Cochrane · systematic review · CD011565
Therapist‐supported Internet cognitive behavioural therapy for anxiety disorders in adults
Olthuis, JV, Watt, MC, Bailey, K, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
18
current version
GRADE rated
12
No studies
1
Included studies
NR
No studies 1 · 5.6%Ungraded 5 · 27.8%Very low 4 · 22.2%Low 7 · 38.9%Moderate 1 · 5.6%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Show all 2 versionsTherapist‐supported ICBT compared to waiting list, attention, information, or online discussion group only control for anxiety disorders in adults
Population: patients with anxiety disorders
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Clinically important improvement in anxiety at post‐treatment Indexed by a standardized interview or clinically accepted measure cut‐off score1 Therapist‐supported ICBT vs waiting list, attention, information, or online discussion group only control | RR 3.75 [2.51, 5.6] | 12 studies · 866 participants | Low Downgraded: risk of bias, inconsistency, publication bias |
Disorder‐specific anxiety symptom severity at post‐treatment Indexed by a range of disorder‐specific self‐report measures Therapist‐supported ICBT vs waiting list, attention, information, or online discussion group only control | no estimate extracted | 28 studies · 2147 participants | Low Downgraded: risk of bias, inconsistency |
General anxiety symptom severity at post‐treatment Indexed by a range of measures of anxiety symptoms in general Therapist‐supported ICBT vs waiting list, attention, information, or online discussion group only control | no estimate extracted | 19 studies · 1496 participants | Low Downgraded: risk of bias, inconsistency |
Quality of life at post‐treatment Indexed by self‐report measures of quality of life or functional disability Therapist‐supported ICBT vs waiting list, attention, information, or online discussion group only control | no estimate extracted | 23 studies · 1639 participants | Moderate Downgraded: risk of bias |
Adverse events at post‐treatment not reported Therapist‐supported ICBT vs waiting list, attention, information, or online discussion group only control | no estimate extracted | 0 studies · 0 participants | Ungraded |
Participant satisfaction Indexed by a mix of qualitative and quantitative self‐report measures Therapist‐supported ICBT vs waiting list, attention, information, or online discussion group only control | no estimate extracted | 0 studies · 13 participants | Ungraded |
Therapist‐supported ICBT compared to unguided CBT for anxiety disorders in adults
Population: patients with anxiety disorders
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Clinically important improvement in anxiety at post‐treatment Indexed by a standardized interview or clinically accepted measure cut‐off score1 Therapist‐supported ICBT vs unguided CBT | no estimate extracted | 1 study · 54 participants | Very low Downgraded: risk of bias, imprecision |
Disorder‐specific anxiety symptom severity at post‐treatment Indexed by a range of disorder‐specific self‐report measures Therapist‐supported ICBT vs unguided CBT | no estimate extracted | 5 studies · 312 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
General anxiety symptom severity at post‐treatment Indexed by a range of measures of anxiety symptoms in general Therapist‐supported ICBT vs unguided CBT | no estimate extracted | 2 studies · 138 participants | Very low Downgraded: risk of bias, imprecision |
Quality of life at post‐treatment Indexed by self‐report measures of quality of life or functional disability Therapist‐supported ICBT vs unguided CBT | no estimate extracted | 3 studies · 199 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Adverse events at post‐treatment not reported Therapist‐supported ICBT vs unguided CBT | no estimate extracted | 0 studies · 0 participants | Ungraded |
Participant satisfaction Indexed by a mix of qualitative and quantitative self‐report measures Therapist‐supported ICBT vs unguided CBT | no estimate extracted | 0 studies · 2 participants | Ungraded |
Therapist‐supported ICBT compared to face‐to‐face CBT for anxiety disorders in adults
Population: adults with anxiety disorders
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Clinically important improvement in anxiety at post‐treatment Indexed by a standardized interview or clinically accepted measure cut‐off score1 Therapist‐supported ICBT vs face‐to‐face CBT | RR 1.09 [0.89, 1.34] | 4 studies · 365 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Disorder‐specific anxiety symptom severity at post‐treatment Indexed by a range of disorder‐specific self‐report measures Therapist‐supported ICBT vs face‐to‐face CBT | no estimate extracted | 7 studies · 450 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
General anxiety symptom severity at post‐treatment Indexed by a range of measures of anxiety symptoms in general Therapist‐supported ICBT vs face‐to‐face CBT | no estimate extracted | 6 studies · 343 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Quality of life at post‐treatment Indexed by self‐report measures of quality of life or functional disability Therapist‐supported ICBT vs face‐to‐face CBT | no estimate extracted | 5 studies · 392 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Adverse events at post‐treatment ‐ not reported Therapist‐supported ICBT vs face‐to‐face CBT | no estimate extracted | NR | No studies |
Participant satisfaction Indexed by a mix of qualitative and quantitative self‐report measures Therapist‐supported ICBT vs face‐to‐face CBT | no estimate extracted | 0 studies · 2 participants | Ungraded |