Searching videos
Please Sign In or Create an account
Internet delivered CBT: Are particular components and patterns of usage associated with better outcomes?

Internet delivered CBT: Are particular components and patterns of usage associated with better outcomes?

The field of e-psychology is rapidly expanding, with new Internet and phone-based programs regularly becoming available for an increasing variety of mental health issues. There is a strong evidence base supporting Internet delivered psychological interventions, but less is known about particular program components or patterns of usage that are most impactful and thus associated with better outcomes.

This study seeks to identify particular CBT components and patterns of program engagement and usage that are associated with better client outcomes following exposure to an Internet-based treatment for depression or alcohol use. Participants with a history of major depression and participants drinking alcohol at risky levels were recruited into two separate randomised controlled trials comparing brief and extended Internet-based CBT for depression or alcohol use. Completion of the Internet programs was self-guided and participants were assessed at baseline and 3 months. Data on intervention usage were collected within the program.

An overview of the outcomes of both studies will be provided followed by results of a series of univariate and regression analyses examining various indices of program usage and engagement such as number of logins, days of monitoring, number of components completed, type of components completed and pattern of program use. The results of this study provide important insights into Internet-CBT components and patterns of usage that are associated with better outcomes for clients. Further trials testing subsets of strategies and the impact of user-driven interfaces are needed to shed additional light.

Conference: AACBT
Areas of Interest / Categories: AACBT 2014, Cognitive Behaviour Therapy

AACBT 2014

Making a Public Health Approach to Parenting Support Really Work.

As the benefits of positive parenting programs become more apparent, there is increasing calls for such programs to be more widely available in the community. Poor reach of existing programs, low father

Transitioning to the ‘Third Wave’ Behaviour Therapies and their Relevance to Self-Care and Resiliency.

The transition to the ‘third wave’ behaviour therapies will be explored mainly with respect to Acceptance and Commitment Therapy (ACT). A broad review and commentary on the current research

Using D-Cycloserine to Augment Exposure Therapy for Children with Specific Phobia.

D-Cycloserine (DCS) is a cognitive enhancing medication believed to “consolidate” fear extinction learning into memory during exposure therapy. This paper examines whether DCS could augment extinction of a specific fear in children. We conducted a double-blind placebo-controlled Randomized Controlled Trial to investigate whether 50mg of DCS can enhance fear extinction of a dog or spider phobia. Thus far, we have recruited 17 children (M age = 9.4 years) who ingested DCS or a placebo prior to receiving a massed session of in vivo exposure. Avoidance was measured using a standardized ten-step Behaviour Approach Tests (BAT), where successive steps increased proximity to the feared stimulus. BATs were conducted at pretreatment, immediately post-treatment and on follow-up one week later to measure return of fear.

Developing and Maintaining Resilient and Effective Therapists: The Role of Supervision.

Providing psychotherapy can be extremely rewarding but can also make a range of different demands on the therapist. These demands may vary as a function of the stage of development as a therapist, the type of caseload, the context in which the therapist works, the volume of work, and the interactions with other situations or events that may be happening elsewhere in the therapist’s professional and personal life. Supervision can have a range of functions, but one important function is supporting the therapist.  Effective supervision is thought to be a key contributor to ensuring not only safe and effective therapy but also to maintaining resourceful and resilient therapists. While other forms of psychotherapy have well established models and traditions of supervision, CBT is relatively lacking in these areas and there is relatively little literature to guide CBT supervision, especially in contrast to the vast literatures that exist for cognitive behaviour therapy.   

Anorexia Nervosa: Intrapersonal, Interpersonal, both, or it depends?

The aim was to investigate the contributions of intrapersonal and interpersonal processes to eating disorders symptomatology in anorexia nervosa. Thematic analysis was used to investigate the interpersonal experiences of adolescent girls during inpatient treatment of anorexia nervosa. In a quantitative study, findings from the qualitative study informed hypotheses, development of items for a self-report questionnaire and selection of validated questionnaires to assess eating disorders symptomatology, perfectionism and aspects of interpersonal functioning in women with anorexia nervosa and non-clinical female comparisons.

Body Image and Eating Disorder Symptomatology among Female Athletes.

The present study compared levels of body dissatisfaction, and disordered eating symptomatology among elite, recreational, and non-competitive female Australian athletes (N = 320) aged 17 to 30 years competing in leanness focused sports (e.g., Ballet, light weight rowing, long distance running) and non-leanness focused sports (e.g., netball, football, rugby). 

Development of an optimised, multi-disciplinary intervention for chronic fatigue states.

Medically-unexplained fatigue states are prevalent and often disabling in the general population. These include chronic fatigue syndrome (CFS) and post-cancer fatigue (PCF). These syndromes are characterised by debilitating fatigue, neurocognitive difficulties, muscle pain as well as sleep -wake cycle and mood disturbance. A growing evidence base suggests that a multi-disciplinary intervention incorporating cognitive -behavioural therapy (CBT), activity pacing, and graded exercise therapy (GET) provides the most promising current treatment for reducing symptoms and improving functional status.

Recently Added

Defining the concept of spirituality among Filipino counselors and clients.

Sport and physical activity in the treatment of refugee trauma survivors of torture and trauma

Community acceptance of refugees in a new refugee resettlement location, Armidale, NSW

Theme and Variations: The way the Complex Traumatic past becomes the Complex Traumatic present

Long walk to health: Working with the survivors of refugee trauma with a history of early childhood abuse

Limits in Neurofeedback Rehabilitation: What we need to know

Neuro-correlates of the ‘Self’ and Implications for Neuro-psychotherapists