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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
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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.

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Research works printed but not linked: 28

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Metadata

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
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

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