Get access

Randomized controlled trial of Internet-delivered cognitive behavioral therapy for posttraumatic stress disorder

Authors

  • Jay Spence M.Clin. Psych.,

    Corresponding author
    1. Clinical Research Unit for Anxiety and Depression (CRUfAD), St Vincent's Hospital, Darlinghurst, New South Wales, Australia
    2. School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
    • CRUfAD at St Vincent's Hospital, Level 4, the O'Brien Centre, St Vincent's Hospital, 394-404 Victoria Street, Darlinghurst NSW 2010, Australia
    Search for more papers by this author
  • Nickolai Titov Ph.D.,

    1. School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
    Search for more papers by this author
  • Blake F. Dear Ph.D.,

    1. Clinical Research Unit for Anxiety and Depression (CRUfAD), St Vincent's Hospital, Darlinghurst, New South Wales, Australia
    Search for more papers by this author
  • Luke Johnston B.Sc.(Hons),

    1. School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
    Search for more papers by this author
  • Karen Solley B.Psych.(Hons),

    1. School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
    Search for more papers by this author
  • Carolyn Lorian B.Sc.,

    1. Clinical Research Unit for Anxiety and Depression (CRUfAD), St Vincent's Hospital, Darlinghurst, New South Wales, Australia
    2. School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
    Search for more papers by this author
  • Bethany Wootton M.Clin. Psych.,

    1. School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
    Search for more papers by this author
  • Judy Zou DCP,

    1. Clinical Research Unit for Anxiety and Depression (CRUfAD), St Vincent's Hospital, Darlinghurst, New South Wales, Australia
    Search for more papers by this author
  • Genevieve Schwenke B.Psych.(Hons)

    1. Clinical Research Unit for Anxiety and Depression (CRUfAD), St Vincent's Hospital, Darlinghurst, New South Wales, Australia
    2. School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
    Search for more papers by this author

Abstract

Background: Posttraumatic stress disorder (PTSD) is a severe and disabling condition and few receive appropriate care. Internet-based treatment of PTSD shows promise in reducing barriers to care and preliminary evidence suggests it is efficacious in treating symptoms of PTSD. Methodology: Forty-two individuals with a diagnosis of PTSD confirmed by clinician interview completed a randomized controlled comparison of Internet-based cognitive behavioral therapy (CBT) with a waitlist control condition. Principle Findings: Large pre- to posttreatment effect sizes (ESs) were found for the Treatment group on measures of PTSD symptoms, depression, anxiety, and disability. A small between-group ES was found for PTSD symptoms and moderate between-group ESs were found for depression, anxiety, and disability. Conclusions: Results provide preliminary support for Internet-based CBT as an efficacious treatment for individuals with a confirmed primary diagnosis of PTSD. Depression and Anxiety, 2011. © 2011 Wiley-Liss, Inc.

Ancillary