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Новый тэг e-therapy

Behav Res Ther. 2014 Jun 5;59C:20-29. doi: 10.1016/j.brat.2014.05.010. [Epub ahead of print]
Clinical effectiveness and cost-effectiveness of Internet- vs. group-based cognitive behavior therapy for social anxiety disorder: 4-Year follow-up of a randomized trial.
Hedman E1, El Alaoui S2, Lindefors N2, Andersson E2, Rück C2, Ghaderi A3, Kaldo V2, Lekander M4, Andersson G5, Ljótsson B3.
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Abstract
Social anxiety disorder (SAD) is common, debilitating and associated with high societal costs. The disorder can be effectively treated with Internet-based cognitive behavior therapy (ICBT), but no previous study has investigated the long-term clinical or health economic effects of ICBT for SAD in comparison to an evidence-based control treatment. The aim of the study was to investigate the clinical effectiveness and cost-effectiveness of ICBT compared to cognitive behavioral group therapy (CBGT) four years post-treatment. We conducted a 4-year follow-up study of participants who had received ICBT or CBGT for SAD within the context of a randomized controlled non-inferiority trial. The cost-effectiveness analyses were conducted taking a societal perspective. Participants in both treatment groups made large improvements from baseline to 4-year follow-up on the primary outcome measure (d = 1.34-1.48) and the 95% CI of the mean difference on the primary outcome was well within the non-inferiority margin. ICBT and CBGT were similarly cost-effective and both groups reduced their indirect costs. We conclude that ICBT for SAD yields large sustainable effects and is at least as long-term effective as CBGT. Intervention costs of both treatments are offset by net societal cost reductions in a short time.
Copyright © 2014 Elsevier Ltd. All rights reserved.
KEYWORDS:
Cognitive behavioral group therapy; Cost-effectiveness; Internet-based cognitive behavior therapy; Long-term effects; Social anxiety disorder

http://www.ncbi.nlm.nih.gov/pubmed/24949908
Tags: e-therapy, Консультации on-line, Профессия
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