Publications by authors named "N V Titov"

Background: Internet-delivered cognitive behaviour therapy (ICBT) is an accessible and effective treatment option for post-secondary students, but engagement and completion rates are less favourable than in non-student populations in routine care. Studies on students' treatment preferences suggest that a range of options should be offered. Examining students' engagement and outcomes associated with ICBT course options of varying durations can help inform how to optimally deliver ICBT to university students in routine care.

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Objectives: Patients with obsessive-compulsive disorder (OCD) face multiple barriers when accessing treatment and rarely receive best-practice cognitive behaviour therapy (CBT) when they seek help. Remote treatments, such as internet-delivered CBT (ICBT), enhance access to evidence-based treatments. To date, no known studies have examined the reasons individuals seek remote treatment over traditional in-person treatment for OCD.

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Article Synopsis
  • University students experience high levels of psychological distress, prompting the need for accessible mental health treatments, particularly through internet-delivered therapies like internet-delivered cognitive behavioural therapy (iCBT).
  • This study aimed to evaluate the effectiveness and acceptability of a brief iCBT program offered by an Australian university's counseling service, assessing its impact on anxiety and depression over a five-year period with 845 students involved.
  • Results showed significant reductions in symptoms of depression (27% decrease) and anxiety (37% decrease), with over 70% of participants expressing high satisfaction and more than 50% reporting significant improvement by the end of the treatment.
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Article Synopsis
  • - Psychological distress is common among university students, leading to poor performance and higher dropout rates, which has increased interest in internet-delivered therapies.
  • - A study in New Zealand investigated a five-week internet cognitive behavioural therapy (iCBT) program offered by a university counseling service to assess its acceptability and effectiveness for addressing anxiety and depression among students.
  • - Results showed that 839 students participated, with significant reductions in depression (35%) and anxiety (36%) symptoms, high satisfaction levels (>60%), and less than 10% experiencing symptom worsening, supporting iCBT as a viable option for routine care.
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Objectives: Self-guided internet-delivered cognitive behaviour therapy (ICBT) is an effective treatment for obsessive-compulsive disorder (OCD); however, there is little research investigating who dropouts of treatment. Therefore, the aim of this study was to conduct an exploratory study of predictors of dropout in self-guided ICBT for OCD. Given that definitions of dropout vary across ICBT studies, we conceptualized dropout in multiple ways: (1) early dropout (proportion of participants who did not complete the pre-treatment questionnaires); (2) proportion of participants who did not commence the intervention; (3) proportion of participants who did not complete the treatment; and (4) proportion of participants who did not complete the post-treatment questionnaires.

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