Delivering Cognitive-Behavior Therapy for Panic Disorder with Agoraphobia in Videoconference
Abstract
Delivering psychotherapy by videoconference could significantly increase the accessibility of empirically validated treatments. The aim of this study was to compare the effectiveness of cognitive-behavior therapy (CBT) for panic disorder with agoraphobia (PDA) when the therapy is delivered either face-to-face or by videoconference. A sample of 21 participants was treated either face-to-face or by videoconference. Results showed that CBT delivered by videoconference was as effective as CBT delivered face-to-face. There was a statistically significant reduction in all measures, and the number of panic-free participants among those receiving CBT by videoconference was 81% at post-treatment and 91% at the 6-month follow-up. None of the comparisons with face-to-face psychotherapy suggested that CBT delivered by videoconference was less effective. These results were confirmed by analyses of effect size. The participants reported the development of an excellent therapeutic alliance in videoconference as early as the first therapy session. The importance of these results for treatment accessibility is discussed. Hypotheses are proposed to explain the rapid creation of strong therapeutic alliances in videoconferencing.
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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].”
Several studies have suggested that building a working alliance is not an end in and of itself in the treatment of anxiety disorders but rather a basis upon which patients and their therapists can work to reach changes in core beliefs that maintain the disorder.
“Several studies have suggested that building a working alliance is not an end in and of itself in the treatment of anxiety disorders but rather a basis upon which patients and their therapists can work to reach changes in core beliefs that maintain the disorder [26,61,62].”
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- Authors
- Bouchard, S., Paquin, B., Payeur, R., Allard, M., Rivard, V., Fournier, T., Renaud, P., & Lapierre, J.
- Affiliations
- Université du Québec en Outaouais (CA)
- Venue
- Telemedicine Journal and e-Health
- Publisher
- SAGE Publications
- Published
- 2004-03
- Volume
- 10
- Issue
- 1
- Pages
- 13-25
- ISSN
- 1530-5627 (ISSN-L)
- OpenAlex
- W1993787017
- Cited by
- 267
- References
- 54
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 8 · 2023: 6 · 2022: 12 · 2021: 22 · 2020: 24 · 2019: 13 · 2018: 12 · 2017: 8 · 2016: 8 · 2015: 21 · 2014: 19 · 2013: 20 · 2012: 17
- FWCI
- 4.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Telemedicine Journal and e-Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Université du Québec en Outaouais
- Canada Research Chairs
- 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
- cognitive behavioral therapy, panic disorder with agoraphobia, telemedicine, face-to-face psychotherapy, treatment accessibility, therapeutic relationship, treatment effectiveness, follow-up outcomes
- MeSH terms
- Adult, Agoraphobia, Female, Follow-Up Studies, Humans, Male, Mental Health Services, Middle Aged, Ontario, Surveys and Questionnaires, Random Allocation, Cognitive Behavioral Therapy, Computer Terminals, Panic Disorder, Rural Health Services, Remote Consultation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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