Cognitive behavior therapy for panic disorder with agoraphobia in videoconference: Preliminary results
Abstract
Many studies have shown the feasibility of psychiatric consultation in telehealth, and some have addressed the effectiveness of telepsychotherapy. However, outcome studies on telepsychiatry essentially amount to a few case studies, none of which have used an empirically validated psychosocial treatment to treat a specific mental disorder. This article presents the preliminary results of an outcome study on the effectiveness of telepsychotherapy for panic disorder with agoraphobia. Participants received 12 sessions of cognitive-behavior therapy, which is an empirically validated treatment for panic disorder with agoraphobia. The treatment was delivered via videoconference by trained therapists according to a standardized treatment manual. The remote site was located at 130 km north of the local site and both were linked by six ISDN lines. Telepsychotherapy demonstrated statistically and clinically significant improvements on measures of target symptoms (frequency, of panic attacks, panic apprehension, severity of panic disorder, perceived self-efficacy) and measures of global functioning (trait anxiety, general improvement). Of interest was the fact that a very good therapeutic alliance was built after only the first telepsychotherapy session. Factors that may reduce the effectiveness of telepsychotherapy are discussed.
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Research on VCP has significantly evolved from the early clinical trials decades ago.
“Research on VCP has significantly evolved from the early clinical trials decades ago [89,90,91].”
Simpson and Reid reported that several studies support the notion that videoconference treatments can generate a strong therapeutic bond right from the onset of treatment.
“In their review of the VC literature, Simpson and Reid [61] reported that several studies support the notion that VC treatments can generate a strong therapeutic bond right from the onset of treatment [26,62,63].”
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Haun, M. W., van Eickels, D., Stephan, I., Tönnies, J., Hartmann, M., Wensing, M., Szécsényi, J., Icks, A., & Friederich, H. (2025) · JMIR Mental Health · doi:10.2196/70415
Monroy-Robles, D. M., del Campo-Galván, P., de la Rosa-Gómez, A., García-Palacios, A., Manolov, R., Guerra-Anlén, A., Colín-Mendiola, K. P., & Landa-Ramírez, E. (2026) · Journal of clinical psychology in medical settings · doi:10.1007/s10880-026-10132-5
Psychological prevention of unsafe behavior: experience in using virtual reality technologies
Ukolova, A. A., & Buzanov, K. E. (2026) · Èkstremalʹnaâ psihologiâ i bezopasnostʹ ličnosti. · doi:10.17759/epps.2026030304
- Authors
- Bouchard, S., Payeur, R., Rivard, V., Allard, M., Paquin, B., Renaud, P., & Goyer, L.
- Affiliations
- Université du Québec en Outaouais (CA)
- Centre Hospitalier Pierre-Janet, Hull, P.Q., Canada and Centre Hospitalier des Forestiers (Maniwaki), P.Q., Canada.
- University of Ottawa (CA)
- Venue
- CyberPsychology & Behavior
- Publisher
- SAGE Publications
- Published
- 2000-12
- Volume
- 3
- Issue
- 6
- Pages
- 999-1007
- ISSN
- 1094-9313 (ISSN-L)
- 1557-8364
- OpenAlex
- W2088831890
- Cited by
- 82
- References
- 34
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 5 · 2021: 5 · 2020: 4 · 2019: 1 · 2018: 4 · 2016: 8 · 2015: 2 · 2014: 7 · 2013: 4 · 2012: 4
- FWCI
- 2.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- CyberPsychology & Behavior (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- telepsychotherapy, videoconferencing, cognitive behavioral therapy, panic disorder with agoraphobia, telemedicine, therapeutic relationship, self-efficacy, trait anxiety, treatment outcomes, remote treatment delivery
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