Internet-Based Cognitive Behavior Therapy in The Treatment of Anxiety Disorders

Öz

The increased acceptance of internet as a common social tool, allows the internet to be used as a tool in psychological care. The continuous change and development of the area of online communication has made it easier to access online training opportunities for mental health professionals, increased the use of computers for therapeutic interventions. When we look to the internet-based therapeutic interventions, they can also be provided in different formats, as well as in face-to-face therapy. Web pages, self-help materials, robotic-softwares, virtual-applications and therapist-assisted online psychotherapy applications provided via e-mail, video-calls and telephone in various conditions are used for Internet-based Cognitive Behavioral Therapy (iCBT). In this study, intervention methods, ethical principles and effectiveness of iCBT interventions effectiveness and pros and cons are discussed in Anxiety Disorders (Social Anxiety Disorder, Panic Disorder/Agoraphobia, Generalized Anxiety Disorder, Specific Phobia). In this context, traditional face-to-face CBT interventions and iCBT interventions are compared in the scope of the research. According to this review; iCBT applications, has shown a widespread increasing in the use of treatment of social anxiety disorder, panic disorder (with or without agoraphobia), anxiety disorder and specific phobia. Internet-based, therapist-assisted CBT applications and therapist-assisted group practices are considered to be the recent term alternative of traditional face-to-face therapies in the treatment of anxiety disorders. In this review, evidence-based iCBT intervention, which is effective and acceptable an innovative method, has the potential to spread rapidly throughout the world because of being accessible to many people who cannot receive psychological services and being cost effective.

Anahtar Kelimeler

• Internet Based Therapy,Cognitive Behavioral Therapy,Online Therapy,Anxiety Disorders

Anksiyete Bozukluklarının Tedavisinde İnternet Tabanlı Bilişsel Davranışçı Terapi Uygulamaları

Öz

İnternetin yaygın bir sosyal araç olarak kabul edilebilirliğinin artması, internetin psikolojik tedavide bir araç olarak kullanılmasına olanak sağlamıştır. Çevrimiçi iletişim alanının sürekli değişmesi ve gelişmesi ruh sağlığı uzmanlarının çevrimiçi eğitim olanaklarına ulaşmalarını kolaylaştırmış, terapötik müdahaleler için bilgisayarların kullanımını arttırmıştır. İnternet tabanlı sağlanan terapötik müdahalelere baktığımızda yüz yüze terapide olduğu gibi, internet tabanlı terapötik müdahaleler de farklı formatlarda sağlanabilir. Özel tasarlanmış web sayfaları, kendi kendine yardım materyalleri, robot yazılımlar, sanal uygulamalar ve çeşitli koşullarda e-posta, görüntülü konuşmalar ve telefon yoluyla sağlanan terapist destekli çevrimiçi psikoterapi uygulamaları, internet tabanlı Bilişsel Davranışçı Terapi (BDT) için kullanılmaktadır. Bu çalışmada internet tabanlı BDT uygulamalarının Anksiyete Bozukluklarındaki (Toplumsal Kaygı Bozukluğu, Panik Bozukluğu/Agorafobi, Yaygın Kaygı Bozukluğu ve Özgül Fobi) müdahale yöntemleri, etik prensipleri ve uygulama etkililiği, avantaj ve dezavantajları ele alınmıştır. Bu bağlamda araştırma kapsamında internet tabanlı bilişsel davranışçı psikoterapi uygulamaları ile geleneksel yüz yüze BDT müdahaleleri karşılaştırılmıştır. Yapılan derleme; internet tabanlı bilişsel davranışçı psikoterapi uygulamalarının sosyal anksiyete bozukluğunun, panik bozukluğunun (agorafobili veya agorafobisiz), yaygın kaygı bozukluğunun ve özgül fobinin tedavisinde kullanımının giderek arttığını göstermiştir. Anksiyete bozukluklarının tedavisinde internet tabanlı, terapist destekli BDT uygulamaları ve terapist destekli grup uygulamaları; geleneksel yüz yüze terapilerin son dönem alternatifi olarak değerlendirilmiştir. Yapılan bu derlemede, kanıta dayalı internet tabanlı BDT müdahalelerinin, psikolojik hizmet alamayan birçok kişiye erişilebilir olması, düşük maliyetli, etkili ve kabul edilebilir yenilikçi bir yöntem olması sebebiyle dünyada hızla yayılma potansiyeline sahip olduğu görülmüştür.  

Anahtar Kelimeler

• İnternet Tabanlı Terapi,Bilişsel Davranışçı Terapi,Çevrimiçi Terapi,Anksiyete Bozuklukları

Kaynakça

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