Journal
PSYCHOTHERAPY
Volume 58, Issue 4, Pages 591-601Publisher
AMER PSYCHOLOGICAL ASSOC, DIV PSYCHOTHERAPY
DOI: 10.1037/pst0000383
Keywords
Internet intervention; India; generalized anxiety disorder; university students
Categories
Funding
- Stanford University School of Medicine's Behavioral Medicine Lab
- Birla Institute of Technology and Science
- BITS Alumni Association International
- Vignana Jyothi Society
- Birla Institute of Technology
- Science Alumni Association
- Sierra Atlantic
- Bachem Chemicals
- Crest Asset Management
- Orbis Real Estate
- Ventureast Fund Advisors India Limited
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Internet-delivered, guided self-help appears to be an efficacious and feasible intervention for treating generalized anxiety disorder symptoms among university students in India. Participants who received guided self-help showed significantly greater reductions in symptoms compared to those in the waitlist control group. Further research should evaluate the scalability and efficacy of this intervention.
Clinical Impact Statement Question: Can Internet-delivered, guided self-help be used to treat generalized anxiety disorder symptoms among university students in India? Findings: Participants who received guided self-help recorded high levels of program usage and had significantly greater symptom reductions than participants in the waitlist control group. Meaning: Internet-delivered, guided self-help appears to be an efficacious and feasible method for treating generalized anxiety disorder symptoms in India's university student population. Next Steps: Research should evaluate the feasibility and efficacy of Internet-delivered guided self-help for university students in India delivered at a larger scale and in comparison with existing treatment options. Online guided self-help may be an effective and scalable intervention for symptoms of generalized anxiety disorder (GAD) among university students in India. Based on an online screen for GAD administered at 4 Indian universities, 222 students classified as having clinical (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, criteria) or subthreshold (Generalized Anxiety Disorder Questionnaire, Fourth Edition, score >= 5.7) GAD were randomly assigned to receive either 3 months of guided self-help cognitive-behavioral therapy (n = 117) or a waitlist control condition (n = 105). Guided self-help participants recorded high program usage on average across all participants enrolled (M = 9.99 hr on the platform; SD = 20.87). Intent-to-treat analyses indicated that participants in the guided self-help condition experienced significantly greater reductions than participants in the waitlist condition on GAD symptom severity (d = -.40), worry (d = -.43), and depressive symptoms (d = -.53). No usage variables predicted symptom change in the guided self-help condition. Participants on average reported that the program was moderately helpful, and a majority (82.1%) said they would recommend the program to a friend. Guided self-help appears to be a feasible and efficacious intervention for university students in India who meet clinical or subthreshold GAD criteria. The trial is registered with ClinicalTrials.gov (NCT02410265).
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