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Computerised cognitive behavioural therapy: helping Ireland log on

Published online by Cambridge University Press:  19 March 2013

C. Twomey ,
G. O'Reilly  and
M. Byrne
C. Twomey
Affiliation:
School of Psychology, University College Dublin, Ireland Roscommon Service Area, Health Service Executive (HSE) West, Ireland
G. O'Reilly
Affiliation:
School of Psychology, University College Dublin, Ireland
M. Byrne*
Affiliation:
Roscommon Service Area, Health Service Executive (HSE) West, Ireland
*
*Address for correspondence: Dr M. Byrne, Principal Psychologist Manager, Psychology Department, Health Service, Executive West, Primary Care Centre, Golf Links Road, Roscommon, Dublin, Ireland. (Email [email protected])
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Abstract

Objectives

The aim of this article is to review and highlight evidence-based computerised cognitive behavioural therapy (cCBT) programmes that can potentially be used in Ireland for the treatment of mild-to-moderate mental health difficulties.

Methods

The authors undertook a literature search using three databases, and consulted a recognised, university-developed web portal. For a programme to be included in this review, it had to (a) have at least one randomised controlled trial demonstrating its efficacy; (b) be available on the internet; and (c) be delivered in English.

Findings

Twenty-five cCBT programmes that met the inclusion criteria were profiled. Taken together, these programmes target various anxiety difficulties (i.e. generalised anxiety, panic/phobia, social anxiety and post-traumatic stress), depression (or low mood), eating problems, stress, insomnia, pain and alcohol misuse.

Conclusions

cCBT programmes, preferably administered as part of a stepped-care model, offer effective, low-cost and low-intensity interventions for a wide range of psychological problems. Their use could be beneficial given how underdeveloped primary care mental health services are in Ireland.

Keywords

Computerised CBTinternet-delivered therapyIrelandstepped care
Type
Original Research
Information
Irish Journal of Psychological Medicine , Volume 30 , Issue 1 , March 2013 , pp. 29 - 56
Copyright
Copyright © College of Psychiatrists of Ireland 2013

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References

American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorder, 4th edn. American Psychiatric Association: Washington, DC.Google Scholar
Andersson, G, Cuijpers, P (2009). Internet-based and other computerized psychological treatments for adult depression: a meta-analysis. Cognitive Behaviour Therapy 38, 196–205.CrossRefGoogle ScholarPubMed
Andrews, G, Cuijpers, P, Craske, MG, McEvoy, P, Titov, N (2010). Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: a meta-analysis. PLoS ONE 5, e13196 . doi:10.1371/journal.pone.0013196.CrossRefGoogle ScholarPubMed
Andrews, G, Davies, M, Titov, N (2011). An effectiveness randomized controlled trial of face to face versus internet cognitive behaviour therapy for social phobia. Australian and New Zealand Journal of Psychiatry 45, 337–340.CrossRefGoogle ScholarPubMed
Barr Taylor, C, Bryson, S, Luce, KH, Cunning, D, Celio Doyle, A, Abascal, LB, Rockwell, R, Dev, P, Winzelberg, AJ, Wilfley, DE (2006). Prevention of eating disorders in at-risk college-age women. Archives of General Psychiatry 63, 881–888.CrossRefGoogle Scholar
Beacon [homepage on the internet] (2012). http://www.beacon.anu.edu.au/. Accessed 5 April 2012.Google Scholar
Beck, AT, Steer, RA (1990). Beck Anxiety Inventory Manual. The Psychological Corporation: San Antonia, TX.Google Scholar
Beck, AT, Steer, A, Brown, GK (1996). Beck Depression Inventory Manual, 2nd edn. The Psychological Corporation: San Antonia, TX.Google Scholar
Billings, DW, Cook, RF, Hendrickson, A, Dove, DC (2008). A web-based approach to managing stress and mood disorders in the workforce. Journal of Occupational and Environmental Medicine 50, 960–968.CrossRefGoogle ScholarPubMed
Blankers, M, Koeter, MJW, Schippers, GM (2011). Internet therapy versus internet self-help versus no treatment for problematic alcohol use: a randomized controlled trial. Journal of Consulting and Clinical Psychology 79, 330–341.CrossRefGoogle ScholarPubMed
Botella, C, Gallego, MJ, García-Palacios, A, Guillen, V, Baños, RM, Quero, S, Alcaniz, M (2010). An internet-based self-help treatment for fear of public speaking: a controlled trial. Cyberpsychology, Behaviour and Social Networking 13, 407–421.CrossRefGoogle ScholarPubMed
Calear, AL, Christensen, H, Mackinnon, A, Griffiths, KM, O'Kearney, R (2009). The YouthMood Project: a cluster randomized controlled trial of an online cognitive behavioral program with adolescents. Journal of Consulting and Clinical Psychology 77, 1021–1032.CrossRefGoogle Scholar
Carlson, EB, Putnam, FW, Ross, CA, Torem, M, Coons, P, Dill, DL, Loewenstein, RJ, Braun, BG (1993). Validity of the Dissociative Experiences Scale in screening for multiple personality disorder: a multicenter study. American Journal of Psychiatry 150, 1030–1036.Google ScholarPubMed
Carrad, I, Crepin, C, Rouget, P, Lam, T, Golay, A, Van der Linden, M (2011). Randomised controlled trial of a guided self-help treatment on the internet for binge eating disorder. Behaviour Research and Therapy ; doi:10.1016/j.brat.2011.05.004.Google Scholar
Celio, AA, Winzelberg, AJ, Wilfley, DE, Eppstein-Herald, E, Springer, EA, Dev, P, Barr Taylor, C (2000). Reducing risk factors for eating disorders: comparison of an internet- and a classroom-delivered psychoeducational program. Journal of Consulting and Clinical Psychology 68, 650–657.CrossRefGoogle Scholar
Chambless, DL, Caputo, GC, Bright, P, Gallagher, R (1984). Assessment of fear of fear in agoraphobics: The Body Sensations Questionnaire and the Agoraphobic Cognitions Questionnaire. Journal of Consulting and Clinical Psychology 52, 1090–1097.CrossRefGoogle ScholarPubMed
Chambless, DL, Caputo, GC, Jasin, SE, Gracely, EJ, Williams, C (1985). The mobility inventory for agoraphobia. Behaviour Research and Therapy 23, 35–44.CrossRefGoogle ScholarPubMed
Chiauzzi, E, Pujol, LA, Wood, M, Bond, K, Black, R, Yiu, E, Zacharoff, K (2010). PainACTION-Back pain: a self-management website for people with chronic back pain. Pain Medicine 11, 1044–1058.CrossRefGoogle Scholar
Christensen, H, Griffiths, KM, Jorm, AF (2004). Delivering interventions for depression by using the internet: randomised controlled trial. BMJ 328, 265–268.CrossRefGoogle ScholarPubMed
Christensen, H, Murray, K, Calear, AL, Bennett, K, Bennett, A, Griffiths, KM (2010). Beacon: a web portal to high-quality mental health websites for use by health professionals and the public. Medical Journal of Australia 192, S40–S44.CrossRefGoogle ScholarPubMed
Clarke, G, Kelleher, C, Hornbrook, M, DeBar, L, Dickerson, J, Gullion, C (2009). Randomized effectiveness trial of an internet, pure self-help, cognitive behavioral intervention for depressive symptoms in young adults. Cognitive Behavior Therapy 38, 222–234.CrossRefGoogle ScholarPubMed
Cleeland, CS, Ryan, KM (1994). Pain assessment: global use of the brief pain inventory. Annals of the Academy of Medicine, Singapore 23, 129–138.Google ScholarPubMed
Copty, M (2004). Mental Health in Primary Care. Irish College of General Practitioners/South Western Area Health Board: Dublin.Google Scholar
Cuijpers, P, Smit, F, Bohlmeijer, E, Hollon, SD, Andersson, G (2010). Efficacy of cognitive-behavioural therapy and other psychological treatments for adult depression: meta-analytic study of publication bias. British Journal of Psychiatry 196, 173–178.CrossRefGoogle ScholarPubMed
Department of Health and Children (2006). A Vision for Change: Report of the Expert Group on Mental Health Policy. Stationery Office: Dublin.Google Scholar
Fairbank, JC, Couper, J, Davies, JB, O'Brien, JP (1980). The Oswestry Low Back Pain Disability Questionnaire. Physiotherapy 66, 271–273.Google ScholarPubMed
Fairburn, CG, Beglin, SJ (1994). Assessment of eating disorders: interview or self-report questionnaire? International Journal of Eating Disorders 16, 363–370.3.0.CO;2-#>CrossRefGoogle ScholarPubMed
Farrer, L, Christensen, H, Griffiths, KM, Mackinnon, A (2011). Internet-based CBT for depression with and without telephone tracking in a national helpline: randomised controlled trial. PLoS ONE 6, e28099 . doi:10.1371/journal.pone.0028099.CrossRefGoogle Scholar
Furmark, T, Tillfors, M, Everz, P, Marteinsdottir, I, Gefvert, O (1999). Fredikson MSocial phobia in the general population: prevalence and sociodemographic profile. Social Psychiatry and Psychiatric Epidemiology 34, 416–424.CrossRefGoogle Scholar
Garner, DM, Olmsted, MP (1984). Eating Disorder Inventory Manual. Psychological Assessment Resources: New York.Google Scholar
Goldberg, D (1972). The Detection of Psychiatric Illness by Questionnaire. Maudsley Monograph no. 21. London: Oxford University Press.Google Scholar
Griffiths, KM, Christensen, H, Jorm, AF, Evans, K, Groves, C (2004). Effect of web-based depression literacy and cognitive-behavioural therapy interventions on stigmatising attitudes to depression: randomised controlled trial. British Journal of Psychiatry 185, 342–349.CrossRefGoogle ScholarPubMed
HeadsUp [homepage on the internet] (2012). http://www.headsup.ie/. Accessed 10 April 2012.Google Scholar
Hickie, IB, Davenport, TA, Luscombe, GM, Moore, M, Griffiths, KM, Christensen, H (2010). Practitioner-supported delivery of internet-based cognitive behaviour therapy: evaluation of the feasibility of conducting a cluster randomised trial. Medical Journal of Australia 192, S31–S35.CrossRefGoogle ScholarPubMed
Hicks, CL, von Baeyer, CL, McGrath, PJ (2006). Online psychological treatment for pediatric recurrent pain: a randomized evaluation. Journal of Pediatric Psychology 31, 724–736.CrossRefGoogle Scholar
Hoifort, RS, Strom, C, Kolstrup, N, Eisemann, M, Waterloo, K (2011). Effectiveness of cognitive behavioural therapy in primary health care: a review. Family Practice 28, 489–504.CrossRefGoogle Scholar
Hollon, SD, Kendall, PC (1980). Cognitive self statements in depression: development of an automatic thoughts questionnaire. Cognitive Therapy Research 4, 383–395.CrossRefGoogle Scholar
Houck, PR, Spiegel, DA, Shear, MK, Rucci, P (2002). Reliability of the self report version of the panic disorder severity scale. Depression and Anxiety 15, 183–185.CrossRefGoogle ScholarPubMed
Hughes, M, Byrne, M, Synnott, J (2010). Prevalence of psychological distress in general practitioner adult attendees. Clinical Psychology Forum 206, 33–38.CrossRefGoogle Scholar
Jacobi, C, Morris, L, Beckers, C, Bronisch-Holtze, J, Winter, J, Winzelberg, AJ, Barr Taylor, C (2007). Maintenance of internet-based prevention: a randomized controlled trial. International Journal of Eating Disorders 40, 114–119.CrossRefGoogle ScholarPubMed
Jensen, MP, Turner, JA, Romano, JM, Strom, SE (1995). The chronic pain coping inventory: development and preliminary validation. Pain 60, 203–216.CrossRefGoogle ScholarPubMed
Kenardy, J, McCafferty, K, Rosa, V (2003). Internet-delivered indicated prevention for anxiety disorders: a randomized controlled trial. Behaviour Cognitive Psychotherapy 31, 279–289.CrossRefGoogle Scholar
Kenardy, J, McCafferty, K, Rosa, V (2006). Internet-delivered indicated prevention for anxiety disorders: six-month follow-up. Clinical Psychologist 10, 39–42.CrossRefGoogle Scholar
Kessler, RC, Andrews, G, Colpe, LJ, Mroczek, DK, Walters, EE, Zaslavsky, AM, Normand, S, Hiripi, E (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine 32, 959–976.CrossRefGoogle ScholarPubMed
Khawaja, NG, Oei, TPS, Baglioni, AJ (1994). Modification of the Catastrophic Cognitions Questionnaire (CCQ-M) for normals and patients: exploratory and LISREL analysis. Journal of Psychopathology Behavioural Assessment 16, 325–342.CrossRefGoogle Scholar
Killen, JD, Taylor, CB, Hayward, C, Wilson, DM, Haydel, F, Hammer, LD, Robinson, TN, Litt, I, Varady, A, Kraemer, H (1994). Pursuit of thinness and onset of eating disorder symptoms in a community sample of adolescent girls: a three-year prospective analysis. International Journal of Eating Disorders 16, 227–238.3.0.CO;2-L>CrossRefGoogle Scholar
Kroenke, K, Spitzer, RL, Williams, JB (2001). The PHQ-9. Validity of a brief depression severity measure. Journal of General Internal Medicine 16, 606–613.CrossRefGoogle ScholarPubMed
Leary, MR (1983). A brief version of the Fear of Negative Evaluation Scale. Personality & Social Psychology Bulletin 9, 371–375.CrossRefGoogle Scholar
Lewis, G (1994). Assessing psychiatric disorder with a human interviewer or a computer. Journal of Epidemiology and Community Health 48, 207–210.CrossRefGoogle ScholarPubMed
Lintvedt, OK, Griffiths, KM, Sørensen, K, Ostvik, AR, Wang, CE, Eisemann, M, Waterloo, K (2013). Evaluating the effectiveness and efficacy of unguided internet-based self-help intervention for the prevention of depression: a randomized controlled trial. Clinical Psychology and Psychotherapy 20, 10–27.CrossRefGoogle ScholarPubMed
Lovibond, SH, Lovibond, PF (1995). The structure of negative emotional states: comparison of the Depression Anxiety and Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research Therapy 33, 335–342.CrossRefGoogle ScholarPubMed
Mackinnon, A, Griffiths, KM, Christensen, H (2008). Comparative randomised trial of online cognitive–behavioural therapy and an information website for depression: 12-month outcomes. British Journal of Psychiatry 192, 130–134.CrossRefGoogle Scholar
March, S, Spence, SH, Donovan, CL (2009). The efficacy of an internet-based cognitive-behavioral therapy intervention for child anxiety disorders. Journal of Pediatric Psychology 34, 474–487 . doi:10.1093/jpepsy/jsn099.CrossRefGoogle ScholarPubMed
Marks, IM (1986). Behavioural Psychotherapy: Maudsley Pocket Book of Clinical Management. John Wright: Bristol.Google Scholar
Marks, IM, Kenwright, M, McDonough, M, Whittaker, M, Mataix-Cols, D (2004). Saving clinicians’ time by delegating routine aspects of therapy to a computer: a randomized controlled trial in phobia/panic disorder. Psychological Medicine 34, 9–18.CrossRefGoogle ScholarPubMed
Marks, IM, Mathews, AM (1979). Brief standard self-rating for phobic patients. Behaviour Research Therapy 23, 563–569.Google Scholar
Marsden, J, Gossop, M, Stewart, D, Best, D, Farrell, M, Lehmann, P, Edwards, C, Strang, J (1998). The Maudsley Addiction Profile (MAP): a brief instrument for assessing treatment outcome. Addiction 93, 1857–1867.CrossRefGoogle ScholarPubMed
Mataix-Cols, D, Cameron, R, Gega, L, Kenwright, M, Marks, IM (2006). Effect of referral source on outcome with cognitive-behavior therapy self-help. Comprehensive Psychiatry 47, 241–245.CrossRefGoogle ScholarPubMed
Mattick, RP, Clarke, JC (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research Therapy 36, 455–470.CrossRefGoogle ScholarPubMed
Meyer, B, Berger, T, Caspar, F, Beevers, CG, Andersson, G, Weiss, M (2009). Effectiveness of a novel integrative online treatment for depression (Deprexis): randomized controlled trial. Journal of Medical Internet Research 11, 1–18.CrossRefGoogle ScholarPubMed
Meyer, TJ, Miller, ML, Metzger, RL, Borkovec, TD (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research Therapy 28, 487–495.CrossRefGoogle ScholarPubMed
Morin, CM (1993). Insomnia: Psychological Assessment and Management. Guilford Press: New York.Google Scholar
National Institute for Health and Clinical Excellence (NICE) (2006). Computerised Cognitive Behaviour Therapy for Depression and Anxiety (Review of Technology Appraisal 51). Technology Appraisal 97. NICE: London.Google Scholar
National Institute for Health and Clinical Excellence (NICE) (2009). Depression. The Treatment and Management of Depression in Adults. CG 90. NICE: London.Google Scholar
National Institute for Health and Clinical Excellence (NICE) (2011). Generalised Anxiety Disorder and Panic Disorder (with or without Agoraphobia) in Adults. Management in Primary, Secondary and Community Care, CG 113. NICE: London.Google Scholar
Nicholas, MK (2007). The pain self-efficacy questionnaire: taking pain into account. European Journal of Pain 11, 153–163.CrossRefGoogle ScholarPubMed
Orioli, EM, Jaffe, DT, Scott, CD (1991). Stressmap: Personal Diary Edition. The Ultimate Stress Management, Self-Assessment, and Coping Guide, Developed by Essi Systems. (Expanded personal diary ed.) Newmarket Press: New York.Google Scholar
O'Shea, G, Byrne, M (in press). The Improving Access to Psychological Therapies (IAPT) programme – opportunity knocks? The Irish Psychologist.Google Scholar
Palermo, TM, Wilson, AC, Peters, M, Lewandowski, A, Somhegyi, H (2009). Randomized controlled trial of an internet delivered family cognitive behavioral therapy intervention for children and adolescents with chronic pain. Pain 146, 205–213.CrossRefGoogle ScholarPubMed
Palermo, TM, Witherspoon, D, Valenzuela, D, Drotar, D (2004). Development and validation of the child activity limitations interview: a measure of pain related functional impairment in school-age children and adolescents. Pain 109, 461–470.CrossRefGoogle ScholarPubMed
Perini, S, Titov, N, Andrews, G (2009). Clinician-assisted internet-based treatment is effective for depression: randomized controlled trial. Australian and New Zealand Journal of Psychiatry 43, 571–578.CrossRefGoogle ScholarPubMed
Peterson, RA, Reiss, S (1992). The Anxiety Sensitivity Index, 2nd edn. International Diagnostic Systems: Worthington, OH.Google Scholar
Postel, MG, de Haan, HA, ter Huurne, ED, Becker, ES, de Jong, CA (2010). Effectiveness of a web-based intervention for problem drinkers and reasons for dropout: randomized controlled trial. Journal of Medical Internet Research 12, 1–12.CrossRefGoogle ScholarPubMed
Proudfoot, J, Goldberg, AM, Everitt, B, Marks, I, Gray, JA (2003). Computerized, interactive, multimedia cognitive-behavioural program for anxiety and depression in general practice. Psychological Medicine 33, 217–227.CrossRefGoogle ScholarPubMed
Proudfoot, J, Ryden, C, Everitt, B, Shapiro, D, Goldberg, D, Mann, A, Tylee, A, Marks, I, Gray, JA (2004). Clinical efficacy of computerised cognitive-behavioural therapy for anxiety and depression in primary care: randomised controlled trial. British Journal of Psychiatry 185, 46–54.CrossRefGoogle ScholarPubMed
Randolf, LS (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement 1, 385–401.Google Scholar
Reynolds, CR, Richmond, BO (1985). The Revised Children's Manifest Anxiety Scale: Manual. Western Psychological Services: New York.Google Scholar
Ritterband, LM, Thorndike, FP, Gonder-Frederick, LA, Magee, JC, Bailey, ET, Saylor, DK, Morin, CM (2009). Efficacy of an internet-based behavioral intervention for adults with insomnia. Archives of General Psychiatry 66, 692–698.CrossRefGoogle ScholarPubMed
Robinson, E, Titov, N, Andrews, G, McIntyre, K, Schwenke, G, Solley, K (2010). Internet treatment for generalized anxiety disorder: a randomized controlled trial comparing clinician vs. technician assistance. PLoS ONE 5, e10942 . doi:10.1371/journal.pone.0010942.CrossRefGoogle ScholarPubMed
Rooke, S, Thorsteinsson, E, Karpin, A (2010). Computer-delivered interventions for alcohol and tobacco use: a meta-analysis. Addiction 105, 1381–1390.CrossRefGoogle ScholarPubMed
Sanchez-Ortiz, VC, Munro, C, Stahl, D, House, J, Startup, H, Treasure, J, Williams, C, Schmidt, U (2011). A randomized controlled trial of internet-based cognitive-behavioural therapy for bulimia nervosa or related disorders in a student population. Psychological Medicine 41, 407–417.CrossRefGoogle ScholarPubMed
Saunders, JB, Aasland, OG, Babor, TF, de la Fuente, JR, Grant, M (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption. Addiction 88, 791–804.CrossRefGoogle ScholarPubMed
Schneider, AJ, Mataix-Cols, D, Marks, IM, Bachofen, M (2005). Internet-guided self-help with or without exposure therapy for phobic and panic disorders. A randomised controlled trial. Psychotherapy Psychosomatics 74, 154–164.CrossRefGoogle ScholarPubMed
Sethi, S, Campbell, AJ, Ellis, LA (2010). The use of computerized self-help packages to treat adolescent depression and anxiety. Journal of Technology Human Service 28, 144–160.CrossRefGoogle Scholar
SilverCloud [homepage on the internet] (2012). http://www.silvercloudhealth.com/index.html. Accessed 10 April 2012.Google Scholar
Silverman, WK, Albano, AM (1996). Anxiety Disorders Interview Schedule for Children for DSM-IV: Child and Parent Versions. The Psychological Corporation: San Antonio, TX.Google Scholar
Spek, V, Cuijpers, P, Nyklicek, I, Riper, H, Keyzer, J, Pop, V (2007). Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: a meta-analysis. Psychological Medicine 37, 319–328 . doi:10.1017/S0033291706008944.CrossRefGoogle ScholarPubMed
Spence, SH (1998). A measure of anxiety symptoms among children. Behaviour Research Therapy 36, 545–566.CrossRefGoogle ScholarPubMed
Spence, SH (1999). Spence Children's Anxiety Scale (parent version). University of Queensland: Brisbane.Google Scholar
Spence, SH, Donovan, CL, March, S, Gamble, A, Anderson, RE, Prosser, S, Kenardy, J (2011). A randomized controlled trial of online versus clinic-based CBT for adolescent anxiety. Journal of Consulting and Clinical Psychology 79, 629–642.CrossRefGoogle ScholarPubMed
Spence, SH, Holmes, JM, March, S, Lipp, OV (2006). The feasibility and outcome of clinic plus internet delivery of cognitive-behavior therapy for childhood anxiety. Journal of Consulting and Clinical Psychology 74, 614–621.CrossRefGoogle ScholarPubMed
Spence, J, Titov, N, Dear, BF, Johnston, L, Solley, K, Lorian, C, Wootton, B, Zou, J, Schwenke, G (2011). A randomized controlled trial of internet-based cognitive behavioural therapy for posttraumatic stress disorder. Depression and Anxiety 28, 541–550.CrossRefGoogle ScholarPubMed
Spitzer, RL, Kroenke, K, Williams, JB (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA 282, 1737–1744.CrossRefGoogle ScholarPubMed
Spitzer, RL, Kroenke, K, Williams, JB, Lowe, B (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine 166, 1092–1097.CrossRefGoogle ScholarPubMed
Spring, B (2007). Evidence-based practice in clinical psychology: what it is, why it matters; what you need to know. Journal of Clinical Psychology 63, 611–631.CrossRefGoogle ScholarPubMed
Stunkard, AJ, Messick, S (1985). The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. Journal of Psychosomatic Research 29, 71–83.CrossRefGoogle ScholarPubMed
Sullivan, MJ, Bishop, SR, Pivik, J (1995). The Pain Catastrophizing Scale: development and validation. Psychological Assessment 7, 524–532.CrossRefGoogle Scholar
Tedstone Doherty, D, Moran, R, Kartalova-O'Doherty, Y (2008). Psychological Distress, Mental Health Problems and Use of Health Services in Ireland. Health Research Board (HRB) Research Series 5. HRB: Dublin.Google Scholar
Titov, N, Andrews, G, Choi, I, Schwencke, G, Mahoney, A (2008). Shyness 3: randomized controlled trial of guided versus unguided internet-based CBT for social phobia. Australian and New Zealand Journal of Psychiatry 42, 1030–1040.CrossRefGoogle ScholarPubMed
Titov, N, Andrews, G, Davies, M, McIntyre, K, Robinson, E, Solley, K (2010). Internet treatment for depression: a randomized controlled trial comparing clinician vs. technician assistance. PLoS ONE 5, e10939.CrossRefGoogle ScholarPubMed
Titov, N, Andrews, G, Johnston, L, Robinson, E, Spence, J (2010). Transdiagnostic internet treatment for anxiety disorders: a randomized controlled trial. Behaviour Research Therapy 48, 890–899.CrossRefGoogle ScholarPubMed
Titov, N, Andrews, G, Robinson, E, Schwenke, G, Johnston, L, Solley, K, Choi, I (2009). Clinician-assisted internet-based treatment is effective for generalized anxiety disorder: randomized controlled trial. Australian and New Zealand Journal of Psychiatry 43, 905–912.CrossRefGoogle Scholar
Titov, N, Andrews, G, Schwencke, G (2008). Shyness 2: treating social phobia online: replication and extension. Australian and New Zealand Journal of Psychiatry 42, 595–605.CrossRefGoogle ScholarPubMed
Titov, N, Andrews, G, Schwencke, G, Drobny, J, Einstein, D (2008). Shyness 1: distance treatment for social over the internet. A randomized controlled trial. Australian and New Zealand Journal of Psychiatry 42, 585–594.CrossRefGoogle Scholar
Titov, N, Dear, BF, Schwencke, G, Andrews, G, Johnston, L, Craske, M, McEvoy, P (2011). Transdiagnostic Internet treatment of anxiety and depression: a randomised controlled trial. Behaviour Research Therapy 49, 441–452.CrossRefGoogle ScholarPubMed
Twomey, C, Byrne, M (2012). Beat the blues with brief psychological therapies. Forum (ICGP) 29, 45–47.Google Scholar
Varni, JW (1998). Pediatric Quality of Life Inventory (Version 4.0). Mapi Research Institute: Lyon, France.Google Scholar
Wade, AG (2010). Use of the internet to assist in the treatment of depression and anxiety: a systematic review. Primary Care Companion to the Journal of Clinical Psychiatry 12. Published online 24 November 2009. PCC.09r00876 . doi:10.4088/PCC.09r00876blu.Google ScholarPubMed
Watson, D, Friend, R (1969). Measurement of social evaluative anxiety. Journal of Consulting and Clinical Psychology 33, 448–457.CrossRefGoogle ScholarPubMed
Weathers, FW, Litz, BT, Herman, DS, Huska, JA, Keane, TM (1993). The PTSD checklist (PCL): Reliability, validity, and diagnostic utility. Paper presented at the 9th Annual Meeting of the International Society for Traumatic Stress Studies, San Antonio, TX.Google Scholar
Wims, E, Titov, N, Andrews, G, Choi, I (2010). Clinician-assisted internet-based treatment is effective for panic: a randomized controlled trial. Australian and New Zealand Journal of Psychiatry 44, 599–607.CrossRefGoogle ScholarPubMed