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
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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“However, there are several access barriers to conventional, face-to-face CBT, such as limited accessibility, high cost, and perceived stigma (Gunter and Whittal, 2010; Mohr et al., 2010).”
From The effect of internet-delivered cognitive behavioral therapy for depression and anxiety on quality of life: A meta-analysis of randomized controlled trials (2023) · cites this paper as Gunter and Whittal, 2010
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“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].”
BackgroundAttention bias modification for social anxiety: A systematic review and meta-analysis
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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)
- 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
- 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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