Treating anxiety and depression in older adults: randomised controlled trial comparing guided v. self-guided internet-delivered cognitive- behavioural therapy
2016
Background Symptoms of anxiety and depression are prevalent in older adults. Aims To compare clinician-guided and self-guided versions of a transdiagnostic
internet-delivered cognitive–behavioural therapy (iCBT) intervention for
adults aged 60 years and above. Method Adults ( n =433) with symptoms of anxiety and depression
were randomly allocated to: (1) clinician-guided treatment
( n =153); (2) initial clinician interview followed by
self-guided treatment ( n =140); or (3) self-guided
treatment without interview ( n =140). Results Large reductions ( d ≥1.00) in symptoms of depression and
anxiety were observed across groups, and sustained at follow-up. No
differences were observed in clinical outcomes or satisfaction ratings.
Age did not affect outcomes. Conclusions Carefully developed iCBT interventions may significantly reduce symptoms
of anxiety and depression in older adults when delivered in either
clinician-guided or self-guided formats.
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