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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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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Internet-based cognitive behavioral therapy programs reduce symptoms across a range of mental disorders, including post-traumatic stress disorder, social anxiety disorder, and panic disorder.
“Internet-based cognitive behavioral therapy programs have been shown to reduce symptoms across a range of mental disorders, including post-traumatic stress disorder (1), social anxiety disorder (2), and panic disorder (3), among others.”
From Improving Acceptability and Uptake Behavior for Internet-Based Cognitive-Behavioral Therapy (2021) · cites this paper as [3]
The PSP Wellbeing Course was adapted from the transdiagnostic ICBT program called the Wellbeing Course, which was developed for use in the general population by eCentre Clinic at Macquarie University, Australia.
“The PSP Wellbeing Course was adapted from a transdiagnostic ICBT program called the Wellbeing Course, which was developed for use in the general population by eCentre Clinic at Macquarie University, Australia [28-32].”
From Initial Outcomes of Transdiagnostic Internet-Delivered Cognitive Behavioral Therapy Tailored to Public Safety Personnel: Longitudinal Observational Study (2021) · cites this paper as [30]
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Apolinário-Hagen, J. (2018) · Psychiatry Investigation · doi:10.30773/pi.2018.06.26 · Cited by 20 · see citing works
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Transdiagnostic-focused apps for depression and anxiety: a meta-analysis
Linardon, J., Anderson, C., Messer, M., Liu, C., & Torous, J. B. (2025) · npj Digital Medicine · doi:10.1038/s41746-025-01860-3 · Cited by 18 · see citing works
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“Previous quantitative research has highlighted iCBT's potential for long-term clinical effects (Buntrock et al., 2016; Fogliati et al., 2016; Ruwaard et al., 2010); however, regarding posttherapeutic CBT skills usage as a possible mechanism of effect maintenance, both of the aforementioned studies…”
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Fisher, A. C., Corrigan, E., Cross, S. P. M., Ryan, K., Staples, L., Tan, R. L., Titov, N., & Dear, B. F. (2023) · Clinical Psychologist · doi:10.1080/13284207.2023.2279657 · Cited by 9 · see citing works
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“A rapid review of the evidence for each of these programs’ evaluations is provided in Multimedia Appendix 4 [10,12,17,42-151].”
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“More information on the origins of the intervention [25] and the adaptations of the intervention [29-32] can be found elsewhere.”
BackgroundAntidepressant medication use by patients accessing a national digital mental health service
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Digitale Gesundheitsanwendungen mit psychotherapeutischem Fokus
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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
- hybrid
- doi.org
- Licence
- 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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