Cargando…
Internet cognitive–behavioural treatment for panic disorder: randomised controlled trial and evidence of effectiveness in primary care
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): Random...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Royal College of Psychiatrists
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4998930/ https://www.ncbi.nlm.nih.gov/pubmed/27703768 http://dx.doi.org/10.1192/bjpo.bp.115.001826 |
_version_ | 1782450037680242688 |
---|---|
author | Allen, Adrian R. Newby, Jill M. Mackenzie, Anna Smith, Jessica Boulton, Matthew Loughnan, Siobhan A. Andrews, Gavin |
author_facet | Allen, Adrian R. Newby, Jill M. Mackenzie, Anna Smith, Jessica Boulton, Matthew Loughnan, Siobhan A. Andrews, Gavin |
author_sort | Allen, Adrian R. |
collection | PubMed |
description | 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. DECLARATION OF INTEREST: None. COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2016. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence. |
format | Online Article Text |
id | pubmed-4998930 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | The Royal College of Psychiatrists |
record_format | MEDLINE/PubMed |
spelling | pubmed-49989302016-10-04 Internet cognitive–behavioural treatment for panic disorder: randomised controlled trial and evidence of effectiveness in primary care Allen, Adrian R. Newby, Jill M. Mackenzie, Anna Smith, Jessica Boulton, Matthew Loughnan, Siobhan A. Andrews, Gavin BJPsych Open Paper 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. DECLARATION OF INTEREST: None. COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2016. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence. The Royal College of Psychiatrists 2016-03-24 /pmc/articles/PMC4998930/ /pubmed/27703768 http://dx.doi.org/10.1192/bjpo.bp.115.001826 Text en © 2016 The Royal College of Psychiatrists http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Paper Allen, Adrian R. Newby, Jill M. Mackenzie, Anna Smith, Jessica Boulton, Matthew Loughnan, Siobhan A. Andrews, Gavin Internet cognitive–behavioural treatment for panic disorder: randomised controlled trial and evidence of effectiveness in primary care |
title | Internet cognitive–behavioural treatment for panic disorder: randomised controlled trial and evidence of effectiveness in primary care |
title_full | Internet cognitive–behavioural treatment for panic disorder: randomised controlled trial and evidence of effectiveness in primary care |
title_fullStr | Internet cognitive–behavioural treatment for panic disorder: randomised controlled trial and evidence of effectiveness in primary care |
title_full_unstemmed | Internet cognitive–behavioural treatment for panic disorder: randomised controlled trial and evidence of effectiveness in primary care |
title_short | Internet cognitive–behavioural treatment for panic disorder: randomised controlled trial and evidence of effectiveness in primary care |
title_sort | internet cognitive–behavioural treatment for panic disorder: randomised controlled trial and evidence of effectiveness in primary care |
topic | Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4998930/ https://www.ncbi.nlm.nih.gov/pubmed/27703768 http://dx.doi.org/10.1192/bjpo.bp.115.001826 |
work_keys_str_mv | AT allenadrianr internetcognitivebehaviouraltreatmentforpanicdisorderrandomisedcontrolledtrialandevidenceofeffectivenessinprimarycare AT newbyjillm internetcognitivebehaviouraltreatmentforpanicdisorderrandomisedcontrolledtrialandevidenceofeffectivenessinprimarycare AT mackenzieanna internetcognitivebehaviouraltreatmentforpanicdisorderrandomisedcontrolledtrialandevidenceofeffectivenessinprimarycare AT smithjessica internetcognitivebehaviouraltreatmentforpanicdisorderrandomisedcontrolledtrialandevidenceofeffectivenessinprimarycare AT boultonmatthew internetcognitivebehaviouraltreatmentforpanicdisorderrandomisedcontrolledtrialandevidenceofeffectivenessinprimarycare AT loughnansiobhana internetcognitivebehaviouraltreatmentforpanicdisorderrandomisedcontrolledtrialandevidenceofeffectivenessinprimarycare AT andrewsgavin internetcognitivebehaviouraltreatmentforpanicdisorderrandomisedcontrolledtrialandevidenceofeffectivenessinprimarycare |