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Internet-delivered exposure therapy versus internet-delivered cognitive behavioral therapy for panic disorder: A pilot randomized controlled trial
- Source :
- Journal of Anxiety Disorders. 79:102382
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Aim To compare the efficacy and acceptability of internet-delivered exposure therapy for panic disorder, to multi-component internet-delivered cognitive behavioral therapy (iCBT) that included controlled breathing, cognitive restructuring and exposure. Methods Participants with panic disorder, with or without agoraphobia, were randomized to internet-delivered exposure therapy (n = 35) or iCBT (n = 34). Both programs were clinician guided, with six lessons delivered over eight weeks. Outcomes included panic disorder and agoraphobia symptom severity, as well as depression symptom severity, functional impairment and days out of role. Results Participants in both conditions displayed a large reduction in panic disorder symptom severity (ds >1.30) from pre- to post-treatment. Participants in both conditions displayed medium to large reduction in agoraphobia and depression symptom severity, functional impairment and days out of role. Effects were maintained at three- and six-month follow-up. There was no significant difference between the interventions in clinical outcomes, adherence or treatment satisfaction. Conclusions Internet-delivered exposure therapy appeared to be as acceptable and efficacious as more established iCBT, despite including less strategies. However, a fully powered replication is now needed to compare the two approaches.
- Subjects :
- 050103 clinical psychology
medicine.medical_specialty
medicine.medical_treatment
Exposure therapy
Psychological intervention
Implosive Therapy
Pilot Projects
behavioral disciplines and activities
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
medicine
Humans
0501 psychology and cognitive sciences
Depression (differential diagnoses)
Internet
Cognitive Behavioral Therapy
Cognitive restructuring
Panic disorder
05 social sciences
medicine.disease
030227 psychiatry
Cognitive behavioral therapy
Psychiatry and Mental health
Clinical Psychology
Treatment Outcome
Physical therapy
Panic Disorder
Psychology
Agoraphobia
Subjects
Details
- ISSN :
- 08876185
- Volume :
- 79
- Database :
- OpenAIRE
- Journal :
- Journal of Anxiety Disorders
- Accession number :
- edsair.doi.dedup.....583bbb277d0e7c778ab1947aac45fcbf