Disorder-specific versus transdiagnostic and clinician-guided versus self-guided internet-delivered treatment for panic disorder and comorbid disorders: A randomized controlled trial

被引:65
|
作者
Fogliati, V. J. [1 ]
Dear, B. F. [1 ]
Staples, L. G. [1 ]
Terides, M. D. [1 ]
Sheehan, J. [1 ]
Johnston, L. [1 ]
Kayrouz, R. [1 ]
Dear, R. [1 ]
McEvoy, P. M. [2 ]
Titov, N. [1 ]
机构
[1] Macquarie Univ, Dept Psychol, eCentreClin, Sydney, NSW 2109, Australia
[2] Curtin Univ, Sch Psychol & Speech Pathol, Perth, WA, Australia
基金
澳大利亚国家健康与医学研究理事会; 英国医学研究理事会;
关键词
Panic disorder; Anxiety disorders; Depression; treatment; Transdiagnostic; Disorder-specific; Self-guided; Therapist-guided; Internet; 24-month follow-up; Randomized controlled trial; COGNITIVE-BEHAVIORAL THERAPY; GENERALIZED ANXIETY DISORDER; MINI-SPIN; EMOTIONAL DISORDERS; MEASURING RESPONSE; UNIFIED PROTOCOL; MENTAL-HEALTH; PRIMARY-CARE; DEPRESSION; SEVERITY;
D O I
10.1016/j.janxdis.2016.03.005
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Transdiagnostic cognitive behaviour therapy (TD-CBT) aims to target the symptoms of multiple disorders whereas disorder-specific CBT (DS-CBT) targets the symptoms of principal disorders. This study compared the relative benefits of internet-delivered TD-CBT and DS-CBT when provided in clinician-guided (CG-CBT) and self-guided (SG-CBT) formats for people with a principal diagnosis of Panic Disorder (PD). Participants (n = 145) were randomly allocated to receive TD-CBT or DS-CBT and CG-CBT or SG-CBT. Large reductions in symptoms of PD (Cohen's d >= 0.71; avg. reduction >= 36%) and moderate-to-large reductions in symptoms of comorbid depression (Cohen's d >= 0.71; avg. reduction >= 33%), generalised anxiety disorder (Cohen's d >= 0.91; avg. reduction >= 34%) and social anxiety disorder (Cohen's d >= 0.50; avg. reduction >= 15%) were found over the 24-month follow-up period. Highlighting their efficacy and acceptability, no marked and consistent differences were observed between TD-CBT and DS-CBT or CG-CBT and DS-CBT. (C) 2016 The Authors. Published by Elsevier Ltd.
引用
收藏
页码:88 / 102
页数:15
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