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2020 ; 21
(ä): 100329
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A blended cognitive behavioral intervention for patients with adjustment disorder
with anxiety: A randomized controlled trial
#MMPMID32523873
Leterme AC
; Behal H
; Demarty AL
; Barasino O
; Rougegrez L
; Labreuche J
; Duhamel A
; Vaiva G
; Servant D
Internet Interv
2020[Sep]; 21
(ä): 100329
PMID32523873
show ga
Adjustment disorder with anxiety (ADA) is a common psychiatric pathology
worldwide, but it is often undertreated. Cognitive behavioral therapy (CBT) is
the first-line treatment, but very few studies have been carried out for the
treatment of ADA. Internet-delivered CBT (iCBT) appears to be an effective
treatment option, with the potential to reach a larger proportion of individuals
suffering from ADA. Guidance is a beneficial feature of iCBT, provided in most
studies by email or telephone (traditional guided iCBT). Blended CBT, which
combines an online intervention and therapeutic guidance provided in person
(face-to-face), could be a way to benefit from both the advantages of
face-to-face CBT regarding human interactional quality and the advantages of
internet-based CBT in terms of improved access to treatment. In this randomized
controlled trial, the effectiveness of two forms of administration of Seren@ctif,
a 5-week CBT program for patients with ADA according the DSM-5, was examined: one
delivered through face-to-face sessions (face-to-face CBT) and the other
delivered online and guided with face-to-face contact with a nurse (blended CBT);
these formats were compared with a wait-list control group (WLC). A total of 120
patients were included and randomized to one of these three conditions. Measures
were administered before treatment, after treatment and 6 months after inclusion
in the study. Both treatment conditions displayed significant decreases in
anxiety, depression, worry and perceived stress at posttreatment when compared to
the WLC group. The decrease in symptoms was mostly maintained 6 months after
inclusion for the two experimental groups. Blended CBT showed significantly
greater reductions in anxiety and depression than did face-to-face CBT on some
secondary outcome measures. We conclude that both face-to-face CBT and blended
CBT are effective treatments for patients with ADA, and we suggest that blended
CBT may be slightly more effective than classical face-to-face CBT. Trial
Registration: Clinicaltrials.gov
NCT02621775;https://clinicaltrials.gov/ct2/show/NCT02621775(Archived by WebCite
at http://www.webcitation.org/6tQrkPs1u).