Internet-based psychodynamic versus cognitive behavioral guided self-help for generalized anxiety disorder: a randomized controlled trial.

Abstract:

BACKGROUND:Guided Internet-based cognitive behavior therapy (ICBT) has been tested in many trials and found to be effective in the treatment of anxiety and mood disorders. Generalized anxiety disorder (GAD) has also been treated with ICBT, but there are no controlled trials on guided Internet-based psychodynamic treatment (IPDT). Since there is preliminary support for psychodynamic treatment for GAD, we decided to test if a psychodynamically informed self-help treatment could be delivered via the Internet. The aim of the study was to investigate the efficacy of IPDT for GAD and to compare against ICBT and a waiting list control group. METHOD:A randomized controlled superiority trial with individuals diagnosed with GAD comparing guided ICBT (n = 27) and IPDT (n = 27) against a no treatment waiting list control group (n = 27). The primary outcome measure was the Penn State Worry Questionnaire. RESULTS:While there were no significant between-group differences immediately after treatment on the main outcome measure, both IPDT and ICBT resulted in improvements with moderate to large within-group effect sizes at 3 and 18 months follow-up on the primary measure in the completer analyses. The differences against the control group, although smaller, were still significant for both PDT and CBT when conforming to the criteria of clinically significant improvement. The active treatments did not differ significantly. There was a significant group by time interaction regarding GAD symptoms, but not immediately after treatment. CONCLUSIONS:IPDT and ICBT both led to modest symptom reduction in GAD, and more research is needed.

journal_name

Psychother Psychosom

authors

Andersson G,Paxling B,Roch-Norlund P,Östman G,Norgren A,Almlöv J,Georén L,Breitholtz E,Dahlin M,Cuijpers P,Carlbring P,Silverberg F

doi

10.1159/000339371

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

344-55

issue

6

eissn

0033-3190

issn

1423-0348

pii

000339371

journal_volume

81

pub_type

杂志文章,随机对照试验
  • The validity of Eysenck's neuroticism dimension within the Minnesota Multiphasic Personality Inventory in patients with duodenal ulcer. The Hvidovre Ulcer Project Group.

    abstract::A psychometric analysis on patients with duodenal ulcer using latent structure coefficients (Loevinger and Mokken) showed that the MMPI subscales of depression, psychasthenia, hypochondriasis, hysteria, schizophrenia and social introversion all could be considered as indicators of Eysenck's dimension of neuroticism. B...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000288919

    authors: Jess P,Bech P

    更新日期:1994-01-01 00:00:00

  • Mindfulness-based cognitive therapy improves polysomnographic and subjective sleep profiles in antidepressant users with sleep complaints.

    abstract:BACKGROUND:Many antidepressant medications (ADM) are associated with disruptions in sleep continuity that can compromise medication adherence and impede successful treatment. The present study investigated whether mindfulness meditation (MM) training could improve self-reported and objectively measured polysomnographic...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000332755

    authors: Britton WB,Haynes PL,Fridel KW,Bootzin RR

    更新日期:2012-01-01 00:00:00

  • Long-Term and Short-Term Antidepressant Use in General Practice: Data from a Large Cohort in the Netherlands.

    abstract:BACKGROUND:Antidepressant use is highly prevalent. Research has mainly focused on efficacy during short periods of use for depression and anxiety. There is a relative paucity of data regarding the frequency of long-term use. METHODS:To determine the prevalence and possible increase of long-term use of antidepressants ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000480456

    authors: Huijbregts KM,Hoogendoorn A,Slottje P,van Balkom AJLM,Batelaan NM

    更新日期:2017-01-01 00:00:00

  • Explicit incestuous motifs and emotional crises in psychosomatic patients.

    abstract::This paper examines the emergence of incestuous motifs in the first four interviews of 50 people seeking psychotherapy. Results show a percentage (6%) which is neither relevant nor specific for any kind of diagnosis. The progress in psychotherapy of two groups of 8 patients, psychosomatic + neurotic respectively, is t...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287790

    authors: Pasini A,Callea G

    更新日期:1984-01-01 00:00:00

  • Psychodynamic study of male potency disorders. An overview.

    abstract::The information on the psychodynamics of monosymptomatic functional sexual disorders in men obtained so far from individual psychoanalytical investigations were tested on a large body of patients. In 74 men with psychogenic monosymptomatic primary or secondary potency disorders, several psychoanalytical interviews and...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287887

    authors: Janssen PL

    更新日期:1985-01-01 00:00:00

  • Elevated blood levels of dehydroepiandrosterone sulphate vary with symptom load in posttraumatic stress disorder: findings from a longitudinal study of refugees in Sweden.

    abstract:BACKGROUND:The present study is part of a longitudinal study of recently resettled refugees with the aim of learning which factors in their daily life influence health as measured by self-report and stress-responsive hormones. METHODS:In a group of recently resettled refugees with a high incidence of posttraumatic str...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000064806

    authors: Söndergaard HP,Hansson LO,Theorell T

    更新日期:2002-09-01 00:00:00

  • Psychological prodromata of myocardial infarction and sudden death.

    abstract::In this prospective study a psychological test (the "Maastricht Questionnaire') was constructed which measures feelings of vital exhaustion and depression. It is shown that those subjects who have elevated scores on this test have more chance to get a new coronary event within a period of 10 months than those who have...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287458

    authors: Appels A

    更新日期:1980-01-01 00:00:00

  • Effects of psychotherapy on DNA strand break accumulation originating from traumatic stress.

    abstract:BACKGROUND:Previous research reveals an association between traumatic stress and an increased risk for numerous diseases, including cancer. At the molecular level, stress may increase carcinogenesis via increased DNA damage and impaired DNA repair mechanisms. We assessed DNA breakage in peripheral blood mononuclear cel...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000362739

    authors: Morath J,Moreno-Villanueva M,Hamuni G,Kolassa S,Ruf-Leuschner M,Schauer M,Elbert T,Bürkle A,Kolassa IT

    更新日期:2014-01-01 00:00:00

  • Emotion regulation skills training enhances the efficacy of inpatient cognitive behavioral therapy for major depressive disorder: a randomized controlled trial.

    abstract:BACKGROUND:Deficits in emotion regulation skills are possible factors maintaining major depressive disorder (MDD). Therefore, the aim of the study was to test whether integrating a systematic emotion regulation training (ERT) enhances the efficacy of routine inpatient cognitive behavioral therapy (CBT) for MDD. METHOD...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000348448

    authors: Berking M,Ebert D,Cuijpers P,Hofmann SG

    更新日期:2013-01-01 00:00:00

  • Graves'disease after the onset of panic disorder.

    abstract:BACKGROUND:It is still unknown whether anxiety disorders observed in Graves' disease are a consequence of increased thyroid hormone levels or precede the onset of Graves' disease. METHODS:Two case reports are described. RESULTS:In 2 patients Graves' disease occurred in the setting of previously established euthyroid ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000289088

    authors: Matsubayashi S,Tamaí H,Matsumoto Y,Tamagawa K,Mukuta T,Morita T,Kubo C

    更新日期:1996-01-01 00:00:00

  • Alexithymia and solace.

    abstract::Thirteen alexithymic patients and 13 panic disorder patients were compared with matched controls regarding their use of self-solacing strategies. Whereas the panic disorder group used significantly more (p less than 0.001) solacing objects, activities and sounds than normals, the alexithymic subjects used significantl...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000288141

    authors: Horton PC,Gewirtz H,Kreutter KJ

    更新日期:1989-01-01 00:00:00

  • Short-term dynamic psychotherapy. I. The Oslo group's form to score outcome, the reliability testing of this form and observer characteristics.

    abstract::The aim of short-term dynamic psychotherapy is, through working with a central conflict and transference reactions, to obtain lasting changes based on cognitive and emotional understanding of the main dynamics of the central conflict, called insight. The aim of the present study was to construct a follow-up form that ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287850

    authors: Husby R,Dahl AA,Dahl CI,Heiberg AN,Olafsen OM,Weisaeth L

    更新日期:1985-01-01 00:00:00

  • Patterns of self-definition of asthma patients and normal persons in the Freiburg Personality Inventory.

    abstract::The concept of the specificity of psychosomatic diseases (Alexander) is being differentiated at the time. In order to clarify some aspects of this problem, we want to investigate whether types of self-rating of normal persons differ from those of patients with bronchial asthma. In a second step we shall examine whethe...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000288407

    authors: Deter HC,Schepank H

    更新日期:1991-01-01 00:00:00

  • Effects of interventions involving the family in the treatment of adult patients with chronic physical diseases: a meta-analysis.

    abstract:BACKGROUND:Families can have considerable influence on the health of a patient with a chronic physical disease, and attempts have been made to optimise treatment by involving family members. This meta-analysis aimed to systematically assess the effects of family-oriented interventions on adults with chronic physical di...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,meta分析

    doi:10.1159/000286958

    authors: Hartmann M,Bäzner E,Wild B,Eisler I,Herzog W

    更新日期:2010-01-01 00:00:00

  • Emotional aspects of hyperprolactinemia.

    abstract::Patients with hyperprolactinemia often present with emotional difficulties. These occasionally persist even after successful treatment. Insight into the roots of their diseased state makes a difference in the handling of all cases, but becomes crucial in the not-so-rare situations in which the normalization of hormona...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1159/000012273

    authors: Sobrinho LG

    更新日期:1998-01-01 00:00:00

  • Teaching and training in the psychiatric-psychosomatic consultation-liaison setting.

    abstract:BACKGROUND:The consultation-liaison (C-L) psychiatrist is in an opportune position to undertake the tasks of education, training and assessment of performance as regards future physicians, psychiatrists, specialists in other branches and nurses. This paper describes the education and training programme in the Psychiatr...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000012397

    authors: Rigatelli M,Ferrari S,Uguzzoni U,Natali A

    更新日期:2000-07-01 00:00:00

  • Sensitivity to change and predictive validity of the MOODS-SR questionnaire, last-month version.

    abstract:BACKGROUND:Instruments that are intended to measure change over time need to emphasize sensitivity to change as a central property. The aims of this report are to test whether the MOODS-SR, a measure of mood spectrum symptomatology, is sensitive to changes during acute and continuation treatment of depression and wheth...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000201937

    authors: Miniati M,Rucci P,Frank E,Oppo A,Kupfer DJ,Fagiolini A,Cassano GB

    更新日期:2009-01-01 00:00:00

  • Normal and pathological aging of attention in presymptomatic Huntington's, Huntington's and Alzheimer's Disease, and nondemented elderly subjects.

    abstract:BACKGROUND:Attention models view attention as having at least two components: endogenous attention defined as executive and directed by voluntary acts, and exogenous attention defined as automatic and directed by external stimulation. METHODS:Three studies (2 of our own) were designed to evaluate the decline of these ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000116607

    authors: Peretti CS,Ferreri F,Blanchard F,Bakchine S,Peretti CR,Dobrescu A,Chouinard VA,Chouinard G

    更新日期:2008-01-01 00:00:00

  • Effects of a supportive-expressive group intervention on long-term psychosocial adjustment in HIV-infected gay men.

    abstract:BACKGROUND:This study compared the effects of a supportive-expressive group intervention (GI) with an educational control condition (EC) on long-term psychosocial adjustment in gay men with HIV infection. METHOD:Subjects (n = 85) were randomized after stratification for disease stage and use of antiretroviral medicati...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000069732

    authors: Weiss JJ,Mulder CL,Antoni MH,de Vroome EM,Garssen B,Goodkin K

    更新日期:2003-05-01 00:00:00

  • Evidence for a sex-specific residual effect of cannabis on visuospatial memory.

    abstract:BACKGROUND:In an exploratory study, we used a novel computerized battery of neuropsychological tests of attention to assess residual cognitive impairment in marijuana users. METHODS:We compared 25 college students who were heavy marijuana smokers (who had smoked a median of 29 days in the last 30 days) with 30 student...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000289132

    authors: Pope HG Jr,Jacobs A,Mialet JP,Yurgelun-Todd D,Gruber S

    更新日期:1997-01-01 00:00:00

  • Denial in heart transplant candidates.

    abstract::The concept of denial is important for the psychosomatic understanding of cardiovascular disease and treatment. This study evaluated denial using several psychometric assessment scales in patients referred for psychiatric evaluations prior to heart transplantation. Surviving patients who had a mean survival of more th...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000288421

    authors: Young LD,Schweiger J,Beitzinger J,McManus R,Bloedel C,Koob J

    更新日期:1991-01-01 00:00:00

  • Sleep and dreams in eating disorders.

    abstract::The results of several studies on sleep EEG and dreams in patients with eating disorders are presented and compared with the data obtained in patients with a major depression. The sleep pattern, which is characteristic of depression, could not be found in the eating disorder group. Regarding the cholinergic REM induct...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000288048

    authors: Dippel B,Lauer C,Riemann D,Majer-Trendel K,Krieg JC,Berger M

    更新日期:1987-01-01 00:00:00

  • Different models of analytic group psychotherapy. A comparative survey.

    abstract::The purpose of this paper is to reflect on and to compare various psychoanalytic models which are used in the conceptualisation of the processes occurring in small psychotherapeutic groups. Three tendencies are roughly differentiated: (1) the tendency to analyse the individual patient in the group (Slavson, Wolfson an...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287440

    authors: Verhaest S,Pierloot R

    更新日期:1980-01-01 00:00:00

  • Psychological aspects of primary aldosteronism.

    abstract:BACKGROUND:Except for 3 case reports of Conn's syndrome presenting as depression, psychosocial factors have not been explored in primary aldosteronism. We investigated psychological correlates in primary aldosteronism using methods that were found to be sensitive and reliable in psychosomatic research. METHOD:Ten cons...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000093956

    authors: Sonino N,Fallo F,Fava GA

    更新日期:2006-01-01 00:00:00

  • The influence of alexithymic characteristics on the self-perception and facial expression of a physiological stress state.

    abstract:BACKGROUND:In spite of the connection of alexithymic characteristics to many stress-related disorders, little is known about the effects of these characteristics on the self-perception of stress, which may have functional value in the regulation of daily behavior. The present study assessed the influence of alexithymic...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000012341

    authors: Näätänen P,Ryynänen A,Keltikangas-Järvinen L

    更新日期:1999-09-01 00:00:00

  • Interpersonal psychotherapy for somatizing patients.

    abstract::The interpersonal model is important for understanding somatizing behavior. According to this model, somatizing behavior is a form of interpersonal communication driven by insecure attachment. Interpersonal psychotherapy (IPT) is a time-limited, manual-based treatment designed to relieve symptoms and improve interpers...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000092891

    authors: Stuart S,Noyes R Jr

    更新日期:2006-01-01 00:00:00

  • Affective expression in organic and functional gastrointestinal disease.

    abstract::Verbal affective expression and psychometric variables were studied in a group of 5 duodenal ulcer and 6 irritable bowel patients. The aim was to assess the relevance of the alexithymia contruct to the distinction between both groups. Irritable bowel patients exhibited higher scores on Zung's depressiveness scale. Ale...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287839

    authors: Heerlein A,De la Parra G,Aronsohn S,Lolas F

    更新日期:1984-01-01 00:00:00

  • Life events and alopecia areata.

    abstract::48 patients with alopecia areata, 30 with common baldness, 30 with fungal infections underwent the Paykel's Interview for recent life events. In the 6 months preceding onset, alopecic patients reported 123 events (mean = 2.56), patients with common baldness 22 events (mean = 0.73), patients with fungal infections 15 (...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287786

    authors: Perini GI,Veller Fornasa C,Cipriani R,Bettin A,Zecchino F,Peserico A

    更新日期:1984-01-01 00:00:00

  • Failure to Respond after Reinstatement of Antidepressant Medication: A Systematic Review.

    abstract:BACKGROUND:Following remission of an anxiety disorder or a depressive disorder, antidepressants are frequently discontinued and in the case of symptom occurrence reinstated. Reinstatement of antidepressants seems less effective in some patients, but an overview is lacking. This systematic review aimed to provide insigh...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1159/000491550

    authors: Bosman RC,Waumans RC,Jacobs GE,Oude Voshaar RC,Muntingh ADT,Batelaan NM,van Balkom AJLM

    更新日期:2018-01-01 00:00:00

  • How are women sicker than men? An overview of psychosomatic problems in women.

    abstract::An overview is presented of psychosomatic problems in women - the epidemiology, physiology and psychology. Surveys of sickness rates in women and psychological studies are used as a basis of speculation about higher female morbidity rates. Theories of psychosomatic illness, the somatic concomitants of hysteria and ale...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287560

    authors: Apfel RJ

    更新日期:1982-01-01 00:00:00