Effectiveness of Internet‐based cognitive behaviour therapy for panic disorder in routine psychiatric care

Hedman, E.; Ljótsson, B.; Rück, C.; Bergström, J.; Andersson, G.; Kaldo, V.; Jansson, L.; Andersson, E.; Andersson, E.; Blom, K.; El Alaoui, S.; Falk, L.; Ivarsson, J.; Nasri, B.; Rydh, S.; Lindefors, N.

doi:10.1111/acps.12079

Cited by 145Digital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and Assessments

Effectiveness of Internet‐based cognitive behaviour therapy for panic disorder in routine psychiatric care

Hedman, E., Ljótsson, B., Rück, C., Bergström, J., Andersson, G., Kaldo, V., Jansson, L., Andersson, E. +8 more·2013·Acta Psychiatrica Scandinavica

DOI 10.1111/acps.12079

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Abstract

Objective: Guided Internet‐based cognitive behaviour therapy (ICBT) for panic disorder has been shown to be efficacious in several randomized controlled trials. However, the effectiveness of the treatment when delivered within routine psychiatric care has not been studied. The aim of this study was to investigate the effectiveness of ICBT for panic disorder within the context of routine psychiatric care. Method: We conducted a cohort study investigating all patients (n = 570) who had received guided ICBT for panic disorder between 2007 and 2012 in a routine care setting at an out‐patient psychiatric clinic providing Internet‐based treatment. The primary outcome measure was the Panic Disorder Severity Scale‐Self‐report (PDSS‐SR). Results: Participants made large improvements from screening and pretreatment assessments to posttreatment (Cohen's d range on the PDSS‐SR = 1.07–1.55). Improvements were sustained at 6‐month follow‐up. Conclusion: This study suggests that ICBT for panic disorder is as effective when delivered in a routine care context as in the previously published randomized controlled trials.

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Only a limited number of trials have specifically evaluated Internet-based treatments in outpatient clinics and secondary care for common mental disorders.
“only a limited number of trials have specifically evaluated Internet-based treatments in outpatient clinics and secondary care for common mental disorders [30-33].”
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Authors: Hedman, E., Ljótsson, B., Rück, C., Bergström, J., Andersson, G., Kaldo, V., Jansson, L., Andersson, E., Andersson, E., Blom, K., El Alaoui, S., Falk, L., Ivarsson, J., Nasri, B., Rydh, S., & Lindefors, N.
Affiliations: Department of Clinical Neuroscience Division of Psychiatry Karolinska Institutet Stockholm
Karolinska Institutet (SE)
Stockholm University (SE)
Linköping University (SE)
ORCID: Ljótsson, B.
Rück, C.
Andersson, G.
Kaldo, V.
Blom, K.
Nasri, B.
Lindefors, N.
Venue: Acta Psychiatrica Scandinavica
Publisher: Wiley
Published: 2013-02-14
Volume: 128
Issue: 6
Pages: 457-467
ISSN: 0001-690X (ISSN-L)
1600-0447
DOI: 10.1111/acps.12079
OpenAlex: W2067472354
Cited by: 144
References: 41
Citations by year: 2026: 8 · 2025: 6 · 2024: 7 · 2023: 2 · 2022: 2 · 2021: 9 · 2020: 9 · 2019: 11 · 2018: 15 · 2017: 9 · 2016: 13 · 2015: 14 · 2014: 16 · 2013: 23
FWCI: 33.89
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Acta Psychiatrica Scandinavica (publishedVersion)
PubMed (publishedVersion)
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 cognitive behavioral therapy, panic disorder, psychiatric outpatient clinic, treatment effectiveness, sustained treatment effects
MeSH terms: Adult, Aged, Female, Humans, Male, Middle Aged, Psychiatric Department, Hospital, Psychiatry, Severity of Illness Index, Cohort Studies, Cognitive Behavioral Therapy, Panic Disorder, Treatment Outcome, Telemedicine, Internet, Young Adult

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Effectiveness of Internet‐based cognitive behaviour therapy for panic disorder in routine psychiatric care

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