Cochrane for Clinicians
Putting Evidence into Practice
Therapist-Supported Online Cognitive Behavior Therapy for Adult Anxiety
Am Fam Physician. 2016 Jan 1;93(1):19-20.
Author disclosure: No relevant financial affiliations.
Does therapist-supported online cognitive behavior therapy (CBT) improve anxiety and reduce symptoms in adults with anxiety disorders?
Therapist-supported online CBT is more effective than no treatment and as effective as face-to-face CBT for reducing overall anxiety as well as symptoms, and improving quality of life in adults with anxiety disorders. (Strength of Recommendation: A, based on consistent, good-quality patient-oriented evidence.)
Anxiety disorders include panic disorder, agoraphobia, social phobia, posttraumatic stress disorder, acute stress disorder, generalized anxiety disorder, obsessive-compulsive disorder, and specific phobia. As many as 18% of adults in the United States experience an anxiety disorder each year, with an estimated economic impact of $40 billion per year. CBT improves symptoms of anxiety disorders by treating maladaptive thoughts and behaviors, yet less than one-third of patients who have psychiatric diagnoses receive appropriate treatment. CBT delivered over the Internet with a therapist providing support by telephone or e-mail could overcome some access-related barriers to care,
Olthuis JV, Watt MC, Bailey K, Hayden JA, Stewart SH. Therapist-supported Internet cognitive behavioural therapy for anxiety disorders in adults. Cochrane Database Syst Rev. 2015;(3):CD011565.
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These are summaries of reviews from the Cochrane Library.
This series is coordinated by Corey D. Fogleman, MD, Assistant Medical Editor.
A collection of Cochrane for Clinicians published in AFP is available at http://www.aafp.org/afp/cochrane.
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