Cited by 43Digital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and Assessments

Internet cognitive–behavioural treatment for panic disorder: randomised controlled trial and evidence of effectiveness in primary care

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Allen, Adrian R., Newby, Jill M., Mackenzie, Anna, Smith, Jessica, Boulton, Matthew, Loughnan, Siobhan A., Andrews, Gavin·2016·BJPsych Open

Abstract

Background: Internet cognitive–behavioural therapy (iCBT) for panic disorder of up to 10 lessons is well established. The utility of briefer programmes is unknown. Aims: To determine the efficacy and effectiveness of a five-lesson iCBT programme for panic disorder. Method: Study 1 (efficacy): Randomised controlled trial comparing active iCBT (n=27) and waiting list control participants (n=36) on measures of panic severity and comorbid symptoms. Study 2 (effectiveness): 330 primary care patients completed the iCBT programme under the supervision of primary care practitioners. Results: iCBT was significantly more effective than waiting list control in reducing panic (g=0.97, 95% CI 0.34 to 1.61), distress (g=0.92, 95% CI 0.28 to 1.55), disability (g=0.81, 95% CI 0.19 to 1.44) and depression (g=0.79, 95% CI 0.17 to 1.41), and gains were maintained at 3 months post-treatment (iCBT group). iCBT remained effective in primary care, but lower completion rates were found (56.1% in study 2 v. 63% in study 1). Adherence appeared to be related to therapist contact. Conclusions: The five-lesson Panic Program has utility for treating panic disorder, which translates to primary care. Adherence may be enhanced with therapist contact.

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Authors
Allen, A. R., Newby, J. M., Mackenzie, A., Smith, J., Boulton, M., Loughnan, S. A., & Andrews, G.
Affiliations
UNSW Sydney (AU)
Corresponding author
Allen, Adrian R.
Venue
BJPsych Open
Published
2016-03
Volume
2
Issue
2
Pages
154-162
ISSN
2056-4724 (ISSN-L)
OpenAlex
W2309462332
Cited by
43
References
36
Citations by year
2026: 6 · 2025: 3 · 2024: 4 · 2023: 2 · 2022: 4 · 2021: 9 · 2020: 6 · 2019: 2 · 2018: 3 · 2017: 3 · 2016: 1
FWCI
4.61
Type
journal article
Language
en
Open access
Locations
  • BJPsych Open (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • UNSWorks (UNSW Sydney) (submittedVersion, cc-by-nc-nd)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • UNSWorks (University of New South Wales, Sydney, Australia) (submittedVersion, cc-by-nc-nd)
Funders
  • Medical Research Council
  • National Health and Medical Research Council (1037787)
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
panic disorder, brief psychotherapy, primary care, treatment efficacy, treatment effectiveness, medication adherence, therapist contact, comorbid depression, program completion

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