1,404
Views
17
CrossRef citations to date
0
Altmetric
Articles

Web-based CBT for the prevention of anxiety symptoms among medical and health science graduate students

ORCID Icon, ORCID Icon, ORCID Icon & ORCID Icon
Pages 385-405 | Received 03 Nov 2017, Accepted 27 Sep 2018, Published online: 11 Dec 2018

References

  • Adams, J. (2004). Straining to describe and tackle stress in medical students. Medical Education, 38(5), 463–464. doi:10.1111/j.1365-2929.2004.01810.x
  • Adelman, C. B., Panza, K. E., Bartley, C. A., Bontempo, A., & Bloch, M. H. (2014). A meta-analysis of computerized cognitive-behavioral therapy for the treatment of DSM-5 anxiety disorders. Journal of Clinical Psychiatry, 75, 695–704. doi:10.4088/JCP.13r08894
  • Andersson, G., Cuijpers, P., Carlbring, P., Riper, H., & Hedman, E. (2014). Guided internet‐based vs. face‐to‐face cognitive behavior therapy for psychiatric and somatic disorders: A systematic review and meta‐analysis. World Psychiatry, 13(3), 288–295. doi:10.1002/wps.20151
  • Beresin, E. V., Milligan, T. A., Balon, R., Coverdale, J. H., Louie, A. K., & Roberts, L. W. (2016). Physician wellbeing: A critical deficiency in resilience education and training. Academic Psychiatry, 40, 9–12. doi:10.1007/s40596-015-0475-x
  • Brimstone, R., Thistlethwaite, J. E., & Quirk, F. (2007). Behaviour of medical students in seeking mental and physical health care: Exploration and comparison with psychology students. Medical Education, 41, 74–83. doi:10.1111/j.1365-2929.2006.02649.x
  • Calear, A. L., & Christensen, H. (2010). Review of internet-based prevention and treatment programs for anxiety and depression in children and adolescents. Medical Journal of Australia, 192(11), S12–S14.
  • Cannon, D. S., Tiffany, S. T., Coon, H., Scholand, M. B., McMahon, W. M., & Leppert, M. F. (2007). The PHQ-9 as a brief assessment of lifetime major depression. Psychological Assessment, 19, 247–251. doi:10.1037/1040-3590.19.2.247
  • Chew-Graham, C. A., Rogers, A., & Yassin, N. (2003). ‘I wouldn’t want it on my CV or their records’: Medical students’ experiences of help-seeking for mental health problems. Medical Education, 37, 873–880.
  • Christensen, H., Batterham, P., Mackinnon, A., Griffiths, K. M., Hehir, K. K., Kenardy, J., … Bennett, K. (2014). Prevention of generalized anxiety disorder using a web intervention, iChill: Randomized controlled trial. Journal of Medical Internet Research, 16(9), e199. doi:10.2196/jmir.3507
  • Christensen, H., Griffiths, K. M., & Korten, A. (2002). Web-based cognitive behavior therapy: Analysis of site usage and changes in depression and anxiety scores. Journal of Medical Internet Research, 4(1), e3. doi:10.2196/jmir.4.1.e3
  • Christensen, H., Leach, L. S., Barney, L., Mackinnon, A. J., & Griffiths, K. M. (2006). The effect of web based depression interventions on self-reported help seeking: Randomised controlled trial [ISRCTN77824516]. BMC Psychiatry, 6(4), 1–11. doi:10.1186/1471-244X-6-1
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, MI: Erlbaum.
  • Conley, C. S., Shapiro, J. B., Kirsch, A. C., & Durlak, J. A. (2017). A meta-analysis of indicated mental health prevention programs for at-risk higher education students. Journal of Counseling Psychology, 64(2), 121–140. doi:10.1037/cou0000190
  • Cuijpers, P., Marks, I. M., van Straten, A., Cavanagh, K., Gega, L., & Andersson, G. (2009). Computer‐aided psychotherapy for anxiety disorders: A meta‐analytic review. Cognitive Behaviour Therapy, 38(2), 66–82. doi:10.1080/16506070802694776
  • Cukrowicz, K. C., & Joiner, T. E. (2007). Computer-based intervention for anxious and depressive symptoms in a non-clinical population. Cognitive Therapy and Research, 31(5), 677–693. doi:10.1007/s10608-006-9094-x
  • Deady, M., Choi, I., Calvo, R. A., Glozier, N., Christensen, H., & Harvey, S. B. (2017). eHealth interventions for the prevention of depression and anxiety in the general population: A systematic review and meta-analysis. BMC Psychiatry, 17, 310. doi:10.1186/s12888-017-1489-6
  • DiMatteo, M. R., Lepper, H. S., & Croghan, T. W. (2000). Depression is a risk factor for noncompliance with medical treatment: Meta-analysis of the effects of anxiety and depression on patient adherence. Archives of Internal Medicine, 160(14), 2101–2107. doi:10.1001/archinte.160.14.2101
  • Dunn, L. B., Iglewicz, A., & Moutier, C. (2008). A conceptual model of medical student well-being: Promoting resilience and preventing burnout. Academic Psychiatry, 32, 44–53. doi:10.1176/appi.ap.32.1.44
  • Dyrbye, L. N., Thomas, M. R., Huntington, J. L., Lawson, K. L., Novotny, P. J., Sloan, J. A., & Shanafelt, T. D. (2006). Personal life events and medical student burnout: A multicenter study. Academic Medicine, 81(4), 374–384. doi:10.1097/00001888-200604000-00010
  • Dyrbye, L. N., Thomas, M. R., & Shanafelt, T. D. (2006). Systematic review of depression, anxiety, and other indicators of psychological distress among US and Canadian medical students. Academic Medicine, 81(4), 354–373. doi:10.1097/00001888-200604000-00009
  • Ebert, D. D., Cuijpers, P., Muñoz, R. F., & Baumeister, H. (2017). Prevention of mental health disorders using internet-and mobile-based interventions: A narrative review and recommendations for future research. Frontiers in Psychiatry, 8, 116. doi:10.3389/fpsyt.2017.00297
  • Enns, M. W., Cox, B. J., Sareen, J., & Freeman, P. (2001). Adaptive and maladaptive perfectionism in medical students: A longitudinal investigation. Medical Education, 35(11), 1034–1042.
  • Farrer, L. M., Griffiths, K. M., Christensen, H., Mackinnon, A. J., & Batterham, P. J. (2014). Predictors of adherence and outcome in internet-based cognitive behavior therapy delivered in a telephone counseling setting. Cognitive Therapy and Research, 38(3), 358–367. doi:10.1007/s10608-013-9589-1
  • Griffiths, K. M., Farrer, L., & Christensen, H. (2010). The efficacy of internet interventions for depression and anxiety disorders: A review of randomised controlled trials. Medical Journal of Australia, 192(11), S4–S11.
  • Guille, C., Zhao, Z., Krystal, J., Nichols, B., Brady, K., & Sen, S. (2015). Web-based cognitive behavioral therapy intervention for the prevention of suicidal ideation in medical interns: A randomized clinical trial. JAMA Psychiatry, 72(12), 1192–1198. doi:10.1001/jamapsychiatry.2015.1880
  • Gulliver, A., Griffiths, K. M., & Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: A systematic review. BMC Psychiatry, 10, 113. doi:10.1186/1471-244X-10-113
  • Henkel, V., Mergl, R., Kohnen, R., Allgaier, A. K., Möller, H. J., & Hegerl, U. (2004). Use of brief depression screening tools in primary care: Consideration of heterogeneity in performance in different patient groups. General Hospital Psychiatry, 26(3), 190–198. doi:10.1016/j.genhosppsych.2004.04.005
  • Hyun, J. K., Quinn, B. C., Madon, T., & Lustig, S. (2006). Graduate student mental health: Needs assessment and utilization of counseling services. Journal of College Student Development, 47(3), 247–266. doi:10.1353/csd.2006.0030
  • Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19. doi:10.1037/0022-006X.59.1.12
  • Kenardy, J., McCafferty, K., & Rosa, V. (2006). Internet‐delivered indicated prevention for anxiety disorders: Six‐month follow‐up. Clinical Psychologist, 10, 39–42. doi:10.1080/13284200500378746
  • Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ‐9. Journal of General Internal Medicine, 16(9), 606–613. doi:10.1046/j.1525-1497.2001.016009606.x
  • Kroenke, K., Spitzer, R. L., Williams, J. B., Monahan, P. O., & Löwe, B. (2007). Anxiety disorders in primary care: Prevalence, impairment, comorbidity, and detection. Annals of Internal Medicine, 146(5), 317–325. doi:10.7326/0003-4819-146-5-200703060-00004
  • Levine, R. E., Breitkopf, C. R., Sierles, F. S., & Camp, G. (2003). Complications associated with surveying medical student depression. Academic Psychiatry, 27(1), 12–18. doi:10.1176/appi.ap.27.1.12
  • Löwe, B., Decker, O., Müller, S., Brähler, E., Schellberg, D., Herzog, W., & Herzberg, P. Y. (2008). Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Medical Care, 46(3), 266–274. doi:10.1097/MLR.0b013e31817c6100
  • Löwe, B., Kroenke, K., Herzog, W., & Gräfe, K. (2004). Measuring depression outcome with a brief self-report instrument: Sensitivity to change of the Patient Health Questionnaire (PHQ-9). Journal of Affective Disorders, 81, 61–66. doi:10.1016/S0165-0327(03)00171-X
  • Martin, A., Rief, W., Klaiberg, A., & Braehler, E. (2006). Validity of the brief patient health questionnaire mood scale (PHQ-9) in the general population. General Hospital Psychiatry, 28, 71–77. doi:10.1016/j.genhosppsych.2005.07.003
  • Mazzola, J. J., Walker, E. J., Shockley, K. M., & Spector, P. E. (2011). Examining stress in graduate assistants: Combining qualitative and quantitative survey methods. Journal of Mixed Methods Research, 5(3), 198–211. doi:10.1177/1558689811402086
  • McLean, C. P., & Anderson, E. R. (2009). Brave men and timid women? A review of the gender differences in fear and anxiety. Clinical Psychology Review, 29(6), 496–505. doi:10.1016/j.cpr.2009.05.003
  • Moreno-Peral, P., Conejo-Cerón, S., Rubio-Valera, M., Fernández, A., Navas-Campaña, D., Rodríguez-Morejón, A., … Rodríguez-Bayón, A. (2017). Effectiveness of psychological and/or educational interventions in the prevention of anxiety: A systematic review, meta-analysis, and meta-regression. JAMA Psychiatry, 74(10), 1021–1029. doi:10.1001/jamapsychiatry.2017.2509
  • Morris, S. B., & DeShon, R. P. (2002). Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs. Psychological Methods, 7, 105–125. doi: 10.1037//1082-989X.7.1.105
  • Mousa, O. Y., Dhamoon, M. S., Lander, S., & Dhamoon, A. S. (2016). The MD blues: Under-recognized depression and anxiety in medical trainees. PloS one, 11(6), e0156554. doi:10.1371/journal.pone.0156554
  • Mouthaan, J., Sijbrandij, M., De Vries, G. J., Reitsma, J. B., Van de Schoot, R., Goslings, J. C., … Olff, M. (2013). Internet-based early intervention to prevent posttraumatic stress disorder in injury patients: Randomized controlled trial. Journal of Medical Internet Research, 15(8), e:165. doi:10.2196/jmir.2460
  • Musiat, P., Conrod, P., Treasure, J., Tylee, A., Williams, C., & Schmidt, U. (2014). Targeted prevention of common mental health disorders in university students: Randomised controlled trial of a transdiagnostic trait-focused web-based intervention. PLoS One, 9(4), e93621. doi:10.1371/journal.pone.0093621
  • Myers, S. B., Sweeney, A. C., Popick, V., Wesley, K., Bordfeld, A., & Fingerhut, R. (2012). Self-care practices and perceived stress levels among psychology graduate students. Training and Education in Professional Psychology, 6, 55–66. doi:10.1037/a0026534
  • Neil, A. L., Batterham, P., Christensen, H., Bennett, K., & Griffiths, K. M. (2009). Predictors of adherence by adolescents to a cognitive behavior therapy website in school and community-based settings. Journal of Medical Internet Research, 11(1), e6. doi:10.2196/jmir.1050
  • Novotney, A. (2014). Students under pressure. Monitor on Psychology, 45. Retrieved from http://www.apa.org/monitor/2014/09/cover-pressure.aspx
  • Oswalt, S. B., & Riddock, C. C. (2007). What to do about being overwhelmed: Graduate students, stress and university services. College Student Affairs Journal, 27, 24–44.
  • Palmqvist, B., Carlbring, P., & Andersson, G. (2007). Internet-delivered treatments with or without therapist input: Does the therapist factor have implications for efficacy and cost? Expert Review of Pharmacoeconomics & Outcomes Research, 7(3), 291–297. doi:10.1586/14737167.7.3.291
  • Pine, D. S., Cohen, P., Gurley, D., Brook, J., & Ma, Y. (1998). The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Archives of General Psychiatry, 55, 56–64. doi:10.1001/archpsyc.55.1.56
  • Powell, J., Hamborg, T., Stallard, N., Burls, A., McSorley, J., Bennett, K., … Christensen, H. (2013). Effectiveness of a web-based cognitive-behavioral tool to improve mental well-being in the general population: Randomized controlled trial. Journal of Medical Internet Research, 15, e2. doi:10.2196/jmir.2240
  • Rakesh, G., Pier, K., & Costales, T. L. (2017). A call for action: Cultivating resilience in healthcare providers. American Journal of Psychiatry Residents’ Journal, 12(4), 3–5. doi:10.1176/appi.ajp-rj.2017.120402
  • Reavley, N., & Jorm, A. F. (2010). Prevention and early intervention to improve mental health in higher education students: A review. Early Intervention in Psychiatry, 4(2), 132–142. doi:10.1111/(ISSN)1751-7893
  • Roberge, P., Fournier, L., Duhoux, A., Nguyen, C. T., & Smolders, M. (2011). Mental health service use and treatment adequacy for anxiety disorders in Canada. Social Psychiatry and Psychiatric Epidemiology, 46(4), 321–330. doi:10.1007/s00127-009-0179-1
  • Sánchez-Gutiérrez, T., Barbeito, S., & Calvo, A. (2017). A revision of preventive web-based psychotherapies in subjects at risk of mental disorders. International Journal of Interactive Multimedia & Artificial Intelligence, 4(5), 50–54. doi:10.9781/ijimai.2017.459
  • Sander, L., Rausch, L., & Baumeister, H. (2016). Effectiveness of internet-based interventions for the prevention of mental disorders: A systematic review and meta-analysis. JMIR Mental Health, 3(3), e38. doi:10.2196/mental.6061
  • Sareen, J., Jagdeo, A., Cox, B. J., Clara, I., Ten Have, M., Belik, S. L., … Stein, M. B. (2007). Perceived barriers to mental health service utilization in the United States, Ontario, and the Netherlands. Psychiatric Services, 58(3), 357–364. doi:10.1176/ps.2007.58.9.1181
  • Spek, V., Cuijpers, P. I. M., Nyklíček, 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(3), 319–328. doi:10.1017/S0033291706008944
  • Spitzer, R. L., Kroenke, K., Williams, J. B., & Patient Health Questionnaire Primary Care Study Group. (1999). Validation and utility of a self-report version of PRIME-MD The PHQ primary care study. JAMA, 282(18), 1737–1744. doi:10.1001/jama.282.18.1737
  • Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097. doi:10.1001/archinte.166.17.1863
  • Stecker, T. (2004). Well‐being in an academic environment. Medical Education, 38(5), 465–478. doi: 10.1046/j.1365-2929.2004.01812.x
  • Thompson, A., Hunt, C., & Issakidis, C. (2004). Why wait? Reasons for delay and prompts to seek help for mental health problems in an Australian clinical sample. Social Psychiatry and Psychiatric Epidemiology, 39(10), 810–817. doi:10.1007/s00127-004-0816-7
  • Tjia, J., Givens, J. L., & Shea, J. A. (2005). Factors associated with undertreatment of medical student depression. Journal of American College Health, 53(5), 219–224. doi:10.3200/JACH.53.5.219-224
  • Twomey, C., & O’Reilly, G. (2017). Effectiveness of a freely available computerised cognitive behavioural therapy programme (MoodGYM) for depression: Meta-analysis. Australian & New Zealand Journal of Psychiatry, 51(3), 260–269. doi:10.1177/0004867416656258
  • Tyssen, R., Dolatowski, F. C., Røvik, J. O., Thorkildsen, R. F., Ekeberg, Ø., Hem, E., … Vaglum, P. (2007). Personality traits and types predict medical school stress: A six‐year longitudinal and nationwide study. Medical Education, 41(8), 781–787. doi:10.1111/j.1365-2923.2007.02802.x
  • Wang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005). Twelve-month use of mental health services in the United States: Results from the national comorbidity survey replication. Archives of General Psychiatry, 62(6), 629–640. doi:10.1001/archpsyc.62.6.629

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.