Cognitive-behavioral treatment for panic disorder with agoraphobia - A randomized, controlled trial and cost-effectiveness analysis

被引:49
|
作者
Roberge, Pasquale [1 ]
Marchand, Andre [2 ,3 ,4 ]
Reinharz, Daniel [5 ]
Savard, Pierre [6 ,7 ]
机构
[1] Univ Montreal, Quebec City, PQ, Canada
[2] Univ Quebec, Dept Psychol, Montreal, PQ H3C 3P8, Canada
[3] Louis H Lafontaine Hosp, Fernand Seguin Res Ctr, Montreal, PQ, Canada
[4] Louis H Lafontaine Hosp, CBT Unit, Montreal, PQ, Canada
[5] Univ Laval, Dept Prevent & Social Med, Quebec City, PQ, Canada
[6] Sacre Coeur Hosp Montreal, Anxiety Disorder Clin, Quebec City, PQ, Canada
[7] Univ Montreal, Dept Psychiat, Montreal, PQ H3C 3J7, Canada
关键词
panic disorder; agoraphobia; cognitive-behavioral therapy; cost-effectiveness; brief treatment; group treatment;
D O I
10.1177/0145445507309025
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
A randomized, controlled trial was conducted to examine the cost-effectiveness of cognitive-behavioral treatment (CBT) for panic disorder with agoraphobia. A total of 100 participants were randomly assigned to standard (n = 33), group (n = 35), and brief (n = 32) treatment conditions. Results show significant clinical and statistical improvement on standard symptom measures and quality of life from baseline to posttreatment and 3-month follow-up, with no significant differences between treatment conditions. Compared with standard CBT, brief and group CBT incurred lower treatment costs and had a superior cost-effectiveness ratio, suggesting the potential of these alternative treatment conditions in increasing access to effective treatment.
引用
收藏
页码:333 / 351
页数:19
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