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Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for Social Anxiety Disorder and comorbid disorders: A randomized controlled trial.

Disorder-specific (DS-CBT) and transdiagnostic (TD-CBT) cognitive behaviour therapy have both been used to treat social anxiety disorder (SAD). This study compared internet-delivered DS-CBT and TD-CBT for SAD across clinician-guided (CG-CBT) and self-guided (SG-CBT) formats. Participants with SAD (n=233) were randomly allocated to receive internet-delivered TD-CBT or DS-CBT and CG-CBT or SG-CBT. Large reductions in symptoms of SAD (Cohen's d≥1.01; avg. reduction≥30%) and moderate-to-large reductions in symptoms of comorbid depression (Cohen's d≥1.25; avg. reduction≥39%), generalised anxiety di…

Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for generalized anxiety disorder and comorbid disorders: A randomized controlled trial.

Generalized anxiety disorder (GAD) can be treated effectively with either disorder-specific cognitive behavior therapy (DS-CBT) or transdiagnostic CBT (TD-CBT). The relative benefits of DS-CBT and TD-CBT for GAD and the relative benefits of delivering treatment in clinician guided (CG-CBT) and self-guided (SG-CBT) formats have not been examined. Participants with GAD (n=338) were randomly allocated to receive an internet-delivered TD-CBT or DS-CBT intervention delivered in either CG-CBT or SG-CBT formats. Large reductions in symptoms of GAD (Cohen's d ≥ 1.48; avg. reduction ≥ 50%) and comorbid…

Multiple and concurrent sexual partnerships among men who have sex with men in Viet Nam: results from a National Internet-based Cross-sectional Survey.

Men who have sex with men (MSM) are one of the largest HIV risk groups in Viet Nam and have been understudied. Sexual concurrency and multiple sex partnerships may contribute to high HIV incidence among MSM in Viet Nam. Limited information is available on concurrency and multiple sexual partnerships among MSM in Viet Nam or on the extent to which this population engages in concurrent and multiple unprotected anal intercourse. Data are from a self-administered Internet-based survey of Vietnamese MSM aged 18 years or older, having sex with male partner(s) in the last 12 months and recruited from…

Genotyping of French Bacillus anthracis strains based on 31-loci multi locus VNTR analysis: epidemiology, marker evaluation, and update of the internet genotype database.

BACKGROUND: Bacillus anthracis is known to have low genetic variability. In spite of this lack of diversity, multiple-locus variable-number tandem repeat (VNTR) analysis (MLVA) and single nucleotide polymorphisms (SNPs) including the canonical SNPs assay (canSNP) have proved to be highly effective to differentiate strains. Five different MLVA schemes based on a collection of 31 VNTR loci (MLVA8, MLVA15, MLVA20, MLVA25 and MLVA31) with increased resolving power have been described. RESULTS: MLVA31 was applied to characterize the French National Reference Laboratory collection. The total collec

Digital literacy education and problematic Internet use among adolescents: a quasi-experimental study of digital self-efficacy and delay of gratification as cognitive-regulatory correlates.

Problematic Internet use (PIU) has become an important concern in adolescent development, yet the psychological correlates through which educational programs may be associated with healthier Internet use remain insufficiently understood. This study examined whether a 6-week multi-component digital literacy and digital wellbeing program was associated with changes in adolescents' PIU, digital self-efficacy (DSE), and delay of gratification (DGI), and whether the post-intervention data were statistically consistent with a theory-informed pathway linking DSE, DGI, and PIU. A two-arm pretest-postt…

Exploring the Experiences of Cancer Patients Following an Internet-Based Cognitive Behavioral Therapy for Insomnia With Professional Phone Guidance: The Sleep-4-All-2.0 Study.

BACKGROUND: Sleep problems affect 30%-95% of cancer patients. Cognitive Behavioral Therapy for Insomnia is recognized as the most effective treatment for insomnia. However, implementing it is challenging due to a lack of time, human resources, and financial support. Internet-Based Cognitive Behavioral Therapy (ICBT-I) is appreciated by patients, but it lacks professional guidance. AIMS: The Sleep-4-All-2.0 study combined a validated ICBT-I program, lasting 6-12 weeks, with up to four individual, phone-based ICBT-I psychology sessions. The current study sought to explore patients' experiences …

What do primary care clinicians and patients think about internet-based computerized cognitive behavioral therapy for depression? A qualitative study from the Veterans Health Administration.

Depression can be effectively treated with internet-based computerized cognitive behavioral therapy (cCBT). The Veterans Health Administration (VHA) provided cCBT free to all veterans nationally as of 2013; however, its uptake has been limited. This study aimed to examine VHA primary care clinicians' and patients' perspectives regarding cCBT treatment for depression. We conducted semistructured interviews with 12 primary care clinicians (September-November 2020) and four focus groups involving 15 patients with depression (March-May 2021). Interview guides were developed using the Consolidated …

Tailored internet-delivered cognitive behavioral therapy with therapist support for depressed older adults: Results from a randomized controlled trial with a one-year follow-up.

OBJECTIVES: Internet-delivered cognitive behavioral therapy has been found to be effective for various populations with somatic and psychological difficulties. However, older adults are often overlooked and have received relatively less attention in research. This study aimed to test the effects of an 8-week therapist-supported internet-based cognitive behavioral therapy program for depressed older adults compared to a waiting-list control condition. METHODS: Individuals interested in participating in the study completed self-report questionnaires online, followed by a semi-structured intake …

The Double-Edged Sword of Digital Engagement-How Digital Access and Internet Use Reshape Sleep Schedules and Underlying Mechanisms in Older Adults: Longitudinal Observational Study.

BACKGROUND: Given the rapid development of the digital economy and the sustained proliferation of the internet, digital engagement in older adults has garnered mounting attention from the academic community. However, research has yet to systematically examine the impact of digital engagement on sleep in this demographic. OBJECTIVE: This study aims to examine the association of digital engagement-operationalized as digital access and internet use duration-with the sleep schedules (nocturnal sleep duration, afternoon nap duration, and sleep onset time) of older adults in China, using longitudin…

Internet-assisted cognitive behavioral therapy with telephone coaching versus an educational control for antenatal depression: protocol for a randomized controlled trial with population-based screening.

BACKGROUND: Up to 15% of pregnant women suffer from antenatal depression, and there is mounting evidence that the consequences can be devastating for both the woman and her child. Identifying effective treatments is crucial to avoiding the harmful consequences of unrecognized and untreated depression. METHODS: This ongoing research project evaluates the efficacy of the Stronger Together internet-assisted cognitive behavioral therapy (iCBT) with telephone coaching for antenatal depression. It is a large, population-based, two-parallel group, randomized controlled trial. The overarching hypothe…

Unravelling the association between internet use and loneliness among Chinese older adults during the COVID-19 pandemic: the role of potentially moderating and mediating factors.

BACKGROUND: The benefits of Internet use in reducing loneliness among older adults have been well-documented, particularly during COVID-19 lockdowns. However, most existing research has focused on high-income countries. Studies exploring this relationship in lower-and middle-income countries are lacking, where low Internet penetration and significant digital divides persist among older adults. This study aimed to investigate the association between Internet use and loneliness among older adults in China, a large middle-income country. We further investigated the moderating effects of several d…

Effectiveness of online integrative trans-diagnostic treatment on internet addiction and high-risk behaviors in female adolescents with borderline personality disorder with comorbid depressive disorder.

BACKGROUND: Based on research, borderline personality disorder is associated with many behavioral and emotional problems, including Internet addiction and high-risk behaviors. On the other hand, integrative trans-diagnostic treatment, by targeting trans-diagnostic factors in emotional pathology, is considered a suitable treatment for comorbid psychological pathologies. Also, since in adolescence, the opinion of others about oneself is more important, online therapy has the advantage of protecting them from the fear of stigma and shame in the face of others' judgments. Therefore, the aim of the…

Relationship between different levels of internet use and depressive tendencies in Chinese college students: the chain mediating effect based on physical activity and social adaptability.

OBJECTIVE: To investigate the relationship between internet use, physical activity, social adaptability, and depressive tendencies of college students, and to reveal the "advantages" and "disadvantages" of internet use around the "dose-effect". METHOD: The Revised Chinese Internet Addiction Scale (CIAS-R), Physical Activity Rating Scale (PARS-3), Chinese College Student Social Adjustment Scale (CCSAS), and Self-rating Depression Scale (SDS) were used to conduct a random sampling survey among 3008 college students in China. RESULTS: (1) Internet use could directly and positively predict the d…

Diverging paths: Modeling the relation between adverse effects, attitudes, perceived adherence, and treatment effect in an internet-based cognitive-behavioral intervention for obsessive-compulsive disorder.

BACKGROUND AND AIM: The efficacy of internet-based interventions (IBI) for various psychiatric disorders is widely established, but little is known about the mechanisms or possible influencing factors. One of the most prominent problems in IBI is low adherence, but the relationship between adherence and level of improvement is still unclear. Patients' attitudes and beliefs about IBI as well as the experience of adverse effects-another widely neglected topic-may also influence the effectiveness of these interventions. This secondary analysis is aimed at investigating the relationship between ad…

Investigating the relationship between asthma symptoms and severity with television watching, computer use, and internet access among 13-14-year-old children in Yazd, Iran.

BACKGROUND: Asthma is a prevalent chronic respiratory disease that affects individuals from childhood to adulthood. This study aimed to investigate the association between symptoms and severity of asthma with television viewing, computer and Internet use in adolescents, considering the lifestyle changes in recent decades. METHODS: This study was conducted in early 2020 as part of the Global Asthma Network 2020 survey, among 13-14-year-olds in Yazd, Iran. Participants were classified into case and control groups based on the presence and severity of asthma symptoms. The data was collected and …

Abnormal Granger causal connectivity based on altered gray matter volume and associated neurotransmitters of adolescents with internet gaming disorder revealed by a multimodal neuroimaging study.

Although prior studies have revealed alterations in gray matter volume (GMV) among individuals with internet gaming disorder (IGD). The brain's multifaceted functions hinge crucially on the intricate connections and communication among distinct regions. However, the intricate interaction of information between brain regions with altered GMV and other regions, and how they synchronize with various neurotransmitter systems, remains enigmatic. Therefore, we aimed to integrate structural, functional and molecular data to explore the GMV-based Granger causal connectivity abnormalities and their cor…

Могут ли основанные на интернете "стратегии расширения возможностей деятельности в повседневной жизни" помочь людям с когнитивными трудностями самостоятельно управлять цифровой работой и повседневной жизнью?

Цифровая работа может быть когнитивно сложной, особенно для людей с когнитивными трудностями. Для того чтобы эти лица могли самостоятельно решать проблемы в сфере цифровой работы и повседневной жизни, необходимы новые меры в области профессиональной терапии. Для решения этой задачи была опробована основанная на Интернете программа "Стратегии расширения возможностей деятельности в повседневной жизни" (SEE 2.0). AIM: Изучение и описание того, как SEE может способствовать развитию самоуправления у людей с когнитивными трудностями, которые занимаются цифровой работой и другими видами деятельности

Совпадение в аннотации оригинала
BACKGROUND: Digital work can be cognitively challenging especially for people with cognitive difficulties. New occupational therapy interventions are needed to empower these persons to self-manage challenges in digital work and everyday life. To address this need, the internet-based intervention 'Strategies for Empowering Activities in Everyday Life' (SEE 2.…

Feasibility and initial impact of single-session internet-delivered acceptance vs change skills for emotions for stress- and trauma-related problems: a randomized controlled trial.

BACKGROUND: Current psychological trauma-focused interventions have left a gap for individuals who may not be ready for trauma-focused treat … d with an active control. METHOD: Subjects (n = 156) were randomized to receive one of three brief internet-based trainings: (1) skill training on accepting emotions, (2) skill training on changing emotions, or (3) stress psychoeducation (control). Participants completed measures of emotion regulation, mindfulness, and affect intensity 24 hours pre- and i …

Sex difference in neural responses to gaming cues in Internet gaming disorder: Implications for why males are more vulnerable to cue-induced cravings than females.

BACKGROUND: Although drug addiction studies have shown that females are more likely to become addicted and sensitive to drug cues, this feature seems reversed in Internet gaming disorder (IGD), of which males are more likely to be sufferers. Given the prevalence of IGD in the male population, the current study was set to examine the potential effect of sex on IGD's craving using a cue reactivity task. METHODS: Sixty-five (32 males) IGD subjects underwent fMRI scanning during exposure to visual gaming cues and neutral cues. Brain responses to gaming cues relative to neutral cues were examined …

Randomised controlled trial on the effect of internet-delivered computerised cognitive-behavioural therapy on patients with insomnia who remain symptomatic following hypnotics: a study protocol.

INTRODUCTION: Insomnia has severe consequences for health. Primary care physicians in Japan commonly provide hypnotics, which is far from optimal. The recommended treatment for insomnia is cognitive-behavioural therapy (CBT). Access to trained therapists, however, is limited. Rather than face-to-face CBT, several researchers have studied internet-delivered computerised CBT (ICBT). This paper describes the study protocol for a randomised controlled trial (RCT) to evaluate effectiveness and feasibility of our newly developed five-step ICBT as an adjunct to usual care (UC) compared with UC alone …