Overcoming death anxiety: a phase I trial of an online CBT program in a clinical sample

Background:Growing research indicates that death anxiety is implicated in many mental health conditions. This increasing evidence highlights a need for scalable, accessible and cost-effective psychological interventions to reduce death anxiety. Aims:The present study outlines the results of a phase I trial for one such treatment: Overcome Death Anxiety (ODA). ODA is the first CBT-based online intervention for fears of death, and is an individualised program requiring no therapist guidance. Method:A sample of 20 individuals with various mental health diagnoses commenced the ODA program. Death anxiety was assessed at baseline and at post-intervention. Depression, anxiety and stress were also measured. Results:In total, 50% (10/20) reached the end of the program and completed post-treatment questionnaires. Of these, 60% (6/10) showed a clinically reliable reduction in their overall death anxiety, and 90% (9/10) showed a reduction on at least one facet of death anxiety. There were no adverse events noted. Conclusions:ODA appears to be a safe and potentially effective treatment for death anxiety. The findings have provided initial evidence to support a randomised controlled trial using a larger sample, to further examine the efficacy of ODA.

Automated summary

Growing evidence suggests that death anxiety is associated with various mental health conditions. Therefore, there is a need for scalable, accessible and cost-effective psychological interventions to reduce death anxiety. The present study examines the effectiveness of a CBT-based online intervention called Overcome Death Anxiety (ODA) and provides initial evidence to support further research.