Cited by 290Digital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and Assessments

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Is internet-based CBT for panic disorder and agoraphobia as effective as face-to-face CBT?

Kiropoulos, Litza A., Klein, Britt, Austin, David W., Gilson, Kathryn, Pier, Ciaran, Mitchell, Joanna, Ciechomski, Lisa·2008·Journal of Anxiety Disorders

DOI 10.1016/j.janxdis.2008.01.008

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Abstract

This study compared Panic Online (PO), an internet-based CBT intervention, to best-practice face-to-face CBT for people with panic disorder with or without agoraphobia. Eighty-six people with a primary diagnosis of panic disorder were recruited from Victoria, Australia. Participants were randomly assigned to either PO (n=46) or best practice face-to-face CBT (n=40). Effects of the internet-based CBT program were found to be comparable to those of face-to-face CBT. Both interventions produced significant reductions in panic disorder and agoraphobia clinician severity ratings, self reported panic disorder severity and panic attack frequency, measures of depression, anxiety, stress and panic related cognitions, and displayed improvements in quality of life. Participants rated both treatment conditions as equally credible and satisfying. Participants in the face-to-face CBT treatment group cited higher enjoyment with communicating with their therapist. Consistent with this, therapists' ratings for compliance to treatment and understanding of the CBT material was higher in the face-to-face CBT treatment group. PO required significantly less therapist time than the face-to-face CBT condition.

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Authors: Kiropoulos, L. A., Klein, B., Austin, D. W., Gilson, K., Pier, C., Mitchell, J., & Ciechomski, L.
Affiliations: Monash University (AU)
Corresponding author: Kiropoulos, Litza A.
ORCID: Kiropoulos, Litza A.
Klein, Britt
Austin, David W.
Gilson, Kathryn
Mitchell, Joanna
Venue: Journal of Anxiety Disorders
Publisher: Elsevier BV
Published: 2008-12
Volume: 22
Issue: 8
Pages: 1273-1284
ISSN: 0887-6185 (ISSN-L)
DOI: 10.1016/j.janxdis.2008.01.008
OpenAlex: W2013146721
Cited by: 290
References: 53
Citations by year: 2026: 4 · 2025: 7 · 2024: 13 · 2023: 6 · 2022: 11 · 2021: 14 · 2020: 11 · 2019: 12 · 2018: 14 · 2017: 12 · 2016: 20 · 2015: 20 · 2014: 25 · 2013: 21 · 2012: 24
FWCI: 32.78
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: Journal of Anxiety Disorders (publishedVersion)
PubMed (publishedVersion)
FedUni ResearchOnline (Federation University Australia) (submittedVersion)
Swinburne figshare (Swinburne University of Technology) (submittedVersion)
Topics: Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Keywords: internet-based CBT, panic disorder, agoraphobia, treatment effectiveness, treatment credibility, treatment satisfaction, quality of life, depression, anxiety, stress, medication adherence
MeSH terms: Adult, Agoraphobia, Australia, Female, Humans, Male, Manuals as Topic, Middle Aged, Patient Compliance, Quality of Life, Surveys and Questionnaires, Self-Help Groups, Severity of Illness Index, Therapy, Computer-Assisted, Comorbidity, Cognitive Behavioral Therapy, Panic Disorder, Treatment Outcome, Patient Satisfaction, Remote Consultation, Internet

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Is internet-based CBT for panic disorder and agoraphobia as effective as face-to-face CBT?

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