Psychology Ph.D. Dissertations


A Randomized Controlled Evaluation of a Spiritually Integrated Cognitive Behavioral Intervention for Sub-Clinical Anxiety among Jews, Delivered via the Internet

Date of Award


Document Type


Degree Name

Doctor of Philosophy (Ph.D.)



First Advisor

Kenneth I. Pargament, PhD

Second Advisor

Annette M. Mahoney, PhD (Committee Member)

Third Advisor

Dale S. Klopfer, PhD (Committee Member)

Fourth Advisor

Timothy S. Murnen, PhD (Committee Member)


This study evaluated the efficacy of a spiritually integrated, cognitive behavioral treatment program (SI-CBT) for sub-clinical anxiety, delivered via the internet. One-hundred and twenty-five Jewish individuals reporting elevated levels of stress and worry received SI-CBT, progressive muscle relaxation (PMR), or a waitlist control condition (WLC). SI-CBT and PMR participants accessed on-line treatment on a daily basis for a period of 2-weeks. All participants completed self-report assessments at pre- and post-treatment and 6-8 week follow-up. SI-CBT participants reported greater belief in treatment credibility, expectancies from treatment, and treatment satisfaction than PMR participants. SI-CBT participants reported greater treatment gains in both primary outcomes (stress and worry), one of two secondary outcomes (intolerance of uncertainty), and two of five spiritual outcomes (positive religious coping and mistrust in God) compared to the WLC group, whereas PMR and WLC participants did not differ on these outcomes.