144811 20240912134240.0 doi 10.1016/j.jad.2014.12.060 sideral 89681 ART-2015-89681 eng Herrera-Mercadal, Paola Universidad de Zaragoza (orcid)0000-0003-2088-4272 The 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 2015 Background 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. info:eu-repo/semantics/closedAccess All rights reserved http://www.europeana.eu/rights/rr-f/ 3.57 2015 CLINICAL NEUROLOGY 45 / 192 = 0.234 2015 Q1 T1 PSYCHIATRY 22 / 139 = 0.158 2015 Q1 T1 PSYCHIATRY 37 / 142 = 0.261 2015 Q2 T1 1.945 2015 Psychiatry and Mental Health 2015 Q1 Clinical Psychology 2015 Q1 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Montero-Marin, Jesús (orcid)0000-0001-5677-1662 Plaza, Inmaculada Universidad de Zaragoza (orcid)0000-0001-7550-6688 Medrano, Carlos Universidad de Zaragoza (orcid)0000-0001-7671-7540 Andrés, Eva López-Del-Hoyo, Yolanda Universidad de Zaragoza (orcid)0000-0002-1690-4130 Gili, Margalida García-Campayo, Javier Universidad de Zaragoza (orcid)0000-0002-3797-4218 5008 785 Universidad de Zaragoza Dpto. Ingeniería Electrón.Com. Área Tecnología Electrónica 4009 730 Universidad de Zaragoza Dpto. Psicología y Sociología Área Psicología Básica 0 X Universidad de Zaragoza Estudios propios Estudios Propios Dpto.M.Ps.y D 1007 745 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Area Psiquiatría 175 (2015), 184-191 J. affect. disord. Journal of Affective Disorders 0165-0327 170478 http://zaguan.unizar.es/record/144811/files/texto_completo.pdf Versión publicada 2293130 http://zaguan.unizar.es/record/144811/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:144811 articulos driver 2024-09-12-13:05:01 ARTICLE