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Cambridge University Press, Bjpsych Open, 1(2), p. 50-58, 2016

DOI: 10.1192/bjpo.bp.115.002139

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Treating anxiety and depression in older adults: randomised controlled trial comparing guided v . self-guided internet-delivered cognitive–behavioural therapy

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

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. ; 9 page(s)