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Transdiagnostic internet cbt for mixed anxiety and depressive: Results from a feasibility study in primary care

Published online by Cambridge University Press:  13 August 2021

P. Roberge ,
H.-M. Vasiliadis ,
A. Lesage ,
R. Labelle ,
H. Haskelberg ,
J. Grenier ,
M. Drapeau  and
M.D. Provencher
P. Roberge*
Affiliation:
Department Of Family And Emergency Medicine, Université de Sherbrooke, Sherbrooke, Canada
H.-M. Vasiliadis
Affiliation:
Department Of Community Health Sciences, Université de Sherbrooke, Longueuil, Canada
A. Lesage
Affiliation:
Psychiatry, Université de Montréal, Montreal, Canada
R. Labelle
Affiliation:
Psychology, Université du Québec à Montréal, Montreal, Canada
H. Haskelberg
Affiliation:
Clinical Research Unit For Anxiety And Depression, St. Vincent’s Hospital, Syndney, Australia
J. Grenier
Affiliation:
Institut Du Savoir Montfort, Hôpital Montfort, Ottawa, Canada
M. Drapeau
Affiliation:
Educational And Counselling Psychology, McGill University, Montreal, Canada
M.D. Provencher
Affiliation:
School Of Psychology, Université Laval, Québec, Canada
*
*Corresponding author.

Abstract

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Introduction

In response to the treatment gap for anxiety and depressive disorders, psychological treatments with innovative modalities and high implementation potential are essential. Internet CBT (iCBT) is a cost/effective approach that could improve access to a low-intensity evidence-based CBT intervention.

Objectives

To assess the feasibility and acceptability of the French adaptation of the physician-prescribed six-lesson This Way Up transdiagnostic iCBT program for mixed anxiety and depressive disorders developed in Australia.

Methods

Feasibility study with pre- post-intervention evaluations, including an embedded qualitative study in Family Medicine Groups (Quebec, Canada). Inclusion criteria comprise a family physician diagnosis of Major Depression, Panic Disorder, Agoraphobia, Social Anxiety Disorder or Generalized Anxiety Disorder. Primary self-reported outcomes: PHQ-9 (depression) and GAD-7 (anxiety); secondary measures include diagnostic-specific scales and health service utilisation.

Results

Family physicians (N=21) from five Family Medicine Groups prescribed iCBT to 45 patients (30 women, 15 men; mean age = 39.7), 31 initiated the program. To date, 20 patients completed 5 or 6 lessons, nine completed between 2 and 4. Intervention and post-treatment assessments are ongoing, results forthcoming. Results of semi-structured interviews with patients (N=15) and family physicians (ongoing) on iCBT acceptability indicate it is beneficial, practical and easy to use. Program adherence requires patient readiness and determination and could be fostered by motivational support from clinicians.

Conclusions

Results support this French iCBT program’s scaling-up potential to contribute to reducing the gap in evidence-based treatments for common mental disorders. Its implementation in primary care could improve the effectiveness, efficiency and equity to a rapidly accessible treatment.

Keywords

Digital therapyanxiety and depressive disordersprimary careCognitive-Behaviour Therapy
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S347
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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