$$aUniversidad de Zaragoza$$bDpto. Ingeniería Electrón.Com.$$cÁrea Tecnología Electrónica
000144811 7102_ $$14009$$2730$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Básica
000144811 7102_ $$10$$2X$$aUniversidad de Zaragoza$$bEstudios propios$$cEstudios Propios Dpto.M.Ps.y D
000144811 7102_ $$11007$$2745$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Psiquiatría
000144811 773__ $$g175 (2015), 184-191$$pJ. affect. disord.$$tJournal of Affective Disorders$$x0165-0327
000144811 8564_ $$s170478$$uhttps://zaguan.unizar.es/record/144811/files/texto_completo.pdf$$yVersión publicada
000144811 8564_ $$s2293130$$uhttps://zaguan.unizar.es/record/144811/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000144811 909CO $$ooai:zaguan.unizar.es:144811$$particulos$$pdriver
000144811 951__ $$a2024-09-12-13:05:01
000144811 980__ $$aARTICLE