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Clinician-Assisted Internet-Based Treatment is Effective for Panic: A Randomized Controlled Trial
Abstract
OBJECTIVE: To determine the efficacy of an Internet-based clinician-assisted cognitive behavioural treatment program (the Panic program) for panic disorder (with or without agoraphobia). METHOD: Fifty-nine individuals meeting diagnostic criteria for panic disorder with agoraphobia were randomly assigned to a treatment group or to a waitlist control group. Treatment group participants completed the Panic program, comprising six on-line lessons, weekly homework assignments, received weekly email contact from a psychiatry registrar, and contributed to a moderated online discussion forum with other participants. An intention-to-treat model was used for data analyses. RESULTS: Twenty-three (79%) of treatment group participants completed all lessons within the 8-week program, and post-treatment data were collected from 22/29 treatment group and 22/25 waitlist group participants. Compared to the control group, treatment group participants reported significantly reduced symptoms of panic as measured by the Panic Disorder Severity Scale, Body Sensation Questionnaire, and Agoraphobic Cognitions Questionnaires. Significant reductions were also reported on measures of disability and depression. The mean within- and between-group effect size (Cohen's d) on the Panic Disorder Severity Scale was 0.93 and 0.59, respectively, and effects were sustained at 1-month follow-up. Mean therapist time per participant was 75 minutes for the program. CONCLUSIONS: These results replicate those from the open trial of the Panic Program indicating the efficacy of the Internet-based clinician-assisted cognitive behavioural treatment program for panic disorder with agoraphobia.
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“Some studies have shown Internet-delivered cognitive behavioral therapy (CBT) to be as effective as face-to-face therapy for depression, anxiety, and social phobia [10,12,13].”
From Acceptability of Mental Health Apps for Aboriginal and Torres Strait Islander Australians: A Qualitative Study (2016) · cites this paper as [13]
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“In the first [24] 70% had sought prior help and 51% were currently taking medication for their depression.”
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Metadata
- Authors
- Wims, E., Titov, N., Andrews, G., & Choi, I.
- Affiliations
- St Vincent's Hospital Sydney (AU)
- UNSW Sydney (AU)
- Corresponding author
- Titov, Nickolai
- Venue
- Australian & New Zealand Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2010-07
- Volume
- 44
- Issue
- 7
- Pages
- 599-607
- ISSN
- 0004-8674 (ISSN-L)
- 1440-1614
- OpenAlex
- W2118402635
- Cited by
- 290
- References
- 63
- Citations by year
- 2025: 2 · 2024: 6 · 2023: 15 · 2022: 4 · 2021: 16 · 2020: 10 · 2019: 12 · 2018: 14 · 2017: 22 · 2016: 28 · 2015: 27 · 2014: 32 · 2013: 32 · 2012: 26
- FWCI
- 44.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian & New Zealand Journal of Psychiatry (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
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- panic disorder, agoraphobia, online therapy, cognitive behavioral therapy, treatment efficacy, depression, symptom severity
- MeSH terms
- Adult, Agoraphobia, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Panic Disorder, Treatment Outcome, Remote Consultation, Internet, Diagnostic and Statistical Manual of Mental Disorders, Intention to Treat Analysis
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