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

Flagged first, then by citations

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

Items 101–200 of 202

Harnessing Home-School Partnerships and School Consultation to Support Youth With Anxiety
Conroy, K., Hong, N., Poznanski, B., Hart, K. C., Ginsburg, G. S., Fabiano, G. A., & Comer, J. S. (2021) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2021.02.007 · Cited by 21
Exposure Therapy Beliefs and Utilization for Treatment of PTSD: A Survey of Licensed Mental Health Providers
Kline, A. C., Klein, A. B., Bowling, A. R., & Feeny, N. C. (2021) · Behavior Therapy · doi:10.1016/j.beth.2021.01.002 · Cited by 19
Cognitive Behavioral Therapy in Psychiatric Nursing in Japan
Yoshinaga, N., Nosaki, A., Hayashi, Y., Tanoue, H., Shimizu, E., Kunikata, H., Okada, Y., & Shiraishi, Y. (2015) · Nursing Research and Practice · doi:10.1155/2015/529107 · Cited by 16
Training Substance Use Disorder Counselors in Cognitive Behavioral Therapy for Depression: Development and Initial Exploration of an Online Training Program
Curran, G. M., Woo, S. M., Hepner, K. A., Lai, W. P., Kramer, T. L., Drummond, K. L., & Weingardt, K. (2015) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2015.05.008 · Cited by 11
Single-Session Cognitive Bias Modification of Interpretations Training in High-Anxious Adolescents
Fu, X., Du, Y., Au, S., & Lau, J. Y. F. (2015) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.29.3.253 · Cited by 17
“Traditional face-to-face therapies such as the CBT for youths often suffer from problems with treatment compliance and accessibility (Gunter & Whittal, 2010; Kendall & Sugarman, 1997).”
Background
The efficacy of augmented reality exposure therapy in the treatment of spider phobia—a randomized controlled trial
Jurcik, T., Zaremba-Pike, S., Kosonogov, V., Mohammed, A., Krasavtseva, Y. V., Sawada, T., Samarina, I., Шавкатовна, Б. Н., Adu, P., Sergeev, N., et al. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1214125 · Cited by 20
“It is in this spirit that “flooding”—a type of exposure therapy once considered a gold standard in the field, has now been discontinued in numerous settings (Gunter and Whittal, 2010; Deacon, 2012).”
Background
Neuroimaging Insights: Kava’s (Piper methysticum) Effect on Dorsal Anterior Cingulate Cortex GABA in Generalized Anxiety Disorder
Savage, K. M., Sarris, J. J., Hughes, M. E., Bousman, C., Rossell, S. L., Scholey, A. B., Stough, C. K. K., & Suo, C. (2023) · Nutrients · doi:10.3390/nu15214586 · Cited by 18
Therapist beliefs about exposure therapy implementation
Meyer, J. M., Kelly, P. J., & Deacon, B. J. (2020) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x20000112 · Cited by 15
“Pervasive negative beliefs about exposure therapy helps explain why many therapists forgo exposure therapy with anxious clients (Becker et al., 2004; Böhm and Külz, 2008; Gunter and Whittal, 2010; Hipol and Deacon, 2013; Marcks et al., 2009; Whiteside et al., 2016; Wolitzky-Taylor et al., 2015).”
Background
Efficacy of digital cognitive behavioural therapy for symptoms of generalised anxiety disorder: a study protocol for a randomised controlled trial
Gu, J., Miller, C. B., Henry, A. L., Espie, C. A., Davis, M., Stott, R. B., Emsley, R., Smits, J. A. J., Craske, M. G., Saunders, K., et al. (2020) · Trials · doi:10.1186/s13063-020-4230-6 · Cited by 13
“These include insufficient numbers of trained therapists, costs, waiting lists, incompatible scheduling, distance from services and stigma [18, 19].”
Background
Dissemination of Trauma-Focused Cognitive-Behavioral Therapy with Community Practitioners: Focus on Self-Efficacy
Woody, J. D., Anderson, D. K., & D’Souza, H. J. (2015) · Journal of Evidence-Informed Social Work · doi:10.1080/15433714.2014.950128 · Cited by 11
“…knowledge about the EST, “packaging” it for dissemination, addressing practitioners’ attitudes toward it, training practitioners, gaining funds and organizational support for implementation, providing ongoing support for trainees delivering the EST, and evaluating outcomes (Gunter & Whittal, 2010).”
Background
Prolonged exposure for the treatment of Spanish-speaking Puerto Ricans with posttraumatic stress disorder: a feasibility study
Vera, M., Reyes-Rabanillo, M. L., Juarbe, D., Pérez-Pedrogo, C., Olmo, A., Kichic, R., & Chaplin, W. (2011) · BMC Research Notes · doi:10.1186/1756-0500-4-415 · Cited by 12
Transdiagnostic approaches to the understanding and treatment of anxiety and related disorders
Norton, P. (2017) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2017.02.004 · Cited by 12
Understanding perceptions of anxiety disorders and their treatment
Schofield, C. A., Dea Moore, C., Hall, A., & Coles, M. E. (2016) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0000000000000433 · Cited by 10
“Although limitations in consumer knowledge and self-efficacy by no means represent the only barriers to appropriately accessing treatment (cf. Gunter and Whittal, 2010), the dissemination of such treatments is undoubtedly stilted by misinformation, lack of knowledge, and attitudinal obstacles.”
Background
Dissemination of Trauma-Focused Cognitive-Behavioral Therapy: A Follow-Up Study of Practitioners' Knowledge and Implementation
Woody, J. D., Anderson, D. K., D’Souza, H. J., Baxter, B., & Schubauer, J. (2015) · Journal of Evidence-Informed Social Work · doi:10.1080/15433714.2013.849217 · Cited by 11
“…cognitive behavior therapy, dissemination, implementation, knowledge In spite of the many documented barriers (Cukrowicz et al., 2005; Gunter & Whittal, 2010; Proctor & Rosen, 2008), the impetus to disseminate and implement empirically supported treatments (ESTs) has increased and…”
Background
On the Evolving Nature of Exposure Therapy
Schare, M. L., & Wyatt, K. P. (2013) · Behavior Modification · doi:10.1177/0145445513477421 · Cited by 10
“…dissemination barriers include both predoctoral and postdoctoral training opportunities in evidence-based treatments (EBTs; Barlow et al., 1999; Gunter & Whittal, 2010), misconceptions about the limited generalizability of randomized clinical trials (Barlow et al., 1999; Gunter & Whittal,…”
Background
Retracted
Clinical implications of fear extinction in anxiety disorders
Zlomuzica, A., Schneider, S., Konrad, C., Merz, C. J., Wolf, O. T., Raeder, F., & Margraf, J. (2020) · e-Neuroforum · doi:10.1515/nf-2020-0014 · Cited by 11
The relative importance of relational and scientific characteristics of psychotherapy: Perceptions of community members vs. therapists
Farrell, N. R., & Deacon, B. J. (2015) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2015.08.004 · Cited by 14
“For example, therapists may forego use of exposure-based therapies for anxiety disorders (Abramowitz, Deacon, & Whiteside, 2011), thereby limiting client access to these underutilized but effective approaches (Gunter & Whittal, 2010; Shafran et al., 2009).”
Therapists’ Self-Efficacy for CBT Dissemination: is Supervision the Key?
Basco, M. R. (2014) · Journal of Psychology & Psychotherapy · doi:10.4172/2161-0487.1000146 · Cited by 8
“Gatekeepers” perspective on treatment access for anxiety and depression: A survey of New Brunswick family physicians.
Clark, D., Yuzda, W. S., Charron, A., & McDonald, T. (2014) · Canadian Psychology/Psychologie canadienne · doi:10.1037/a0036449 · Cited by 10
Bridging the Research to Practice Gap in Autism Research: Implementing Group CBT Interventions for Youth with ASD and Anxiety in Clinical Practice
Reaven, J., Blakeley‐Smith, A., & Hepburn, S. (2014) · Autism and child psychopathology series · doi:10.1007/978-3-319-06796-4_13 · Cited by 5
The Ethics of Exposure Therapy for Anxiety Disorders
Deacon, B. J. (2012) · Springer eBooks · doi:10.1007/978-1-4614-3342-2_2 · Cited by 12
Psychological and attentional outcomes following acute mindfulness induction among high anxiety individuals: A systematic review and meta-analysis
Williams, M., Honan, C., Skromanis, S., Sanderson, B., & Matthews, A. J. (2024) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2023.12.009 · Cited by 8
Associations between therapist factors and treatment efficacy in randomized controlled trials of trauma-focused cognitive behavioral therapy for children and youth: A systematic review and meta-analysis
Grainger, L., Thompson, Z., Morina, N., Hoppen, T., & Meiser‐Stedman, R. (2022) · Journal of Traumatic Stress · doi:10.1002/jts.22840 · Cited by 9
“…in delivering evidence-based treatments for PTSD in children, particularly regarding aspects of treatment such as exposure, about which many clinicians report negative beliefs (e.g., Feeny et al., 2003; Gunter & Whittal, 2010; Zoellner et al., 2011) but are a component of many TF-CBT treatments.”
Background
Strengths and Limitations of Internet-Based Cognitive-Behavioral Treatments for Anxiety Disorders
Woods, A., Stults, C. B., Terry, R. L., & Rego, S. A. (2017) · Pragmatic Case Studies in Psychotherapy · doi:10.14713/pcsp.v13i3.2015 · Cited by 11
“However, while there is an extensive body of research on the efficacy of cognitive-behavioral treatments for anxiety disorders, there are still significant barriers that prevent patients from accessing these treatments (Gunter & Whittal, 2010).”
Background
Training in empirically supported treatments using alternative learning modalities.
McCloskey, M. S. (2011) · Clinical Psychology Science and Practice · doi:10.1111/j.1468-2850.2011.01237.x · Cited by 6
Exposure Therapy in OCD: Is There a Need for Adding Cognitive Elements?
Daflos, S., & Whittal, M. L. (2012) · Springer eBooks · doi:10.1007/978-1-4614-3342-2_19 · Cited by 6
Self-citation
Intermittent theta burst stimulation over the left prefrontal cortex: no additional effect for virtual reality exposure therapy in acrophobia—a randomized trial
Cybinski, L. M., Bohmeier, B., Rolle, K., Gromer, D., Raij, T., Gundelach, F., Erhardt, A., Mühlberger, A., Deckert, J., Polak, T. T., et al. (2024) · Scientific Reports · doi:10.1038/s41598-024-80832-1 · Cited by 8
Addressing Barriers in Access to Mental Health Care Within the Veterans Health Administration: Evidence-Based Psychotherapies for Anxiety and Related Disorders
Ennis, C. R., Raines, A. M., Aldea, M., Shapiro, M. O., Crowe, C., & Franklin, C. (2022) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-022-01241-y · Cited by 8
“Many VHAs do not offer anxiety disorderspecific EBPs as providers lack specialized training for the treatment of these diagnoses (Ecker et al., in press; Gunter & Whittal, 2010; Stanley et al., 2017).”
Background
Patient acceptability of group transdiagnostic cognitive behavior therapy for the treatment of anxiety disorders in community-based care: a qualitative study
Huynh, A.-T., Gaboury, I., Provencher, M. D., Norton, P. J., & Roberge, P. (2022) · Clinical Psychologist · doi:10.1080/13284207.2022.2041363 · Cited by 11
A multimethod investigation of the impact of attentional control on a brief intervention for anxiety and depression.
Allan, N. P., Albanese, B. J., Judah, M. R., Gooch, C. V., & Schmidt, N. B. (2020) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000484 · Cited by 8
Awareness of and attitudes toward CBT, DBT, and ACT in an acute psychiatric sample
Kuckertz, J. M., Silverman, A. L., Bullis, J. R., Björgvinsson, Þ., & Beard, C. (2019) · Journal of Clinical Psychology · doi:10.1002/jclp.22908 · Cited by 10
Understanding PTSD and Sexual Assault
Dworkin, E. R., Ojalehto, H. J., Brill, C. D., Fitzpatrick, S., Bedard‐Gilligan, M. A., & Kaysen, D. L. (2019) · Springer eBooks · doi:10.1007/978-3-030-23645-8_17 · Cited by 9
Effectiveness of Group Cognitive Therapy for Social Anxiety Disorder in Routine Care
Colhoun, H., Kannis-Dymand, L., Rudge, M., Le Compte, D., O'Flaherty, S. J., Gilbert, C., Jones, M., Harrow, S.-E., Chambers, R., Woolcock, C., et al. (2021) · Behaviour Change · doi:10.1017/bec.2020.19 · Cited by 7
Digital Cognitive Behavioral Therapy for Panic Disorder and Agoraphobia: A Meta-Analytic Review of Clinical Components to Maximize Efficacy
Jung, H. W., Jang, K.-W., Nam, S., Kim, A. Y., Lee, J., Ahn, M. E., Lee, S., Kim, Y. J., Shin, J.-K., & Roh, D. D. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14051771 · Cited by 9
“These issues are a significant obstacle to delivering psychotherapy, as they limit patient access to CBT and finally inflate societal costs over time [2].”
Naturalistic outcome of nurse-led psychological therapy for mental disorders in routine outpatient care: A retrospective chart review
Yoshinaga, N., Tanoue, H., & Hayashi, Y. (2022) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2022.04.008 · Cited by 13
“However, the primary analysis based on the intention-to-treat principle present more conservative estimates of effectiveness of MHN-led CBT, so the detailed results of the sensitivity analysis are not presented here.”
BackgroundInfluential
An Experimental Analogue Study on the “Dose-Response Relationship” of Different Therapeutic Instructions for Pain Exposures: The More, The Better?
Körfer, K., Schemer, L., Κube, T., & Glombiewski, J. A. (2020) · Journal of Pain Research · doi:10.2147/jpr.s265709 · Cited by 8
Self‐help and guided self‐help interventions for schizophrenia and related disorders
Naeem, F., Shuo, X., Munshi, T. A., Kingdon, D., & Farooq, S. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011698 · Cited by 7
A randomized clinical trial investigating the clinical impact of a game-based digital therapeutic for social anxiety disorder
de Rutte, J. L., Myruski, S., Davis, E. A., Findley, A. M., & Dennis‐Tiwary, T. A. (2025) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2025.103000 · Cited by 6
Influence of Simvastatin as Augmentative Therapy in the Treatment of Generalized Anxiety Disorder: A Pilot Randomized, Placebo-Controlled Study
Mirzaei, E., Mirjalili, M., Jahangard, L., Haghighi, M., Yasrebifar, F., Mohammadi, Y., Harchegani, A. L., & Mehrpooya, M. (2020) · Neuropsychobiology · doi:10.1159/000510853 · Cited by 7
Psychotherapy Claims Surrounding Pharmacotherapy Initiation in Children and Adolescents with Anxiety Disorders
Bushnell, G., Dusetzina, S. B., Compton, S. N., Gaynes, B. N., Brookhart, M. A., & Stürmer‎, T. (2018) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2018.0108 · Cited by 8
“…anxiety disorders often do not receive adequate treatment, including underutilization of psychotherapy and of follow-up care (Whiteside et al. 2016; Gunter and Whittal 2010; Soria-Saucedo et al. 2018); a third of adults diagnosed with anxiety received psychotherapy, lower than other mental health…”
Background
The German Adaptation of the Therapist Beliefs about Exposure Scale: a Validation Study among Licensed Cognitive Behavioural Therapists in Germany
Schumacher, S., Schopka, N. M., Heinrich, M., & Knaevelsrud, C. (2018) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465818000371 · Cited by 6
“This notion is mainly supported by studies from the USA (Becker et al., 2004; Freiheit et al., 2004; Gunter and Whittal, 2010; Hipol and Deacon, 2013).”
Result
College students' recommendations for dealing with anxiety disorders
Coles, M., Coleman, S. L., & Schubert, J. (2015) · International Journal of Mental Health Promotion · doi:10.1080/14623730.2015.1005969 · Cited by 6
“Dissemination is an ongoing process with many challenges that are beyond the scope of this paper (Andrews & Titov, 2009; Chorpita & Regan, 2009; Gunter & Whittal, 2010).”
Background
Effects of intervention design on engagement and outcomes in digital self-help for insomnia – factorial RCT
Hentati, A., Isacsson, N. H., Rosén, A., Jernelöv, S., Kaldo, V., Ljótsson, B., Forsell, E., Lindefors, N., & Kraepelien, M. (2025) · npj Digital Medicine · doi:10.1038/s41746-025-01839-0 · Cited by 5
“Unfortunately, the availability of interventions derived from CBT is limited due to a shortage of quali ﬁ ed cliniciansandunequalaccesstocare 2,3 .”
Approach and barriers to the assessment and treatment of individuals with co-occurring OCD and PTSD: Treatment providers’ perspectives
Pinciotti, C. M., Ponzini, G. T., Hundt, N. E., Fletcher, T. L., Wells, S. Y., Wadsworth, L. P., Kirk, N. P. V., Abramowitz, J. S., Quinlan, K., Goodman, W. K., et al. (2024) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2024.100877 · Cited by 5
Anxiety sensitivity as a predictor, and non-specific therapeutic factors as predictors and mediators of CBT outcome for obsessive-compulsive disorder in a naturalistic mental health setting
Samantaray, N. N., Mishra, A., Singh, A. R., Sudhir, P. M., & Singh, P. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.12.085 · Cited by 5
Advances in Psychotherapy with Internet-Based Cognitive Behavioral Therapy for Anxiety and Obsessive-Compulsive Disorder
Townsend, A. N., Hertz, A. G., D’Souza, J. M., & Wiese, A. D. (2022) · Advances in Psychiatry and Behavioral Health · doi:10.1016/j.ypsc.2022.05.003 · Cited by 4
What Influences Educators’ Design Preferences for Bullying Prevention Programs? Multi-level Latent Class Analysis of a Discrete Choice Experiment
Cunningham, C. E., Rimas, H. L., Vaillancourt, T., Stewart, B., Deal, K., Cunningham, L. J., Vanniyasingam, T., Duku, E., Buchanan, D. H., & Thabane, L. (2019) · School Mental Health · doi:10.1007/s12310-019-09334-0 · Cited by 8
“Psychological reactance has been observed in college classrooms (Ball & Goodboy, 2014), experimental prevention analogues (Legault, Gutsell, & Inzlicht, 2011), 1 3 and the implementation of evidence-based practices (Gunter & Whittal, 2010).”
Background
Chinese Therapists’ Beliefs About Exposure Therapy for Anxiety and Obsessive-Compulsive Disorders
FANG, F., ZHANG, Y., ZHANG, L., JIANG, M., SONG, R., WANG, Y., WANG, Z., LI, B., FARRELL, N., CEPEDA, S. L., et al. (2019) · Journal of Psychiatric Practice · doi:10.1097/pra.0000000000000388 · Cited by 5
The provision of cognitive behavioral therapy in Japan: an analysis using insurance claims data
Mukai, K., Hosoi, Y., Yamanishi, K., Sakurai, M., Ogino, S., Hayashida, K., & Matsunaga, H. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-07316-y · Cited by 5
“In addition, although evidence-based treatment guidelines recommend once-weekly CBT sessions, there is evidence that CBT is often unavailable or delivered less frequently in routine clinical care in Western countries [18, 19].”
Dose–response relationship between sedentary time and anxiety and the moderating effect of a 10-min walk: a cross-sectional study
Tian, Z., Li, Y.-M., Zhang, N., Liu, Y., Wu, Y.-B., & Wang, L. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-06496-x · Cited by 4
Cost-effectiveness of automated digital CBT (Daylight) for generalized anxiety disorder: A Markov simulation model in the United States
Darden, M., Carl, J. R., Smits, J. A. J., Otto, M. W., & Miller, C. B. (2024) · PLOS mental health. · doi:10.1371/journal.pmen.0000116 · Cited by 5
Australian and New Zealand psychologists’ perceptions and use of therapist-guided exposure for panic disorder
Kannis‐Dymand, L., Grace, E., McDonald, L., & Chambers, R. (2022) · Clinical Psychologist · doi:10.1080/13284207.2022.2035651 · Cited by 7
The effects of an exposure therapy training program for pre-professionals in an intensive exposure-based summer camp
McCarty, R. J., Cooke, D. L., Lazaroe, L. M., Guzick, A. G., Guastello, A. D., Budd, S. M., Downing, S. T., Ordway, A. R., Mathews, C. A., & McNamara, J. P. H. (2022) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x22000010 · Cited by 5
“…2011), that patients will drop out of treatment (Deacon, Lickel et al., 2013; Olatunji et al., 2009), worry about legal liability due to exposures (Olatunji et al., 2009), and a belief that research findings do not translate to clinical practice (Gunter and Whittal, 2010; Olatunji et al., 2009).”
Background
Efficacy of attention bias modification via smartphones in a large population sample
Chelliah, A., & Robinson, O. J. (2022) · Royal Society Open Science · doi:10.1098/rsos.211629 · Cited by 4
What are the recovery and attrition outcomes for group CBT and individual CBT for generalised anxiety disorder in an IAPT service? An exploratory study
Fanous, M., & Daniels, J. (2020) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x20000045 · Cited by 8
“On the other hand, support from clinically representative settings aid the establishment of a treatment’s efficacy (Gunter and Whittal, 2010).”
Background
Development and Preliminary Psychometric Evaluation of Decisional Balance and Self-Efficacy Measures for Managing Anxiety in a National Sample of Clinically Anxious Adults
Lipschitz, J. M., Paiva, A. L., Redding, C. A., Levesque, D. A., Rossi, J. S., Weisberg, R. B., & Prochaska, J. O. (2016) · American Journal of Health Promotion · doi:10.1177/0890117116669493 · Cited by 6
Feasibility and dissemination of a computerized home-based treatment for Generalized Anxiety Disorder: A randomized clinical trial
Amir, N., Taboas, W., & Montero, M. (2019) · Behaviour Research and Therapy · doi:10.1016/j.brat.2019.103446 · Cited by 4
Want to help your patients with food allergy anxiety? Do proximity challenges!
Dahlsgaard, K. K., & Lewis, M. O. (2025) · Annals of Allergy Asthma & Immunology · doi:10.1016/j.anai.2025.02.020 · Cited by 4
Gauging Perceptions and Attitudes About Student Anxiety and Supports Among School-Based Providers
Conroy, K., Salem, H., Georgiadis, C., Hong, N., Herrera, A., Furr, J. M., Green, J. G., & Comer, J. S. (2021) · School Mental Health · doi:10.1007/s12310-021-09470-6 · Cited by 4
D-Cycloserine as Adjunct to Brief Computerised CBT for Spider Fear: Effects on Fear, Behaviour, and Cognitive Biases
Kappelmann, N., Suesse, M., Steudte-Schmiedgen, S., Kaldewaij, R., Browning, M., Michael, T., Rinck, M., & Reinecke, A. (2019) · bioRxiv · doi:10.1101/602276 · Cited by 3
Observations and Insights About Strengthening Our Soldiers (SOS)
Melamed, B. G., & Castro, C. A. (2011) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-011-9253-4 · Cited by 2
“Effective dissemination requires attention to patient, therapist, and organizational barriers, including the availability of funding for training and organizational support for implementation of new practices ( Gunter & Whittal, 2010 ).”
Background
Schema-Informed Digital Mental Health Intervention for Maladaptive Cognitive-Emotional Patterns: Randomized Controlled Trial
Jeong, S., Kim, H., Lho, S. K., Hwang, I., Mun, S., Kim, S., Lim, H., Kim, H., Shin, M.-S., & Moon, W. (2025) · Journal of Medical Internet Research · doi:10.2196/65892 · Cited by 2
“Moreover, access to conventional treatments is hindered by the current high costs, long wait times, and social stigma [1,2].”
Investigating the dose-response relationship between music and anxiety reduction: A randomized clinical trial
Mullen, D. K., Peng, T., Stewart, L., Mallik, A., & Russo, F. (2026) · PLOS mental health. · doi:10.1371/journal.pmen.0000355 · Cited by 2
“Because all forms of CBT involve discussing and facing the things that make a person anxious, the first few sessions can be particularly uncomfortable, especially for those who tend to be avoidant of the things that make them anxious, which may result in discontinuation [23].”
Cognitive Behavioral Therapy for Patients with Chronic Musculoskeletal Disorders: A Systematic Review and Meta-analysis
Liu, H.-W., & Tsai, T. (2025) · Cognitive Therapy and Research · doi:10.1007/s10608-025-10686-y · Cited by 2
Reasons for seeking internet‐delivered treatment for individuals with obsessive‐compulsive disorder
Melkonian, M., McDonald, S., Karin, E., Titov, N., Dear, B. F., & Wootton, B. M. (2024) · British Journal of Clinical Psychology · doi:10.1111/bjc.12524 · Cited by 3
Advances in neuroscience research and big data's analysis on anxiety disorder
Yu, Q., Ruan, M., Chen, Y., & Wang, C. (2024) · Wiley Interdisciplinary Reviews Cognitive Science · doi:10.1002/wcs.1692 · Cited by 3
A Team-Based Partner-Driven Model for Delivering Outpatient Exposure Treatment for Pediatric Anxiety and Obsessive-Compulsive Disorder
Freeman, J. B., Kemp, J. J., O’Connor, E., Herren, J. A., Georgiadis, C., Righi, G., & Benito, K. (2024) · JAACAP Open · doi:10.1016/j.jaacop.2024.06.005 · Cited by 2
“64 67 As such, in addition to providing psychoeducation about the rationale for exposure to target anxiety and OCD concerns, provider training should focus on experiential exercises to demonstrate that exposure is tolerable and effective.”
Therapeuts’ Beliefs about Exposure Therapy
Živčić–Bećirević, I., Jakovčić, I., & Birovljević, G. (2019) · Socijalna psihijatrija · doi:10.24869/spsih.2019.525 · Cited by 1
Cognitive behavioural therapy for anxiety disorders and insomnia: a commentary on future directions
Aho, K. M., Pickett, S. M., & Hamill, T. S. (2014) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x14000117 · Cited by 3
Cognitive Bias Modification
Kuckertz, J. M., & Amir, N. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-803457-6.00019-2 · Cited by 16
Exposure Therapies and Stress Inoculation: A Brief Overview
Phillips, D., & Lauterbach, D. (2015) · Elsevier eBooks · doi:10.1016/b978-0-08-097086-8.21050-7 · Cited by 2
Advancing the treatment of anxiety disorders in transition‐age youth: a review of the therapeutic effects of unconscious exposure.
Siegel, P., & Peterson, B. S. (2025) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.14037 · Cited by 2
Empathy Regulation in Clinical Science: Regulating the Therapeutic Emotional Circuit
Nook, E. C., & Zaki, J. (2026) · Clinical Psychological Science · doi:10.1177/21677026261425981
“…anxieties about exposure-based treatments lead therapists to not select such treatments or to deliver them cautiously (de Jong et al., 2020; Gunter & Whittal, 2010; Meyer et al., 2020; Pittig et al., 2019; Waller & Turner, 2016) even though doing challenging exposures involving close…”
Digital Cognitive Behavioral Treatment for Generalized Anxiety Disorder
Parsons, E. M., Ball, T. M., Carl, J. R., Henry, A. L., Emsley, R., Miller, C. B., Wong, E. Y., Coombs, E., Collins, D., Long, L. J., et al. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2025.48884 · Cited by 5
Third-wave therapy with virtual reality exposure: Transdiagnostic proof of concept for the treatment of social anxiety
Bravo, M. A., Binette, M.-A., Lepage, M., Abdel‐Baki, A., Villeneuve, M., & Lecomte, T. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.120898 · Cited by 1
Parent-led Interventions for Anxiety Problems in Children and Young People in the Real World
Whitaker, E., Chessell, C., Vesey, T., & Creswell, C. (2025) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2025.07.003 · Cited by 1
Scope of artificial intelligence in the diagnosis and management of generalized anxiety disorder: A narrative review
Gamne, R., Wajpeyi, S. M., & Bobade, S. (2025) · Multidisciplinary Reviews · doi:10.31893/multirev.2025280 · Cited by 1
The effect of binaural pulse modulation (B.P.M) on brain state in depression and anxiety: a case series
Leisman, G., Wallach, J., Machado-Ferrer, Y., Chinchilla-Acosta, M., Meyer, A. G., Lebovits, R., & Donkin, S. (2024) · Journal of Medical Case Reports · doi:10.1186/s13256-024-04888-3 · Cited by 2
Implementing a revised online screening tool in a routine care online clinic treating anxiety and depression
Mathiasen, K., Holmberg, T. T., Skaarnes, H., Jensen, E. S., Vis, C., & Tarp, K. (2023) · Frontiers in Digital Health · doi:10.3389/fdgth.2023.1128893 · Cited by 2
Doctoral clinical psychology student commentary on common myths about CBT: lessons learned for competency-based training
Dessert, A., Lynch, A., McMillon, A. R., Terrill, M., & MacNeil, B. A. (2023) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x23000016 · Cited by 1
“…that failure to address therapist concerns regarding certain treatment approaches and about the use of specific therapy techniques like exposure are important factors for facilitating the uptake of evidence-based treatments (Gunter and Whittal, 2010; Meyer et al., 2020; Shafran et al., 2009).”
Background
Smartphone-Based Interventions and Internalizing Disorders in Youth: Systematic Review and Meta-analysis (Preprint)
Buttazzoni, A., Brar, K., & Minaker, L. (2019) · doi:10.2196/preprints.16490 · Cited by 1
Dissemination and Implementation of Evidence-Based Programs for the Prevention and Treatment of Childhood Anxiety
Sasagawa, S., & Essau, C. A. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108235655.012 · Cited by 1
Technology to Facilitate Treatment for Childhood Anxiety Disorders and Obsessive-Compulsive Disorder: Proof of Concept
Whiteside, S. P. H., Biggs, B. K., Hofschulte, D. R., Seifert, S. J., & Kramer, K. M. (2018) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2018.1514547 · Cited by 1
“Although exposure therapy is supported by empirical evidence, many therapists lack the training to use exposure well and are also reluctant to increase their use of this technique (Gunter & Whittal, 2010; Meyer, Farrell, Kemp, Blakey, & Deacon, 2014; Whiteside et al., 2016, 2016).”
Method
Nursing Practice and Research Trends Pertaining to Cognitive Behavioral Therapy in Japan: A Systematic Review
Yoshinaga, N., Nosaki, A., Unozawa, K., Urao, Y., Hayashi, Y., & Shimizu, E. (2015) · Anxiety Disorder Research · doi:10.14389/jsad.6.2_100 · Cited by 1
Efficacy of the Cognitive and Exposure Therapy in the Treatment of Obsessive-Compulsive Disorder
Mahmoodi, H., Gharibi, H., & Khaledian, M. (2013) · International Letters of Social and Humanistic Sciences · doi:10.18052/www.scipress.com/ilshs.11.1 · Cited by 1
“Treatment is focused on identifying and modifying negative thoughts, modified attitudes related to extreme responsibilities, increase exposure and reduce avoidance behaviors (Gunter and Whittal, 2010).”
Background
Between a Rock and Hard Science
Vivona, J. M. (2012) · Journal of the American Psychoanalytic Association · doi:10.1177/0003065111429964 · Cited by 1
Experimental Psychopathology at the Crossroads: Reflections on Past, Present, and Future Contributions to Cognitive Behavioural Therapy
Ouimet, A. J., Dixon‐Luinenburg, T., & Rooyakkers, M. (2020) · International Journal of Cognitive Therapy · doi:10.1007/s41811-020-00093-4 · Cited by 13
“In 2015, the Open Science Collaboration (2015) published the results of their large-scale, multi-site replication project wherein 270 researchers conducted 100 direct replications of journal articles published in 2008 from three leading journals in psychology. They directly reproduced fewer than 40% of the significant…”
BackgroundInfluential
Extended Reality (XR) for Cynophobia: A Comprehensive Review on Animal Phobia Treatments and Future Directions
Alves, I., Conceição, N., & Esteves, A. (2026) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2026.2728236
Self-esteem and inner strengths: a network study in Thai university students with borderline personality disorder symptoms
Song, Y., DeMaranville, J., Khattiya, K., Leung, K. C., Wongpakaran, N., & Wongpakaran, T. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1847294
Fragebögen zum Verhalten von Psychotherapeut_innen bei der Durchführung von Expositionstherapien
Wolf, L., & Pedersen, A. (2026) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026/1616-3443/a000851
Preference for the modality of psychosocial treatment for anxiety in adults with comorbid anxiety and chronic musculoskeletal pain
Ovalles, A., Parsons, E. M., Steinberg, M., Ball, T. M., Edwards, R. R., Checko, E. R., Carl, J. R., Smits, J. A. J., & Otto, M. W. (2025) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2025.2564817
“However, individuals with anxiety often struggle to access CBT due to the limited availability of trained therapists, the costs and travel burden of in-person therapy, and the stigma related to treatment (Gunter & Whittal, 2010; Karlin, 2021; Wolitzky-Taylor et al., 2018).”
Looking to the Future with a Cognitive-Behavioral Lens: The Inaugural Edition of the International Journal of Cognitive Behavioral Therapy
Selby, E. A. (2025) · International Journal of Cognitive Behavioral Therapy · doi:10.1007/s41811-025-00248-1 · Cited by 1
“In addition to advances in CBT theory, integration of emotion and emotion regulation into CBT, and pioneering of novel CBT strategies, modern CBT is also highly investigated in terms of dissemination and implementation (Gunter & Whittal, 2010).”
Recent Research in Cognitive- Behavioral Therapy
Gallagher, R., & Austern, D. J. (2024) · Psychiatric Annals · doi:10.3928/00485713-20240223-01
Brief, Intensive Treatment for Separation Anxiety in an 8-Year-Old Boy: A Case Study
McFayden, T. C., & White, S. W. (2019) · Clinical Case Studies · doi:10.1177/1534650119888282 · Cited by 1
“Although CBTs have been established as an evidence-based treatment approach for anxiety disorders, the treatments nevertheless remain underutilized for many children and families (Gunter & Whittal, 2010).”
Background
Cognitive Bias Modification Strategies for Anxious Children
Kuckertz, J. M., & Amir, N. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108235655.006 · Cited by 1
Anxiety Disorders
Carpenter, J. K., Conroy, K., & Hofmann, S. G. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108140416.029 · Cited by 5
Ausweg aus Denkverzerrungen mit metakognitivem Training
Hauschildt, M., & Jelinek, L. (2017) · NeuroTransmitter · doi:10.1007/s15016-017-5842-2
Dissemination of Child Anxiety Psychotherapy: The Next Frontier
Storch, E. A., & de Avila, D. (2016) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.30.3.149
“…emperically supported treatments (ESTs) in community settings for anxious youth (e.g., training, resource availability, expected caseload, etc.; Gunter & Whittal, 2010; Southam-Gerow, Hourigan, EDITORIAL & Allin, 2008), outcomes have been consistently positive when efforts have been made…”
Background
Expanding the Foundation for Population-Based Anxiety Management Interventions
Lipschittz, J. (2015) · Digital Commons - URI (University of Rhode Island) · doi:10.23860/diss-lipschittz-jessica-2015
“Intra-individual barriers are particularly relevant in exposure therapy because approaching feared stimuli is a difficult and counterintuitive way to address anxiety (Gunter & Whittal, 2010).”
Background
Functional characterization of Phosphodiesterase-4A in behavior and obesity
Hansen, R. (2014) · doi:10.33915/etd.583
“With this psychotherapy, anxiety patients are slowly exposed to concepts and pieces of their phobia, in hopes of gradually habituating them to it (Gunter and Whittal 2010).”
Background

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