Abstract：
OBJECTIVE:A sudden gain is defined as a large and stable individual improvement occurring between two consecutive treatment sessions. Sudden gains have been shown to predict better long-term improvement in several treatment studies, including cognitive behavioural therapy for depression and anxiety disorders, but have not been studied in the treatment of health anxiety or any form of internet-based cognitive behavioural therapy. The aim of this study was to investigate the role of sudden gains in internet-based cognitive behavioural therapy for severe health anxiety. METHOD:We examined the occurrence and significance of sudden gains in measures of health anxiety in 81 participants receiving internet-based cognitive behavioural therapy. We compared patients with sudden gains, patients without sudden gains, and patients with gradual gains. RESULTS:Thirteen participants (16%) experienced one sudden gain in health anxiety with individual sudden gains distributed across the treatment. As expected, patients with a sudden gain showed larger improvements than patients without a sudden gain at post-treatment (d = 1.04) and at one-year follow-up (d = 0.91) on measures of health anxiety. CONCLUSIONS:Consistent with previous studies, sudden gains in internet-based cognitive behavioural therapy are associated with significantly larger and stable treatment effects up to one-year follow-up.
journal_name
Behav Res Therjournal_title
Behaviour research and therapyauthors
Hedman E,Lekander M,Ljótsson B,Lindefors N,Rück C,Hofmann SG,Andersson E,Andersson G,Schulz SMdoi
10.1016/j.brat.2013.12.007subject
Has Abstractpub_date
2014-03-01 00:00:00pages
22-9eissn
0005-7967issn
1873-622Xpii
S0005-7967(13)00214-3journal_volume
54pub_type
杂志文章,随机对照试验abstract：:The features of severe health anxiety, intense and persistent anxiety about one's present and future health, are described. In common with other anxiety disorders such as GAD, PTSD and OCD, the core of HAD is distressing, uncontrollable anxiety, and is classifiable as an Anxiety Disorder, Health Anxiety Disorder (HAD)...
journal_title：Behaviour research and therapy
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journal_title：Behaviour research and therapy
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更新日期：2007-08-01 00:00:00
abstract：:Although it is well established that attentional biases exist in anxious populations, the specific components of visual orienting towards and away from emotional stimuli are not well delineated. The present study was designed to examine these processes. We used a modified spatial cueing task to assess the speed of eng...
journal_title：Behaviour research and therapy
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