Mostrar el registro sencillo del ítem

Internet-delivered cognitive behavior therapy versus treatment as usual for anxiety and depression among Latin American university students: a randomized clinical trial

dc.creatorBenjet, Corinaes_ES
dc.creatorAlbor, Yesicaes_ES
dc.creatorAlvis-Barranco, Libiaes_ES
dc.creatorContreras-Ibáñez, Carlos C.es_ES
dc.creatorCuartas, Ginaes_ES
dc.creatorCudris-Torres, Lorenaes_ES
dc.creatorGonzález, Noées_ES
dc.creatorCortés-Morelos, Jacquelinees_ES
dc.creatorGutierrez-Garcia, Raúl A.es_ES
dc.creatorMedina-Mora, María Elenaes_ES
dc.creatorPatiño, Pamelaes_ES
dc.creatorVargas-Contreras, Eunicees_ES
dc.creatorCuijpers, Pimes_ES
dc.creatorGildea, Sarah M.es_ES
dc.creatorKazdin, Alan E.es_ES
dc.creatorKennedy, Chris J.es_ES
dc.creatorLuedtke, Alexes_ES
dc.creatorSampson, Nancy A.es_ES
dc.creatorPetukhova, Maria V.es_ES
dc.creatorZainal, Nur Hanies_ES
dc.creatorKessler, Ronald C.es_ES
dc.date2023
dc.date.accessioned2025-02-20T16:42:46Z
dc.date.available2025-02-20T16:42:46Z
dc.date.issued2023
dc.identifierJC09DIEP23es_ES
dc.identifier.issn0022-006X
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/8219
dc.identifier.urihttps://doi.org/10.1037/ccp0000846
dc.identifier.urihttps://pmc.ncbi.nlm.nih.gov/articles/PMC11078571/
dc.descriptionObjective: Untreated mental disorders are important among low- and middle-income country (LMIC) university students in Latin America, where barriers to treatment are high. Scalable interventions are needed. This study compared transdiagnostic self-guided and guided internet-delivered cognitive behavioral therapy (i-CBT) with treatment as usual (TAU) for clinically significant anxiety and depression among undergraduates in Colombia and Mexico. Method: 1,319 anxious, as determined by the Generalized Anxiety Disorder-7 (GAD-7) = 10+ and/or depressed, as determined by the Patient Health Questionnaire-9 (PHQ-9) = 10+, undergraduates (mean [SD] age = 21.4 [3.2]); 78.7% female; 55.9% first-generation university student) from seven universities in Colombia and Mexico were randomized to culturally adapted versions of self-guided i-CBT (n = 439), guided i-CBT (n = 445), or treatment as usual (TAU; n = 435). All randomized participants were reassessed 3 months after randomization. The primary outcome was remission of both anxiety (GAD-7 = 0-4) and depression (PHQ-9 = 0-4). We hypothesized that remission would be higher with guided i-CBT than with the other interventions. Results: Intent-to-treat analysis found significantly higher adjusted (for university and loss to follow-up) remission rates (ARD) among participants randomized to guided i-CBT than either self-guided i-CBT (ARD = 13.1%, χ12 = 10.4, p = .001) or TAU (ARD = 11.2%, χ12 = 8.4, p = .004), but no significant difference between self-guided i-CBT and TAU (ARD = -1.9%, χ12 = 0.2, p = .63). Per-protocol sensitivity analyses and analyses of dimensional outcomes yielded similar results. Conclusions: Significant reductions in anxiety and depression among LMIC university students could be achieved with guided i-CBT, although further research is needed to determine which students would most likely benefit from this intervention. (PsycInfo Database Record (c) 2023 APA, all rights reserved).es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherAmerican Psychological Associationes_ES
dc.relation91(12):694-707
dc.rightsAcceso Cerradoes_ES
dc.titleInternet-delivered cognitive behavior therapy versus treatment as usual for anxiety and depression among Latin American university students: a randomized clinical triales_ES
dc.typeArtículoes_ES
dc.contributor.affiliationCenter for Global Mental Health, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
dc.contributor.emailcbenjet@gmail.com (Corina Benjet)
dc.relation.jnabreviadoJ CONSULT CLIN PSYCHOL
dc.relation.journalJournal of Consulting and Clinical Psychology
dc.identifier.placeEstados Unidos
dc.date.published2023
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1939-2117
dc.identifier.doi10.1037/ccp0000846
dc.subject.kwAnxiety
dc.subject.kwDepression
dc.subject.kwDigital mental health intervention
dc.subject.kwInternet-delivered cognitive behavioral therapy
dc.subject.kwRandomized clinical trial


Ficheros en el ítem

FicherosTamañoFormatoVer

No hay ficheros asociados a este ítem.

Este ítem aparece en la(s) siguiente(s) colección(ones)

Mostrar el registro sencillo del ítem