Internet cognitive-behavioural treatment for panic disorder: Randomised controlled trial and evidence of effectiveness in primary care

Adrian R Allen; Jill M Newby; Anna Mackenzie; J Smith; Matthew Boulton; Siobhan Loughnan; Gavin Andrews

doi:10.1192/bjpo.bp.115.001826

Back

Internet cognitive-behavioural treatment for panic disorder: Randomised controlled trial and evidence of effectiveness in primary care

Journal article

Open access

Peer reviewed

Internet cognitive-behavioural treatment for panic disorder: Randomised controlled trial and evidence of effectiveness in primary care

Adrian R Allen, Jill M Newby, Anna Mackenzie, J Smith, Matthew Boulton, Siobhan Loughnan and Gavin Andrews

BJ Psych Open, Vol.2(2), pp.154-162

2016

DOI: https://doi.org/10.1192/bjpo.bp.115.001826

Files and links (2)

pdf

PDF - Published Version (Open Access)121.78 kBDownload View

Published VersionPDF - Published Version (Open Access)CC BY-NC-ND V4.0, Open Access

url

https://doi.org/10.1192/bjpo.bp.115.001826View

Published Version

Abstract

Background: Internet cognitive-behavioural therapy (iCBT) for panic disorder of up to 10 lessons is well established. The utility of briefer programmes is unknown. Aims: To determine the efficacy and effectiveness of a five-lesson iCBT programme for panic disorder. Method: Study 1 (efficacy): Randomised controlled trial comparing active iCBT (n=27) and waiting list control participants (n=36) on measures of panic severity and comorbid symptoms. Study 2 (effectiveness): 330 primary care patients completed the iCBT programme under the supervision of primary care practitioners. Results: iCBT was significantly more effective than waiting list control in reducing panic (g=0.97, 95% CI 0.34 to 1.61), distress (g=0.92, 95% CI 0.28 to 1.55), disability (g=0.81, 95% CI 0.19 to 1.44) and depression (g=0.79, 95% CI 0.17 to 1.41), and gains were maintained at 3 months post-treatment (iCBT group). iCBT remained effective in primary care, but lower completion rates were found (56.1% in study 2 v. 63% in study 1). Adherence appeared to be related to therapist contact. Conclusions: The five-lesson Panic Program has utility for treating panic disorder, which translates to primary care. Adherence may be enhanced with therapist contact.

Details

Title: Internet cognitive-behavioural treatment for panic disorder: Randomised controlled trial and evidence of effectiveness in primary care
Authors: Adrian R Allen (Author) - University of New South Wales
Jill M Newby (Author) - University of New South Wales
Anna Mackenzie (Author) - University of New South Wales
J Smith (Author) - University of New South Wales
Matthew Boulton (Author) - University of New South Wales
Siobhan Loughnan (Author) - University of New South Wales
Gavin Andrews (Author) - University of New South Wales
Publication details: BJ Psych Open, Vol.2(2), pp.154-162
Publisher: Cambridge University Press
Date published: 2016
DOI: 10.1192/bjpo.bp.115.001826
ISSN: 2056-4724
Copyright note: Copyright © The Royal College of Psychiatrists 2016. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Organisation Unit: School of Social Sciences - Legacy; University of the Sunshine Coast, Queensland
Language: English
Record Identifier: 99451380502621
Output Type: Journal article

Metrics

18 File views/ downloads

123 Record Views

32 Times Cited - Web of Science

See more details

InCites Highlights

These are selected metrics from InCites Benchmarking & Analytics tool, related to this output

Collaboration types: Domestic collaboration
Web Of Science research areas: Psychiatry

UN Sustainable Development Goals (SDGs)

This output has contributed to the advancement of the following goals:

Source: InCites