Overcoming death anxiety: a phase I trial of an online CBT program in a clinical sample

Behav Cogn Psychother. 2023 Jul;51(4):374-379. doi: 10.1017/S135246582300005X. Epub 2023 Mar 24.

Abstract

Background: Growing research indicates that death anxiety is implicated in many mental health conditions. This increasing evidence highlights a need for scalable, accessible and cost-effective psychological interventions to reduce death anxiety.

Aims: The present study outlines the results of a phase I trial for one such treatment: Overcome Death Anxiety (ODA). ODA is the first CBT-based online intervention for fears of death, and is an individualised program requiring no therapist guidance.

Method: A sample of 20 individuals with various mental health diagnoses commenced the ODA program. Death anxiety was assessed at baseline and at post-intervention. Depression, anxiety and stress were also measured.

Results: In total, 50% (10/20) reached the end of the program and completed post-treatment questionnaires. Of these, 60% (6/10) showed a clinically reliable reduction in their overall death anxiety, and 90% (9/10) showed a reduction on at least one facet of death anxiety. There were no adverse events noted.

Conclusions: ODA appears to be a safe and potentially effective treatment for death anxiety. The findings have provided initial evidence to support a randomised controlled trial using a larger sample, to further examine the efficacy of ODA.

Keywords: cognitive behaviour therapy; death anxiety; internet; online; transdiagnostic.

Publication types

  • Clinical Trial, Phase I

MeSH terms

  • Anxiety / diagnosis
  • Anxiety / therapy
  • Anxiety Disorders / therapy
  • Cognitive Behavioral Therapy* / methods
  • Humans
  • Internet
  • Surveys and Questionnaires
  • Treatment Outcome