The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.
Internet-Guided Self-Help with or without Exposure Therapy for Phobic and Panic Disorders
Abstract
BACKGROUND: As many sufferers from phobic and panic (phobia/panic) disorders cannot get to suitable therapists, routine aspects of therapy were delegated to internet-accessed computer-aided self-help with or without exposure instructions. METHODS: Phobia/panic referrals were randomised to computer-aided self-help via the internet at home in a 2:1 ratio either by self-exposure cognitive behaviour therapy (CBT) [FearFighter (FF), n = 45] or by minimal CBT without exposure [Managing Anxiety (MA), n = 23]. All had brief backup phone advice from a clinician concerning their computer guidance. RESULTS: On self-ratings and blinded assessor ratings, patients improved equally with each form of self-help over 10 treatment weeks but significantly more on 5 out of 10 measures by week 14 (1-month follow-up) when the self-help included self-exposure instructions than when it did not. In accord with this, standardised effect sizes (Cohen's d) indicated superiority of FF over MA on 5 measures by week 14. Satisfaction with treatment in all patients pooled correlated positively with improvement after treatment and at 1-month follow-up. CONCLUSIONS: At the end of treatment, computer-aided CBT self-help at home via the internet plus brief live helpline support was effective with or without exposure instructions, and at 1-month follow-up it was more effective on some measures if exposure instructions had been included. Analysis is needed of how non-exposure CBT produced its shorter-term effect.
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“Other controlled studies have included specific phobias along with other disorders in their ICBTs.”
From An Internet-based treatment for Flying Phobia using 360° images: Study protocol for a feasibility pilot study (2021) · cites this paper as Schneider et al., 2005
In the citing paper
“Delegating the routine, basic elements of exposure treatment to a guided Internet-based situation could shorten face-to-face therapy and limit therapist involvement, making the treatment more cost-effective [19,34].”
From Short-term effectiveness of web-based guided self-help for phobic outpatients: randomized controlled trial. (2014) · cites this paper as [19]
In the citing paper
“When comparing effect sizes of the current trial with earlier trials of Internet-based anxiety and phobia interventions, we found that the effect sizes of the current trial are low overall [19,58].”
From Short-term effectiveness of web-based guided self-help for phobic outpatients: randomized controlled trial. (2014) · cites this paper as [19]
In the citing paper
“it should be noted that the intervention of the current trial included a number of CBT components and that there is no unambiguous evidence that CBT should outperform exposure therapy for phobias per se, with studies finding either no difference or a negligible advantage for either CBT of exposure therapy in phobias (eg, [14,19,59,60]).”
From Short-term effectiveness of web-based guided self-help for phobic outpatients: randomized controlled trial. (2014) · cites this paper as [19]
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Metadata
- Authors
- Schneider, A. J., Mataix-Cols, D., Marks, I. M., & Bachofen, M.
- Affiliations
- King's College London (GB)
- Venue
- Psychotherapy and Psychosomatics
- Publisher
- S. Karger AG
- Published
- 2005
- Volume
- 74
- Issue
- 3
- Pages
- 154-164
- ISSN
- 0033-3190 (ISSN-L)
- 1423-0348
- OpenAlex
- W2082884226
- Cited by
- 118
- References
- 29
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 7 · 2019: 5 · 2018: 4 · 2017: 2 · 2016: 8 · 2015: 3 · 2014: 7 · 2013: 8 · 2012: 7
- FWCI
- 15.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy and Psychosomatics (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- 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
- phobia, panic disorder, exposure therapy, treatment satisfaction, access to mental health care
- MeSH terms
- Humans, Phobic Disorders, Self-Help Groups, Cognitive Behavioral Therapy, Panic Disorder, Internet
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