Individually tailored Internet-delivered cognitive-behavioral therapy for survivors of intimate partner violence: A randomized controlled pilot trial
Intimate partner violence (IPV) is a serious public health concern worldwide and defined as behavior performed by spouses or other intimate partners that causes physical, sexual, or psychological harm. Internet-delivered cognitive-behavioral therapy (ICBT) may be particularly useful for survivors of...
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doaj-43e3515968b54fa3bcae332057ae43222021-09-17T04:36:16ZengElsevierInternet Interventions2214-78292021-12-0126100453Individually tailored Internet-delivered cognitive-behavioral therapy for survivors of intimate partner violence: A randomized controlled pilot trialGerhard Andersson0Elin Olsson1Emma Ringsgård2Therese Sandgren3Ida Viklund4Catja Andersson5Ylva Hesselman6Robert Johansson7Lise Bergman Nordgren8Benjamin Bohman9Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden; Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden; Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden; Corresponding author at: Department of Behavioural Sciences and Learning, Linköping University, SE-581 83 Linköping, Sweden.Department of Behavioural Sciences and Learning, Linköping University, Linköping, SwedenDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, SwedenDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, SwedenDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, SwedenDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, SwedenDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, SwedenDepartment of Psychology, Stockholm University, Stockholm, SwedenUniversity Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, SwedenCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Stockholm, SwedenIntimate partner violence (IPV) is a serious public health concern worldwide and defined as behavior performed by spouses or other intimate partners that causes physical, sexual, or psychological harm. Internet-delivered cognitive-behavioral therapy (ICBT) may be particularly useful for survivors of IPV for several reasons, including barriers pertaining to limited community recourses and treatment availability, safety concerns, and issues of stigma, guilt and shame, which may prevent members of this population from seeking help via face-to-face interactions. However, Internet interventions are lacking. The primary aim of the present randomized controlled pilot trial was to explore the feasibility of ICBT as guided self-help individually tailored to the predominant symptomatology of PTSD or depression in survivors of IPV. A second aim was to conduct a preliminary evaluation exploring the short- and long-term effects of the treatment in comparison to a waitlist control condition. Results showed that the treatment was feasible. Attrition rate was low (9.4%), and participants were satisfied with treatment. However, treatment adherence was moderate in terms of completed modules (62.5%). Results of the preliminary evaluation of treatment effects showed large and statistically significant between-group effect sizes (Cohen's d = 0.86–1.08) on some measures of PTSD and depression at post assessment, favoring the treatment condition. However, there were no effects on other measures. At follow-up assessment, when the control condition had received delayed treatment, there were large and statistically significant within-group effect sizes (d = 0.96–1.48) on measures of PTSD, depression and anxiety, and small effects (d = 0.48) on a measure of quality of life. The results of the present pilot study are promising and warrant further research on ICBT for this population.http://www.sciencedirect.com/science/article/pii/S2214782921000932Intimate partner violencePosttraumatic stress disorderDepressionCognitive-behavioral therapyInternet-delivered treatment |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gerhard Andersson Elin Olsson Emma Ringsgård Therese Sandgren Ida Viklund Catja Andersson Ylva Hesselman Robert Johansson Lise Bergman Nordgren Benjamin Bohman |
spellingShingle |
Gerhard Andersson Elin Olsson Emma Ringsgård Therese Sandgren Ida Viklund Catja Andersson Ylva Hesselman Robert Johansson Lise Bergman Nordgren Benjamin Bohman Individually tailored Internet-delivered cognitive-behavioral therapy for survivors of intimate partner violence: A randomized controlled pilot trial Internet Interventions Intimate partner violence Posttraumatic stress disorder Depression Cognitive-behavioral therapy Internet-delivered treatment |
author_facet |
Gerhard Andersson Elin Olsson Emma Ringsgård Therese Sandgren Ida Viklund Catja Andersson Ylva Hesselman Robert Johansson Lise Bergman Nordgren Benjamin Bohman |
author_sort |
Gerhard Andersson |
title |
Individually tailored Internet-delivered cognitive-behavioral therapy for survivors of intimate partner violence: A randomized controlled pilot trial |
title_short |
Individually tailored Internet-delivered cognitive-behavioral therapy for survivors of intimate partner violence: A randomized controlled pilot trial |
title_full |
Individually tailored Internet-delivered cognitive-behavioral therapy for survivors of intimate partner violence: A randomized controlled pilot trial |
title_fullStr |
Individually tailored Internet-delivered cognitive-behavioral therapy for survivors of intimate partner violence: A randomized controlled pilot trial |
title_full_unstemmed |
Individually tailored Internet-delivered cognitive-behavioral therapy for survivors of intimate partner violence: A randomized controlled pilot trial |
title_sort |
individually tailored internet-delivered cognitive-behavioral therapy for survivors of intimate partner violence: a randomized controlled pilot trial |
publisher |
Elsevier |
series |
Internet Interventions |
issn |
2214-7829 |
publishDate |
2021-12-01 |
description |
Intimate partner violence (IPV) is a serious public health concern worldwide and defined as behavior performed by spouses or other intimate partners that causes physical, sexual, or psychological harm. Internet-delivered cognitive-behavioral therapy (ICBT) may be particularly useful for survivors of IPV for several reasons, including barriers pertaining to limited community recourses and treatment availability, safety concerns, and issues of stigma, guilt and shame, which may prevent members of this population from seeking help via face-to-face interactions. However, Internet interventions are lacking. The primary aim of the present randomized controlled pilot trial was to explore the feasibility of ICBT as guided self-help individually tailored to the predominant symptomatology of PTSD or depression in survivors of IPV. A second aim was to conduct a preliminary evaluation exploring the short- and long-term effects of the treatment in comparison to a waitlist control condition. Results showed that the treatment was feasible. Attrition rate was low (9.4%), and participants were satisfied with treatment. However, treatment adherence was moderate in terms of completed modules (62.5%). Results of the preliminary evaluation of treatment effects showed large and statistically significant between-group effect sizes (Cohen's d = 0.86–1.08) on some measures of PTSD and depression at post assessment, favoring the treatment condition. However, there were no effects on other measures. At follow-up assessment, when the control condition had received delayed treatment, there were large and statistically significant within-group effect sizes (d = 0.96–1.48) on measures of PTSD, depression and anxiety, and small effects (d = 0.48) on a measure of quality of life. The results of the present pilot study are promising and warrant further research on ICBT for this population. |
topic |
Intimate partner violence Posttraumatic stress disorder Depression Cognitive-behavioral therapy Internet-delivered treatment |
url |
http://www.sciencedirect.com/science/article/pii/S2214782921000932 |
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