Effect of Internet vs Face-to-Face Cognitive Behavior Therapy for Health Anxiety (JAMA)

Karen Clemmer 9/3/208:23 PM

By Erland Axelsson, PhD^1,2; Erik Andersson, PhD¹; Brjánn Ljótsson, PhD^1,3; et al

JAMA Psychiatry. 2020;77(9):915-924. doi:10.1001/jamapsychiatry.2020.0940

Question In the treatment of health anxiety, can internet-delivered cognitive behavior therapy lead to comparable effects as conventional face-to-face cognitive behavior therapy while using less resources?

Findings This randomized noninferiority clinical trial in a primary care setting included 204 adults with a principal diagnosis of health anxiety. Internet-delivered cognitive behavior therapy was found to be noninferior to face-to-face cognitive behavior therapy while generating lower net societal costs.

Meaning As internet-delivered cognitive behavior therapy is not inferior to face-to-face cognitive behavior therapy and requires little resources, the online treatment format should be considered a first-line intervention for health anxiety.

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