scholarly journals The uptake and outcomes of Internet cognitive behavioural therapy for health anxiety symptoms during the COVID-19 pandemic

2021 ◽  
pp. 102494
Author(s):  
Maria J. Sharrock ◽  
Alison E.J. Mahoney ◽  
Hila Haskelberg ◽  
Michael Millard ◽  
Jill Newby
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Health Anxiety ◽  
Behavioural Therapy ◽  
Anxiety Symptoms ◽  
Cognitive Behavioural ◽  
Internet Cognitive Behavioural Therapy

scholarly journals The uptake and outcomes of Internet cognitive behavioural therapy for health anxiety symptoms during the COVID-19 pandemic

2021 ◽  
Author(s):  
Maria J. Sharrock ◽  
Alison Mahoney ◽  
Hila Haskelberg ◽  
Michael Millard ◽  
Jill Newby
Keyword(s):  
Mental Health ◽  
Cognitive Behavioural Therapy ◽  
Health Anxiety ◽  
Course Completion ◽  
Behavioural Therapy ◽  
Community Members ◽  
Cognitive Behavioural ◽  
Patient Health ◽  
Reported Health ◽  
Internet Cognitive Behavioural Therapy

Background: Internet cognitive behavioural therapy (iCBT) for health anxiety hasdemonstrated efficacy but has not been evaluated during the COVID-19 pandemic. Thisstudy presents the first evaluation of the uptake and outcomes of iCBT for health anxietyduring the COVID-19 pandemic.Methods: THIS WAY UP is an Australian digital mental health service which delivers iCBTinterventions to community members. We compared the uptake of THIS WAY UP’s iCBTcourse for health anxiety in an Australian adult sample who started the course before thepandemic (12th September 2019 to 11th March 2020) to during the pandemic (12th March to11th June 2020). The course was accessible to Australian adults over 18 years old, with noinclusion criteria. Outcomes included course registrations and commencements, lesson andcourse completion, and self-reported health anxiety (Short Health Anxiety Inventory),depression (Patient Health Questionnaire 9-item) and distress (Kessler-10).Results: From March to June 2020, we observed significant increases in course registrations(N=238 vs N=1057); and course commencements (N=126 vs. N= 778). Large, significantimprovements in health anxiety (g= 0.89), and distress (K10: g=0.91), and mediumimprovements in depression (g=0.55) were found. Course completion during COVID was30.5%.Conclusions: iCBT improved health anxiety during the COVID-19 pandemic, and providesscalable intervention that can address increased demands for mental health services in thecommunity.

Adherence as a determinant of effectiveness of internet cognitive behavioural therapy for anxiety and depressive disorders

2012 ◽  
Vol 50 (7-8) ◽  
pp. 463-468 ◽  
Author(s):  
Zita Hilvert-Bruce ◽  
Pieter J. Rossouw ◽  
Nora Wong ◽  
Matthew Sunderland ◽  
Gavin Andrews
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Depressive Disorders ◽  
Behavioural Therapy ◽  
Cognitive Behavioural ◽  
Internet Cognitive Behavioural Therapy

The effectiveness of internet-delivered cognitive behavioural therapy for health anxiety in routine care

2020 ◽  
Vol 264 ◽  
pp. 535-542 ◽  
Author(s):  
Jill M. Newby ◽  
Hila Haskelberg ◽  
Megan J. Hobbs ◽  
Alison E.J. Mahoney ◽  
Elizabeth Mason ◽  
...  
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Health Anxiety ◽  
Behavioural Therapy ◽  
Routine Care ◽  
Cognitive Behavioural

scholarly journals Protocol investigating the clinical outcomes and cost-effectiveness of cognitive–behavioural therapy delivered remotely for unscheduled care users with health anxiety: randomised controlled trial

BJPsych Open ◽  
2016 ◽  
Vol 2 (1) ◽  
pp. 81-87 ◽  
Author(s):  
Shireen Patel ◽  
Sam Malins ◽  
Boliang Guo ◽  
Marilyn James ◽  
Joe Kai ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Randomised Controlled Trial ◽  
Clinical Outcomes ◽  
Cognitive Behavioural Therapy ◽  
Controlled Trial ◽  
Health Anxiety ◽  
Behavioural Therapy ◽  
Unscheduled Care ◽  
Cognitive Behavioural ◽  
Randomised Controlled

BackgroundHealth anxiety and medically unexplained symptoms cost the National Health Service (NHS) an estimated £3 billion per year in unnecessary costs with little evidence of patient benefit. Effective treatment is rarely taken up due to issues such as stigma or previous negative experiences with mental health services. An approach to overcome this might be to offer remotely delivered psychological therapy, which can be just as effective as face-to-face therapy and may be more accessible and suitable.AimsTo investigate the clinical outcomes and cost-effectiveness of remotely delivered cognitive–behavioural therapy (CBT) to people with high health anxiety repeatedly accessing unscheduled care (trial registration: NCT02298036).MethodA multicentre randomised controlled trial (RCT) will be undertaken in primary and secondary care providers of unscheduled care across the East Midlands. One hundred and forty-four eligible participants will be equally randomised to receive either remote CBT (6–12 sessions) or treatment as usual (TAU). Two doctoral research studies will investigate the barriers and facilitators to delivering the intervention and the factors contributing to the optimisation of therapeutic outcome.ResultsThis trial will be the first to test the clinical outcomes and cost-effectiveness of remotely delivered CBT for the treatment of high health anxiety.ConclusionsThe findings will enable an understanding as to how this intervention might fit into a wider care pathway to enhance patient experience of care.

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