Cited by 224Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and ApplicationsMental Health Treatment and Access

The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.

Dissemination of cognitive-behavioral treatments for anxiety disorders: Overcoming barriers and improving patient access

Gunter, Raymond W., Whittal, Maureen L.·2010·Clinical Psychology Review

DOI 10.1016/j.cpr.2009.11.001

Open this paper in CoChat — free account

Abstract

Cognitive-behavioral therapies for anxiety disorders are highly efficacious (e.g., Butler, Chapman, Forman, & Beck, 2006; Deacon & Abramowitz, 2004). These treatments nevertheless remain underutilized and difficult to access for many of the patients who suffer from these conditions (e.g., Norton & Hope, 2005). We identify various barriers to the wide-scale dissemination of these treatments, including those that are applicable to empirically supported treatments more generally (e.g., lack of training opportunities, failure to address practitioner concerns) as well as those that may be relatively specific to CBT for anxiety disorders (e.g., practitioner concerns around using exposure interventions). We offer suggestions for overcoming these barriers, including specific guidance about continued accumulation of a supportive research base, making the appeals that are necessary to obtain required funding and organizational support, and the training of practitioners to deliver these treatments. Advocates of CBT for anxiety disorders will need to demonstrate that these treatments are cost effective, if wide-scale dissemination is to occur. In the United States, advocacy with third party payers will also be necessary. Although providing such steps may prove to be a difficult endeavour, the patients who stand to benefit from this work deserve nothing less.

Integrity signals

Registry

Crossref · 10.1016/j.cpr.2009.11.001

Cites

0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Prevalence, Severity, and Comorbidity of 12-Month DSM-IV Disorders in the National Comorbidity Survey Replication
Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.617 · Cited by 12,052
Empirically supported psychological interventions: Controversies and evidence
Chambless, D. L., & Ollendick, T. H. (2001) · Annual Review of Psychology · doi:10.1146/annurev.psych.52.1.685 · Cited by 2,097
Treatment of posttraumatic stress disorder in rape victims: a comparison between cognitive-behavioral procedures and counseling
Foa, E. B., Rothbaum, B. O., Riggs, D. S., & Murdock, T. B. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.59.5.715 · Cited by 1,444
The economic burden of anxiety disorders in the 1990s
Greenberg, P. E., Sisitsky, T., Kessler, R. C., Finkelstein, S. N., Berndt, E. R., Davidson, J. R. T., Ballenger, J. C., & Fyer, A. J. (1999) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v60n0702 · Cited by 1,242 · cited 1×
“For example, Greenberg et al. (1999) estimated the annual cost of anxiety disorders in the United States to be approximately $42.3 billion.”
BackgroundInfluential
The quality of care for depressive and anxiety disorders in the United States
Young, A. S., Klap, R., Sherbourne, C. D., & Wells, K. B. (2001) · Archives of General Psychiatry · doi:10.1001/archpsyc.58.1.55 · Cited by 1,061
A survey of psychologists’ attitudes towards and utilization of exposure therapy for PTSD
Becker, C. B., Zayfert, C., & Anderson, E. (2004) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(03)00138-4 · Cited by 759
A Meta-Analytic Review of Adult Cognitive-Behavioral Treatment Outcome Across the Anxiety Disorders
Norton, P. J., & Price, E. C. (2007) · Journal of Nervous & Mental Disease · doi:10.1097/01.nmd.0000253843.70149.9a · Cited by 612 · cited 1×
“Fortunately, anxiety disorders are responsive to cognitive-behavioral treatments (Norton, 2009), with the efficacy of these treatments having been demonstrated across the major anxiety disorder diagnoses (e.g., Butler et al., 2006; Chambless & Ollendick, 2001; Norton & Price 2007).”
Background
Improving access to psychological therapy: initial evaluation of two UK demonstration sites
Clark, D. M., Layard, R., Smithies, R., Richards, D. A., Suckling, R., & Wright, B. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.07.010 · Cited by 599
Mind the gap: improving the dissemination of CBT
Shafran, R., Clark, D. M., Fairburn, C. G., Arntz, A., Barlow, D. H., Ehlers, A., Freeston, M., Garety, P. A., Hollon, S. D., Ost, L. G., et al. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.07.003 · Cited by 569
Utilising survey data to inform public policy: Comparison of the cost-effectiveness of treatment of ten mental disorders
Andrews, G., Issakidis, C., Sanderson, K., Corry, J., & Lapsley, H. (2004) · British Journal of Psychiatry · doi:10.1192/bjp.184.6.526 · Cited by 560 · cited 2×
“It is also crucial that the evidence base include data on cost effectiveness (e.g., Andrews et al., 2004).”
Background

Show all 0 references

Research works printed but not linked: 28

Addis, 2002, Methods for disseminating research products and increasing evidence-based practice: Promises, obstacles, and future directions, Clinical Psychology: Science and Practice, 9, 367
Andrews, 2009, Hit and miss: Innovation and the dissemination of evidence based psychological treatments, Behaviour Research and Therapy, 47, 974, 10.1016/j.brat.2009.07.007 · DOI
Backer, 1986, Dissemination and adoption of innovative psychosocial interventions, Journal of Consulting and Clinical Psychology, 54, 111, 10.1037/0022-006X.54.1.111 · DOI
Barlow, 1981, On the relation of clinical research to clinical practice: Current issues, new directions, Journal of Consulting and Clinical Psychology, 49, 147, 10.1037/0022-006X.49.2.147 · DOI
Barlow, 1999, The dissemination of empirically supported treatments: A view to the future, Behaviour Research and Therapy, 37, S147, 10.1016/S0005-7967(99)00054-6 · DOI · Paper page
Brown, 1995, Diagnostic comorbidity in panic disorder: Effects on treatment outcome and course of comorbid diagnoses following treatment, Journal of Consulting and Clinical Psychology, 63, 408, 10.1037/0022-006X.63.3.408 · DOI · Paper page
Butler, 2006, The empirical status of cognitive-behavioral therapy: A review of meta-analyses, Clinical Psychology Review, 26, 17, 10.1016/j.cpr.2005.07.003 · DOI · Paper page
Calhoun, 1998, Empirically-supported treatments: Implications for training, Journal of Consulting and Clinical Psychology, 66, 151, 10.1037/0022-006X.66.1.151 · DOI
Ellard, K. A., Fairholme, C. P., Boisseau, C. L., Farchione, T. J., & Barlow, D. H. (in press). Unified Protocol for the transdiagnostic treatment of emotional disorders: Protocol development and initial outcome data. Cognitive and Behavioral Practice.
Feeny, 2003, Myths regarding exposure therapy for PTSD, Cognitive and Behavioral Practice, 10, 85, 10.1016/S1077-7229(03)80011-1 · DOI
Gauthier, 2004, The costs of anxiety disorders and their treatment: A commentary, Canadian Psychology, 45, 219, 10.1037/h0086989 · DOI
Harris, M. L. (2004, March). Empirically supported treatments and alternative methods. Paper presented at the Christian Association for Psychological Studies, International Conference, St. Petersburg, FL.
Henry, 1993, The effects of training in time-limited dynamic psychotherapy: Changes in therapist behavior, Journal of Consulting and Clinical Psychology, 61, 434, 10.1037/0022-006X.61.3.434 · DOI
Howard, 1999, Treatment of anxiety disorders: Does specialty training help?, Professional Psychology: Research and Practice, 30, 470, 10.1037/0735-7028.30.5.470 · DOI
Lepine, 2002, The epidemiology of anxiety disorders: Prevalence and social costs, Journal of Clinical Psychiatry, 63, 4
Luborsky, 1985, Therapist success and its determinants, Archives of General Psychiatry, 42, 602, 10.1001/archpsyc.1985.01790290084010 · DOI
Navdeep, 2009, Effectiveness of brief cognitive-behavioral therapy for schizophrenia delivered by mental health nurses: Relapse and recovery at 24months, Journal of Clinical Psychiatry, 70, 201, 10.4088/JCP.07m03990 · DOI
Norton, 2005, Preliminary evaluation of a broad-spectrum cognitive-behavioral group therapy for anxiety, Journal of Behavior Therapy and Experimental Psychiatry, 36, 79, 10.1016/j.jbtep.2004.07.002 · DOI · Paper page
Otto, 2000, Empirically supported treatment for panic disorder: Costs, benefits, and stepped care, Journal of Consulting and Clinical Psychology, 68, 556, 10.1037/0022-006X.68.4.556 · DOI
Rachman, 2008, Expansion in the provision of psychological treatment in the United Kingdom, Behaviour Research and Therapy, 46, 293, 10.1016/j.brat.2008.01.005 · DOI
Radomsky, 2001, Cognitive-behavioral therapy for social anxiety disorder, Psychiatric Clinics of North America, 24, 805, 10.1016/S0193-953X(05)70264-1 · DOI
Roberge, 2004, Evaluation economique de la therapie cognitivo-comportementale des troubles anxieux, Psychologie canadienne, 45, 202, 10.1037/h0086988 · DOI
Ruzek, J. I., & Rosen, R. C. (2009). Disseminating evidence-based treatments for PTSD in organizational settings: A high priority focus area. Behaviour Research and Therapy, 47, 980–989. · DOI
Sanders, 2005, Reflections on the challenges of effective dissemination of behavioural family intervention: Our experience with the Triple P—Positive Parenting Program, Child and Adolescent Mental Health, 10, 158, 10.1111/j.1475-3588.2005.00367.x · DOI
Stuart, 2000, Effectiveness of an empirically based treatment for panic disorder delivered in a service clinic setting: 1-year follow-up, Journal of Consulting and Clinical Psychology, 68, 506, 10.1037/0022-006X.68.3.506 · DOI
Warren, 2001, Cognitive-behavior therapy of obsessive–compulsive disorder in private practice: An effectiveness study, Journal of Anxiety Disorders, 15, 277, 10.1016/S0887-6185(01)00063-9 · DOI
Wilson, 1998, Manual-based treatment and clinical practice, Clinical Psychology: Science and Practice, 5, 363
Woody, 2005, Empirically supported treatments: 10years later, The Clinical Psychologist, 58, 5

Sorted by citations

Can smartphone mental health interventions reduce symptoms of anxiety? A meta-analysis of randomized controlled trials
Firth, J., Torous, J., Nicholas, J., Carney, R., Rosenbaum, S., & Sarris, J. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.04.046 · Cited by 675
Exercise as Treatment for Anxiety: Systematic Review and Analysis
Stonerock, G. L., Hoffman, B. M., Smith, P. J., & Blumenthal, J. A. (2015) · Annals of Behavioral Medicine · doi:10.1007/s12160-014-9685-9 · Cited by 363
“Although CBT also has empirical support as a structured intervention for anxiety disorders, access can be limited by a myriad of factors, including availability of trained providers and economical considerations [32].”
Background
Attention bias modification for social anxiety: A systematic review and meta-analysis
Heeren, A., Mogoașe, C., Philippot, P., & McNally, R. J. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.06.001 · Cited by 312
Moving to Beat Anxiety: Epidemiology and Therapeutic Issues with Physical Activity for Anxiety
Kandola, A., Vancampfort, D., Herring, M., Rebar, A., Hallgren, M., Firth, J., & Stubbs, B. (2018) · Current Psychiatry Reports · doi:10.1007/s11920-018-0923-x · Cited by 291
From the laboratory to the therapy room: National dissemination and implementation of evidence-based psychotherapies in the U.S. Department of Veterans Affairs Health Care System.
Karlin, B. E., & Cross, G. (2014) · American Psychologist · doi:10.1037/a0033888 · Cited by 283
Computerised therapies for anxiety and depression in children and young people: A systematic review and meta-analysis
Pennant, M. E., Loucas, C. E., Whittington, C., Creswell, C., Fonagy, P., Fuggle, P., Kelvin, R., Naqvi, S., Stockton, S., & Kendall, T. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.01.009 · Cited by 269
“…(CBT), which is recommended for the treatment of both anxiety disorders and depression in children and young people (Connolly & Bernstein, 2007; NICE, 2005a, 2005b, 2005c), barriers to treatment include a lack of training, infrastructure and funding (Gunter & Whittal, 2010; Stallard et al., 2007).”
Background
Assessing therapist reservations about exposure therapy for anxiety disorders: the therapist beliefs about exposure scale
Deacon, B. J., Farrell, N. R., Kemp, J. J., Dixon, L. J., Sy, J. T., Zhang, A. R., & McGrath, P. B. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.04.006 · Cited by 248
Using Virtual Reality Exposure Therapy to Enhance Treatment of Anxiety Disorders: Identifying Areas of Clinical Adoption and Potential Obstacles
Boeldt, D., McMahon, E., McFaul, M., & Greenleaf, W. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00773 · Cited by 242
“Therapists often worry that exposure will be distressing for both therapist and patient and will increase patient drop out (8, 13, 21–23).”
Background
Cognitive bias modification for anxiety: current evidence and future directions
Beard, C. (2011) · Expert Review of Neurotherapeutics · doi:10.1586/ern.10.194 · Cited by 222
What is an emotional disorder? A transdiagnostic mechanistic definition with implications for assessment, treatment, and prevention
Bullis, J. R., Boettcher, H., Sauer‐Zavala, S., Farchione, T. J., & Barlow, D. H. (2019) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12278 · Cited by 216
“…barriers to the dissemination of empirically supported treatments, in addition to the complex comorbidity present in most patients that is not easily addressed with treatment protocols designed for a single diagnosis (Chambless, 2014; Gunter & Whittal, 2010; Stewart, Chambless, & Baron, 2012).”
Background
Dissemination of Evidence-Based Practices for Anxiety Disorders in Wyoming
Hipol, L. J., & Deacon, B. (2013) · Behavior Modification · doi:10.1177/0145445512458794 · Cited by 169
“Exposure therapy is subject to a host of additional barriers to dissemination in the form of negative beliefs about this treatment (Deacon & Farrell, in press; Gunter & Whittal, 2010).”
Background
Behavioral Experiments for Intolerance of Uncertainty: Challenging the Unknown in the Treatment of Generalized Anxiety Disorder
Hebert, E. A., & Dugas, M. J. (2019) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2018.07.007 · Cited by 165
The Struggle of Behavioral Therapists With Exposure: Self-Reported Practicability, Negative Beliefs, and Therapist Distress About Exposure-Based Interventions
Pittig, A., Kotter, R., & Hoyer, J. (2019) · Behavior Therapy · doi:10.1016/j.beth.2018.07.003 · Cited by 160
Factors Associated with Practitioners’ Use of Exposure Therapy for Childhood Anxiety Disorders
Whiteside, S., Deacon, B., Benito, K., & Stewart, E. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.04.001 · Cited by 155
Automated Internet-based pain coping skills training to manage osteoarthritis pain
Rini, C. K., Porter, L. S., Somers, T. J., McKee, D. C., DeVellis, R. F., Smith, M. Y., Winkel, G. H., Ahern, D. K., Goldman, R. E., Stiller, J. L., et al. (2015) · Pain · doi:10.1097/j.pain.0000000000000121 · Cited by 150
“deliver it, and the need for people to travel to in-person training held at scheduled times.(22,59) There is a clear need for an approach that makes PCST more accessible.”
Factors associated with non-treatment or delayed treatment seeking in OCD sufferers: A review of the literature
García-Soriano, G., Rufer, M., Delsignore, A., & Weidt, S. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.07.009 · Cited by 151
Practitioner Review: Anxiety disorders in children and young people – assessment and treatment
Creswell, C., Waite, P., & Hudson, J. (2020) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13186 · Cited by 140
“Successful implementation relies on a range of factors including clinicians’ knowledge about the effectiveness of interventions and their attitudes towards the intervention, as well as the provision of training and supervision to clinicians (Gunter & Whittal, 2010).”
Evidence base update for psychosocial treatments for pediatric obsessive-compulsive disorder
Freeman, J., Garcia, A., Frank, H., Benito, K., Conelea, C., Walther, M., & Edmunds, J. (2014) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2013.804386 · Cited by 139
“…addition to severity of illness, family barriers (i.e., scheduling issues, transportation, concerns about stigma, parental stress= psychopathology) and system barriers (i.e., not enough providers, insurance barriers) prevent many youth from getting the treatment they need (Gunter & Whittal, 2010).”
Background
Barriers to treatment among African Americans with obsessive-compulsive disorder
Williams, M. T., Domanico, J., Marques, L. M., LeBlanc, N. J., & Turkheimer, E. N. (2012) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2012.02.009 · Cited by 139
Do negative beliefs about exposure therapy cause its suboptimal delivery? An experimental investigation
Farrell, N. R., Deacon, B. J., Kemp, J. J., Dixon, L. J., & Sy, J. T. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.03.007 · Cited by 133
“Clearly, ETs are a well-established treatment for anxiety disorders, and the need to disseminate them is a high priority (Gunter & Whittal, 2010).”
Background
Socially anxious primary care patients' attitudes toward cognitive bias modification (CBM): A qualitative study
Beard, C., Weisberg, R. B., & Primack, J. (2012) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465811000671 · Cited by 124
“…these treatments for a number of reasons, such as concerns over side effects (Weisberg, Dyck, Culpepper, & Keller, 2007), patient or therapist unwillingness to engage in exposure therapy, lack of trained therapists (Gunter & Whittal, 2010), and scheduling difficulties (Lovell & Richards, 2000).”
Background
Attitudes Toward and Familiarity With Virtual Reality Therapy Among Practicing Cognitive Behavior Therapists: A Cross-Sectional Survey Study in the Era of Consumer VR Platforms
Lindner, P., Miloff, A., Zetterlund, E., Reuterskiöld, L., Andersson, G., & Carlbring, P. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.00176 · Cited by 125
Has evidence-based psychosocial treatment for anxiety disorders permeated usual care in community mental health settings?
Wolitzky-Taylor, K., Zimmermann, M., Arch, J. J., De Guzman, E., & Lagomasino, I. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.06.010 · Cited by 104
Efficacy of cognitive-behavioral therapy for childhood anxiety and depression
Crowe, K., & McKay, D. (2017) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2017.04.001 · Cited by 101
Therapist Barriers to the Dissemination of Exposure Therapy
Deacon, B. J., & Farrell, N. R. (2013) · Handbook of Treating Variants and Complications in Anxiety Disorders · doi:10.1007/978-1-4614-6458-7_23 · Cited by 91
Efficacy of digital cognitive behavioral therapy for moderate‐to‐severe symptoms of generalized anxiety disorder: A randomized controlled trial
Carl, J. R., Miller, C. B., Henry, A. L., Davis, M. L., Stott, R., Smits, J. A. J., Emsley, R., Gu, J., Shin, O., Otto, M. W., et al. (2020) · Depression and Anxiety · doi:10.1002/da.23079 · Cited by 86
“Barriers limit access to CBT including insufficient numbers of trained therapists, intervention costs, waiting lists, incompatible scheduling, distance from services, and perceived stigma (Comer & Barlow, 2014; Gunter & Whittal, 2010).”
Background
Cognitive behavioral therapy: Current status and future research directions
McMain, S., Newman, M. G., Segal, Z. V., & DeRubeis, R. J. (2015) · Psychotherapy Research · doi:10.1080/10503307.2014.1002440 · Cited by 106
“Individuals in need of help may avoid CBT because of a preference for other types of treatment, a lack of knowledge regarding options and efficacy, inability to access the therapy, or lack of financial resources (Gunter & Whittal, 2010).”
Background
No need to worry: the promising future of child anxiety research
Kendall, P. C., Settipani, C. A., & Cummings, C. M. (2012) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2012.632352 · Cited by 82
“Despite this recognition and related efforts, CBT remains underutilized in the community (see Gunter & Whittal, 2010; Shafran et al., 2009).”
Background
Fidelity to the Cognitive Processing Therapy Protocol: Evaluation of Critical Elements
Farmer, C. C., Mitchell, K. S., Parker-Guilbert, K. S., & Galovski, T. E. (2016) · Behavior Therapy · doi:10.1016/j.beth.2016.02.009 · Cited by 90
Theory-based training strategies for modifying practitioner concerns about exposure therapy.
Farrell, N., Deacon, B., Dixon, L., & Lickel, J. J. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.09.003 · Cited by 74
Assessment and Treatment of Combat-Related PTSD in Returning War Veterans
Peterson, A. L., Luethcke, C. A., Borah, E. V., Borah, A. M., & Young‐McCaughan, S. (2011) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-011-9238-3 · Cited by 84
“Many therapists do not offer evidencebased treatments because they have not received training in them (Shafran et al., 2009), and training in evidence-based practices at the graduate level is insufficient ( Gunter & Whittal, 2010; Weissman et al., 2006; Woody, D’Souza, & Dartman, 2006).”
BackgroundInfluential
Clinical or gimmickal: The use and effectiveness of mobile mental health apps for treating anxiety and depression
Marshall, J. M., Dunstan, D. A., & Bartik, W. J. (2019) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867419876700 · Cited by 93
“, 2001), and they continue to pose a heavy burden on primary healthcare settings, and on modern society generally (e.g. by having days off work; Gunter and Whittal, 2010).”
Background
The Mental Health Focus in Rape Crisis Services: Tensions and Recommendations
Woody, J., & Beldin, K. L. (2012) · Violence and Victims · doi:10.1891/0886-6708.27.1.95 · Cited by 68
“Organizational and management issues can also be barriers, for example, lack of funds for training, anticipated lack of support from agency personnel, and complex logistical factors (Cukrowicz et al., 2005; Gunter & Whittal, 2010; Proctor & Rosen, 2008).”
Background
Reducing negative interpretations in adolescents with anxiety disorders: A preliminary study investigating the effects of a single session of cognitive bias modification training
Fu, X., Du, Y., Au, S., & Lau, J. Y. F. (2012) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2012.11.003 · Cited by 62
Transdiagnostic therapy
Norton, P. J., & Roberge, P. (2017) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2017.08.003 · Cited by 62
Treatment-seeking in OCD community cases and psychological treatment actually provided to treatment-seeking patients: A systematic review
Schwartz, C., Schlegl, S., Kuelz, A. K., & Voderholzer, U. (2013) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2013.10.006 · Cited by 60
Direct-to-consumer marketing of psychological treatments for anxiety disorders
Gallo, K. P., Comer, J. S., & Barlow, D. H. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.03.005 · Cited by 59
Ethical Considerations in Exposure Therapy With Children
Gola, J. A., Beidas, R. S., Antinoro-Burke, D., Kratz, H. E., & Fingerhut, R. (2015) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2015.04.003 · Cited by 65
“The need to evoke distress in the client in order for new learning to take place may appear to contradict a clinician’s ethical mandate to do no harm and the hope to ameliorate a client’s distress (Gunter & Whittal, 2010; Olatunji, Deacon & Abramowitz, 2009).”
Background
The Epidemiology of Antisocial Behavioral Syndromes in Adulthood
Goldstein, R. B., Chou, S. P., Saha, T. D., Smith, S. M. R., Jung, J., Zhang, H., Pickering, R. P., Ruan, W. J., Huang, B., & Grant, B. F. (2016) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.15m10358 · Cited by 76
Obsessive-compulsive disorder: Evidence-based treatments and future directions for research
Lack, C. W. (2012) · World Journal of Psychiatry · doi:10.5498/wjp.v2.i6.86 · Cited by 52
Virtual reality exposure therapy for fear of heights: clinicians’ attitudes become more positive after trying VRET
Rimer, E., Husby, L. V., & Solem, S. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.671871 · Cited by 54
The association between fear extinction, the ability to accomplish exposure and exposure therapy outcome in specific phobia
Raeder, F., Merz, C. J., Margraf, J., & Zlomuzica, A. (2020) · Scientific Reports · doi:10.1038/s41598-020-61004-3 · Cited by 53
Respiratory therapy for the treatment of anxiety: Meta-analytic review and regression
Leyro, T. M., Versella, M. V., Yang, M.-J., Brinkman, H. R., Hoyt, D. L., & Lehrer, P. (2021) · Clinical Psychology Review · doi:10.1016/j.cpr.2021.101980 · Cited by 53
A meta-analysis of the effects of training clinicians in exposure therapy on knowledge, attitudes, intentions, and behavior
Trivasse, H., Webb, T. L., & Waller, G. (2020) · Clinical Psychology Review · doi:10.1016/j.cpr.2020.101887 · Cited by 51
The credibility of exposure therapy: Does the theoretical rationale matter?
Arch, J. J., Twohig, M. P., Deacon, B. J., Landy, L. N., & Bluett, E. J. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.05.008 · Cited by 47
Transporting Cognitive Behavioral Therapy (CBT) and the Improving Access to Psychological Therapies (IAPT) project to Japan: preliminary observations and service evaluation in Chiba
Kobori, O., Nakazato, M., Yoshinaga, N., Shiraishi, T., Takaoka, K., Nakagawa, A., Iyo, M., & Shimizu, E. (2014) · The Journal of Mental Health Training, Education and Practice · doi:10.1108/jmhtep-10-2013-0033 · Cited by 47
“Gunter and Whittal (2010) also identified various barriers to the wide-scale dissemination of CBT for anxiety disorders, including those that are applicable to empirically supported treatments in general (e.g. lack of training opportunities, failure to address practitioner concerns), as well as…”
BackgroundInfluential
The effects of music & auditory beat stimulation on anxiety: A randomized clinical trial
Mallik, A., & Russo, F. (2022) · PLoS ONE · doi:10.1371/journal.pone.0259312 · Cited by 68
“…anti-anxiety medications (selective serotonin re-uptake inhibitors, serotonin-norepinephrine reuptake inhibitors, benzodiazepines) [9–12], cognitive strategies, behavioural approaches (cognitive behavioural therapy, exposure, relaxation), mindfulness and acceptance-based approaches [13–15].”
Influential
Provider experiences of virtual reality in clinical treatment
Vincent, C., Eberts, M., Naik, T. U., Gulick, V., & O’Hayer, C. V. (2021) · PLoS ONE · doi:10.1371/journal.pone.0259364 · Cited by 52
“Additionally, other studies found some clinicians were hesitant to adopt VR due to fear surrounding detrimental effects on their therapeutic relationships with clients/patients [25, 33, 36].”
Background
Treating Social Anxiety in an Era of Social Distancing: Adapting Exposure Therapy for Youth During COVID-19
Khan, A. N., Bilek, E. L., Tomlinson, R. C., & Becker‐Haimes, E. M. (2021) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2020.12.002 · Cited by 54
Manualized cognitive therapy versus cognitive-behavioral treatment-as-usual for social anxiety disorder in routine practice: A cluster-randomized controlled trial
Hoyer, J., Čolić, J., Pittig, A., Crawcour, S. C., Moeser, M., Ginzburg, D. M., Lin, J., Wiltink, J., Leibing, E., & Stangier, U. (2017) · Behaviour Research and Therapy · doi:10.1016/j.brat.2017.05.012 · Cited by 50
“In addition, there is evidence that clinicians apply and slightly modify techniques l arned in their initial psychotherapeutic training, while feeling reluctant to adopt new evidence-based techniques (Barlow, 1981; Gunter & Whittal, 2010; Weisz et al., 2014).”
Background
Overlapping and non-overlapping practices in usual and evidence-based care for youth anxiety
Higa-McMillan, C., Kotte, A., Jackson, D., & Daleiden, E. L. (2017) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-016-9502-2 · Cited by 43
Feasibility and efficacy of a digital CBT intervention for symptoms of generalized anxiety disorder: a randomized multiple-baseline study
Miller, C. B., Gu, J., Henry, A. L., Davis, M. L., Espie, C. A., Stott, R., Heinz, A. J., Bentley, K. H., Goodwin, G. M., Gorman, B. S., et al. (2021) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2020.101609 · Cited by 40
Exercise Intervention in Treatment of Neuropsychological Diseases: A Review
Chen, Z., Lan, W., Yang, G., Li, Y., Xiang, J., Chen, L., Zhou, Y. N., & Li, S. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.569206 · Cited by 53
Referral to a new psychological therapy service is associated with reduced utilisation of healthcare and sickness absence by people with common mental health problems: a before and after comparison
de Lusignan, S., Chan, T., Parry, G., Kim, D.-B., & Kendrick, T. (2011) · Journal of Epidemiology and Community Health · doi:10.1136/jech.2011.139873 · Cited by 39
Randomized-controlled trial on a novel (meta-)cognitive self-help approach for obsessive-compulsive disorder (“myMCT”)
Hauschildt, M., Schröder, J., & Moritz, S. (2016) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2016.04.010 · Cited by 37
Implementation outcomes of military provider training in cognitive processing therapy and prolonged exposure therapy for post-traumatic stress disorder.
Borah, E. V., Wright, E. C., Donahue, D., Cedillos, E. M., Riggs, D. S., Isler, W., & Peterson, A. L. (2013) · Military Medicine · doi:10.7205/milmed-d-13-00072 · Cited by 37
Kava for the treatment of generalised anxiety disorder (K-GAD): study protocol for a randomised controlled trial
Savage, K. M., Stough, C. K. K., Byrne, G. J., Scholey, A. B., Bousman, C., Murphy, J., MacDonald, P., Suo, C., Hughes, M. E., Thomas, S. D. M., et al. (2015) · Trials · doi:10.1186/s13063-015-0986-5 · Cited by 43
I mproving A ccess to P sychological T herapies ( IAPT ) and treatment outcomes: Epistemological Assumptions and Controversies
Williams, C. (2015) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/jpm.12181 · Cited by 38
Childhood trauma and attachment style predict the four-year course of obsessive compulsive disorder: Findings from the Netherlands obsessive compulsive disorder study
Tibi, L., van Oppen, P., van Balkom, A. J. L. M., Eikelenboom, M., Hendriks, G., & Anholt, G. E. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.12.028 · Cited by 42
Retaining Critical Therapeutic Elements of Behavioral Interventions Translated For Delivery via the Internet: Recommendations and an Example Using Pain Coping Skills Training
Rini, C. K., Porter, L. S., Somers, T. J., McKee, D. C., & Keefe, F. J. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3374 · Cited by 35
“…health care providers about their efficacy or ideal use), the lack of available therapists in some geographic regions, the substantial time and resources needed to deliver them, the shortage of qualified therapists, and the need for people to travel to in-person sessions held at a set time [16,17].”
Efficacy and acceptability of cannabinoids for anxiety disorders in adults: A systematic review & meta-analysis
Bahji, A., Meyyappan, A. C., & Hawken, E. R. (2020) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2020.07.030 · Cited by 39
IAPT and the internet: the current and future role of therapist-guided internet interventions within routine care settings
Thew, G. R. (2020) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x20000033 · Cited by 36
“…developed in research contexts may not bridge the gap into routine practice, and a number of potential barriers to this have been identified, including lack of training opportunities, professionals ’ reservations, and demonstrating cost-effectiveness (Gunter and Whittal, 2010; Weisz et al ., 2014).”
Group transdiagnostic cognitive-behavior therapy for anxiety disorders: a pragmatic randomized clinical trial
Roberge, P., Provencher, M. D., Gaboury, I., Gosselin, P., Vasiliadis, H., Benoît, A., Carrier, N., Antony, M. M., Chaillet, N., Houle, J., et al. (2020) · Psychological Medicine · doi:10.1017/s0033291720004316 · Cited by 50
“…at transdiagnostic approaches to CBT (tCBT) that can be applied to diagnostically heterogeneous groups of patients with anxiety disorders could be more conducive to widespread dissemination and implementation (Barlow et al., 2017; Craske, 2012; Gunter & Whittal, 2010; Norton & Roberge, 2017).”
Background
Bridging the Gaps Between Basic Science and Cognitive-Behavioral Treatments for Anxiety Disorders in Routine Care
Richter, J., Pittig, A., Hollandt, M., & Lueken, U. (2017) · Zeitschrift für Psychologie · doi:10.1027/2151-2604/a000309 · Cited by 37
“This set of barriers concerns economic and organizational differences between controlled research studies and routine care (Gunter & Whittal, 2010).”
Smartphone-Based Interventions and Internalizing Disorders in Youth: Systematic Review and Meta-analysis
Buttazzoni, A. N., Brar, K., & Minaker, L. M. (2020) · Journal of Medical Internet Research · doi:10.2196/16490 · Cited by 34
Preliminary Evidence for the Enhancement of Self-Conducted Exposures for OCD Using Cognitive Bias Modification
Amir, N., Kuckertz, J. M., Najmi, S., & Conley, S. L. (2015) · Cognitive Therapy and Research · doi:10.1007/s10608-015-9675-7 · Cited by 33
“One reason for this under-utilization of ERP may be that most graduate programs do not provide specialized training in CBT for OCD (Crits-Christoph et al. 1995; Davidson 1998; Gunter and Whittal 2010), and other resources for training in CBT for OCD (e.g., workshops) are limited and costly.”
Background
Characteristics of attrition among children receiving trauma-focused treatment.
Wamser‐Nanney, R. A., & Steinzor, C. E. (2016) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0000143 · Cited by 51
Psychological therapy using virtual reality for treatment of driving phobia: a systematic review
Elphinston, R. A., Vaezipour, A., Fowler, J. A., Russell, T. G., & Sterling, M. (2023) · Disability and Rehabilitation · doi:10.1080/09638288.2022.2069293 · Cited by 27
Therapists’ characteristics associated with the (non-)use of exposure in the treatment of anxiety disorders in youth: A survey among Dutch-speaking mental health practitioners
de Jong, R., Lommen, M. J. J., van Hout, W. J. P. J., de Jong, P. J., & Nauta, M. H. (2020) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2020.102230 · Cited by 30
Virtual Reality (VR) Treatments for Anxiety Disorders Are Unambiguously Successful, so Why Are so Few Therapists Using It? Barriers to Adoption and Potential Solutions
Wray, T. B., Kemp, J. J., & Larsen, M. A. (2023) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2023.2229017 · Cited by 25
“…nearly all of the most effective approaches to psychotherapy across anxiety disorders involve some degree of exposure (Chorpita & Daleiden, 2009; Gunter & Whittal, 2010), and these exposures are likely responsible for much of the clinical benefit conferred by these treatments (Gould et al.,…”
Background
Cognitive Behavioral Digital Interventions are Effective in Reducing Anxiety in Children and Adolescents: A Systematic Review and Meta-analysis
Csirmaz, L., Nagy, T., Vikor, F., & Kasos, K. (2023) · Journal of Prevention · doi:10.1007/s10935-023-00760-0 · Cited by 26
“Multiple barriers, such as location, time, cost (Gunter & Whittal, 2010), and stigmatization (Kaushik, 2016), can hinder access to psychotherapy for children and their families.”
Background
First‐line therapy for post‐traumatic stress disorder: A systematic review of cognitive behavioural therapy and psychodynamic approaches
Paintain, E., & Cassidy, S. (2018) · Counselling and Psychotherapy Research · doi:10.1002/capr.12174 · Cited by 25
“…exposure may involve actively testing the individual’s faulty cognitions through the use of behavioural experiments, repeated exposure to attempt to reduce the intensity of fear responses and eliminate avoidance responses, and improve skills for handling feared situations (Gunter & Whittal, 2010).”
Background
Delivering exposure and ritual prevention for obsessive–compulsive disorder via videoconference: Clinical considerations and recommendations
Goetter, E. M., Herbert, J. D., Forman, E. M., Yuen, E. K., Gershkovich, M., Glassman, L. H., Rabin, S. J., & Goldstein, S. P. (2013) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2013.01.003 · Cited by 27
“…Brody, & Karp, 1995), therapist underutilization of and adverse reactions to the approach (Olatunji, Deacon, & Abramowitz, 2009), inadequate dissemination efforts (Gunter & Whittal, 2010), and a maldistribution of specialist providers that places individuals in rural areas at a disadvantage.”
Background
Gulf War and Health: Treatment for Chronic Multisymptom Illness.
War, G. (2017) · Military Medicine · doi:10.7205/milmed-d-16-00325 · Cited by 25
New Developments in Emotion-Focused Therapy for Social Anxiety Disorder
Shahar, B. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9092918 · Cited by 37
“Having just one evidence-based treatment option for such a prevalent, chronic, and disabling condition, especially given that most people with anxiety disorders do not end up getting evidence-based treatment [23], is problematic.”
Background
Effectiveness of using mental health mobile apps as digital antidepressants for reducing anxiety and depression: protocol for a multiple baseline across-individuals design
Marshall, J. M., Dunstan, D. A., & Bartik, W. (2020) · JMIR Research Protocols · doi:10.2196/17159 · Cited by 24
“Although effective treatments for anxiety and depression exist, many people do not access these for various reasons [6].”
How was cognitive behavioural therapy for mood disorder implemented in Japan? A retrospective observational study using the nationwide claims database from FY2010 to FY2015
Hayashi, Y., Yoshinaga, N., Sasaki, Y., Tanoue, H., Yoshimura, K., Kadowaki, Y., Arimura, Y., Yanagita, T., & Ishida, Y. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-033365 · Cited by 28
A randomized Control Trial Examining the Initial Efficacy of an Intolerance of Uncertainty Focused Psychoeducation Intervention.
Shapiro, M. O., Allan, N. P., Raines, A. M., & Schmidt, N. B. (2023) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-022-10002-y · Cited by 21
“…training in CBT. Treatment burden (i.e., amount of time required) and access to care due to a lack of trained therapists are among the most cited barriers to treatment for anxietyand depression-related conditions (Gunter & Whittal, 2010; Heckman et al., 2015; Wolitzky-Taylor et al., 2019).”
Background
The effect of internet-delivered cognitive behavioral therapy for depression and anxiety on quality of life: A meta-analysis of randomized controlled trials
Maj, A., Michalak, N., Graczykowska, A., & Andersson, G. (2023) · Internet Interventions · doi:10.1016/j.invent.2023.100654 · Cited by 22
Therapist factors associated with intent to use exposure therapy: a systematic review and meta-analysis
Langthorne, D., Beard, J., & Waller, G. (2023) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2023.2191824 · Cited by 23
“However, despite the effectiveness of exposure therapy, it is underused by very many clinicians (Becker et al., 2004; Gunter & Whittal, 2010; Hipol & Deacon, 2013; Rosen et al., 2004).”
BackgroundMethod
Exposure and Response Prevention Helps Adults With Obsessive-Compulsive Disorder Who Do Not Respond to Pharmacological Augmentation Strategies
McLean, C. P., Zandberg, L. J., Meter, P. E. V., Carpenter, J. K., Simpson, H. B., & Foa, E. B. (2015) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.14m09513 · Cited by 21
Change Processes in Cognitive Therapy for Social Anxiety Disorder Delivered in Routine Clinical Practice
Thew, G. R., Ehlers, A., Grey, N., Wild, J., Warnock-Parkes, E., Dawson, R. L., & Clark, D. (2020) · Clinical Psychology in Europe · doi:10.32872/cpe.v2i2.2947 · Cited by 21
“…clinical settings complement efficacy studies, in that they can test whether findings from controlled research settings apply in routine practice (Gunter & Whittal, 2010; Kettlewell, 2004; Weisz, Ng, & Bearman, 2014), it can be argued that for a predictor to be considered reliable, it should…”
Background
Anxiety and its treatment: Promoting science-based practice
Lohr, J. M., Lilienfeld, S. O., & Rosen, G. M. (2012) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2012.06.007 · Cited by 22
Preferences for evidence‐based practice dissemination in addiction agencies serving women: a discrete‐choice conjoint experiment
Cunningham, C. E., Henderson, J. L., Niccols, A., Dobbins, M., Sword, W. A., Chen, Y., Mielko, S., Milligan, K., Lipman, E. L., Thabane, L., et al. (2012) · Addiction · doi:10.1111/j.1360-0443.2012.03832.x · Cited by 20
Anxious youth in research and service clinics
Aalberg, M., Cummings, C. M., Gere, M. K., Torgersen, S. O., & Kendall, P. C. (2012) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2012.09.003 · Cited by 16
Nothing to Fear but Fear Itself: A Mechanistic Test of Unconscious Exposure
Siegel, P., Cohen, B., & Warren, R. (2022) · Biological Psychiatry · doi:10.1016/j.biopsych.2021.08.022 · Cited by 18
Internet‐based cognitive behavioral therapy for anxiety in an outpatient specialized care setting: A qualitative study of the patients’ experience of the therapy
Pedersen, M. K., Mohammadi, R., Mathiasen, K., & Elmose, M. (2020) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12665 · Cited by 22
Dissemination of exposure in the treatment of anxiety disorders and post‐traumatic stress disorder among German cognitive behavioural therapists
Schumacher, S., Weiss, D., & Knaevelsrud, C. (2018) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2320 · Cited by 19
A Cognitive-Neuropsychological Account of Treatment Action in Anxiety: Can We Augment Clinical Efficacy?
Reinecke, A., & Harmer, C. J. (2015) · Psychopathology Review · doi:10.5127/pr.035113 · Cited by 13
“CBT courses as an alternative intervention approach, on the other hand, similarly fail to successfully treat a subgroup of patients (Hans & Hiller, 2013) and are often long, cost-intensive, and difficult to access (Gunter & Whittal, 2010; Otto, Pollack, & Maki, 2000; Wang et al., 2006).”
Background
Strategies to improve access to cognitive behavioral therapies for anxiety disorders: A scoping review
Carrier, J., Gallagher, F., Vanasse, A., & Roberge, P. (2022) · PLoS ONE · doi:10.1371/journal.pone.0264368 · Cited by 25
Providers' Use of Evidence-Based Treatments for Posttraumatic Stress Disorder: The Influence of Training, Attitudes, and Barriers in Military and Private Treatment Settings
Borah, E. V., Holder, N., & Chen, K. (2017) · Best practices in mental health · doi:10.70256/997168psfxuw · Cited by 18
Antisocial behavioral syndromes and 3‐year quality‐of‐life outcomes in United States adults
Goldstein, R. B., Dawson, D. A., Smith, S. M., & Grant, B. F. (2012) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2012.01848.x · Cited by 19
“I Could Do It in My Own Time and When I Really Needed It”: Perceptions of Online Pain Coping Skills Training For People With Knee Osteoarthritis
Lawford, B. J., Hinman, R. S., Nelligan, R. K., Keefe, F. J., Rini, C. K., & Bennell, K. L. (2019) · Arthritis Care & Research · doi:10.1002/acr.24093 · Cited by 20
“Collectively, these findings suggest that the convenience and accessibility of online delivery has the potential to address barriers to cognitive behavioral interventions, such as lack of access to trained therapists, as well as the inconvenience of travelling to attend a clinic in-person at a set time (26,27).”
Background
Improving Delivery Behaviors During Exposure for Pediatric OCD: A Multiple Baseline Training Trial With Community Therapists
Benito, K., Herren, J. A., Freeman, J. B., Garcia, A. M., Block, P., Cantor, E., Chorpita, B. F., Wellen, B. C. M., Stewart, E., Georgiadis, C., et al. (2020) · Behavior Therapy · doi:10.1016/j.beth.2020.10.003 · Cited by 18
App-Based Delivery of Clinical Emotional Freedom Techniques: Cross-Sectional Study of App User Self-Ratings
Church, D., Stapleton, P., & Sabot, D. (2020) · JMIR mhealth and uhealth · doi:10.2196/18545 · Cited by 20
“The mHealth platform offers the potential for a range of self-management strategies to assist psychological symptoms of anxiety and stress, particularly for individuals who require psychological support but have limited access to regular health care [24,28].”
Background
Cognitive‐Behavioral Therapy for Anxious Children: From Evidence to Practice
Sawyer, M. C., & Nunez, D. (2014) · Worldviews on Evidence-Based Nursing · doi:10.1111/wvn.12024 · Cited by 16
Virtual reality intervention for improving cognitive function in post-stroke patient: A systematic review and meta-analysis
Gunawan, H., Gunawan, I., Hambarsari, Y., Danuaji, R., Hamidi, B. L., & Benedictus, B. (2024) · Brain Disorders · doi:10.1016/j.dscb.2024.100152 · Cited by 16
Patient Perceptions of In Vivo Versus Virtual Reality Exposures for the Treatment of Anxiety Disorders: Cross-Sectional Survey Study
Lévy, A., Nittas, V., & Wray, T. B. (2023) · JMIR Formative Research · doi:10.2196/47443 · Cited by 23
“Almost all effective psychotherapy approaches for anxiety disorders incorporate some exposure techniques [7], and these exposure techniques likely have the strongest effects on patient outcomes [8,9].”
Background
Active Approach Does not Add to the Effects of in Vivo Exposure
van Uijen, S. L., van den Hout, M., & Engelhard, I. M. (2015) · Journal of Experimental Psychopathology · doi:10.5127/jep.042014 · Cited by 12
“Cognitive behavior therapy (CBT), in particular, Exposure and Response Prevention (ERP) is a highly effective treatment for anxiety disorders (Gunter & Whittal, 2010; Shafran et al., 2009).”
Collaborative Empiricism: A Cognitive Response to Exposure Reluctance and Low Distress Tolerance
Clark, D. A. (2013) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2012.06.001 · Cited by 14

Authors: Gunter, R. W., & Whittal, M. L.
Affiliations: Alberta Health Services (CA)
University of British Columbia (CA)
Corresponding author: Gunter, Raymond W.
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2010-03
Volume: 30
Issue: 2
Pages: 194-202
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2009.11.001
OpenAlex: W2017929229
Cited by: 224
References: 0
Citations by year: 2026: 5 · 2025: 15 · 2024: 17 · 2023: 11 · 2022: 14 · 2021: 8 · 2020: 28 · 2019: 17 · 2018: 11 · 2017: 10 · 2016: 8 · 2015: 28 · 2014: 11 · 2013: 15 · 2012: 15
FWCI: 1.28
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Clinical Psychology Review (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords: cognitive behavioral therapy, anxiety disorders, dissemination of evidence-based treatment, barriers to treatment access, empirically supported treatments, exposure therapy, practitioner training, cost-effectiveness, third-party payers, organizational support
MeSH terms: Anxiety Disorders, Cost-Benefit Analysis, Humans, Models, Psychological, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Evidence-Based Medicine

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Dissemination of cognitive-behavioral treatments for anxiety disorders: Overcoming barriers and improving patient access

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cites

Cited by

Metadata

Record

About these checks