Cited by 86Digital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPersonality Disorders and Psychopathology

Disorder-specific versus transdiagnostic and clinician-guided versus self-guided internet-delivered treatment for panic disorder and comorbid disorders: a randomized controlled trial

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Fogliati, V.J., Dear, B.F., Staples, L.G., Terides, M.D., Sheehan, J., Johnston, L., Kayrouz, R., Dear, R. +2 more·2016·Journal of Anxiety Disorders

Abstract

Transdiagnostic cognitive behaviour therapy (TD-CBT) aims to target the symptoms of multiple disorders whereas disorder-specific CBT (DS-CBT) targets the symptoms of principal disorders. This study compared the relative benefits of internet-delivered TD-CBT and DS-CBT when provided in clinician-guided (CG-CBT) and self-guided (SG-CBT) formats for people with a principal diagnosis of Panic Disorder (PD). Participants (n=145) were randomly allocated to receive TD-CBT or DS-CBT and CG-CBT or SG-CBT. Large reductions in symptoms of PD (Cohen's d ≥ 0.71; avg. reduction ≥ 36%) and moderate-to-large reductions in symptoms of comorbid depression (Cohen's d ≥ 0.71; avg. reduction ≥ 33%), generalised anxiety disorder (Cohen's d ≥ 0.91; avg. reduction ≥ 34%) and social anxiety disorder (Cohen's d ≥ 0.50; avg. reduction ≥ 15%) were found over the 24-month follow-up period. Highlighting their efficacy and acceptability, no marked and consistent differences were observed between TD-CBT and DS-CBT or CG-CBT and DS-CBT.

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  1. Mewton, L., Wong, N., & Andrews, G. (2012). The effectiveness of internet cognitive behavioural therapy for generalized anxiety disorder in clinical practice. Depress Anxiety, 29(10), 843-849.

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Authors
Fogliati, V. J., Dear, B. F., Staples, L. G., Terides, M. D., Sheehan, J., Johnston, L., Kayrouz, R., Dear, R., McEvoy, P. M., & Titov, N.
Affiliations
  • Macquarie University (AU)
  • Curtin University (AU)
Corresponding author
Dear, B.F.
Venue
Journal of Anxiety Disorders
Publisher
Elsevier BV
Published
2016-04
Volume
39
Pages
88-102
ISSN
0887-6185 (ISSN-L)
OpenAlex
W2298366945
Cited by
86
References
83
Citations by year
2026: 2 · 2025: 5 · 2024: 7 · 2023: 9 · 2022: 9 · 2021: 13 · 2020: 2 · 2019: 14 · 2018: 11 · 2017: 6 · 2016: 6 · 2015: 2
FWCI
18.95
Type
journal article
Language
en
Open access
Locations
  • Journal of Anxiety Disorders (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • eSpace (Curtin University) (submittedVersion, cc-by-nc-nd)
Funders
  • Australian National Health and Medical Research Council
  • NHMRC Australian Public Health Fellowship
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 › Personality Disorders and Psychopathology
Keywords
internet-delivered treatment, self-guided treatment, panic disorder, comorbid depression, generalized anxiety disorder, social anxiety disorder, treatment acceptability, treatment efficacy
MeSH terms
Phobia, Social, Adult, Anxiety Disorders, Depressive Disorder, Female, Follow-Up Studies, Humans, Male, Therapy, Computer-Assisted, Comorbidity, Cognitive Behavioral Therapy, Panic Disorder, Treatment Outcome, Internet, Stress Disorders, Traumatic, Acute

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