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Which psychotherapy is effective in panic disorder? Findings and reflections from a systematic network meta-analysis

INTRODUCTION: Panic disorder is among the most prevalent anxiety diseases. Although psychotherapy is recommended as first-line treatment for panic disorder, little is known about the relative efficacy of different types of psychotherapies. OBJECTIVES: To evaluate the effectiveness and acceptability...

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Autores principales: Papola, D., Ostuzzi, G., Gastaldon, C., Purgato, M., Giovane, C. Del, Pompoli, A., Karyotaki, E., Sijbrandij, M., Furukawa, T., Cuijpers, P., Barbui, C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9470392/
http://dx.doi.org/10.1192/j.eurpsy.2021.336
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author Papola, D.
Ostuzzi, G.
Gastaldon, C.
Purgato, M.
Giovane, C. Del
Pompoli, A.
Karyotaki, E.
Sijbrandij, M.
Furukawa, T.
Cuijpers, P.
Barbui, C.
author_facet Papola, D.
Ostuzzi, G.
Gastaldon, C.
Purgato, M.
Giovane, C. Del
Pompoli, A.
Karyotaki, E.
Sijbrandij, M.
Furukawa, T.
Cuijpers, P.
Barbui, C.
author_sort Papola, D.
collection PubMed
description INTRODUCTION: Panic disorder is among the most prevalent anxiety diseases. Although psychotherapy is recommended as first-line treatment for panic disorder, little is known about the relative efficacy of different types of psychotherapies. OBJECTIVES: To evaluate the effectiveness and acceptability of different types of psychotherapies for adults suffering from panic disorder, with or without agoraphobia. METHODS: We are conducting a systematic network meta-analysis of randomized controlled trials examining panic disorder. A comprehensive search was performed to identify relevant studies. The primary efficacy outcome is anxiety symptoms at study endpoint. The primary acceptability outcome is all-cause trial discontinuation at endpoint. Pairwise and network meta-analysis will be conducted. We are considering any kind of psychotherapy delivered by any therapist, as long as they were trained to deliver the therapy, or as self-help. RESULTS: To date we have identified 126 panic disorder and agoraphobia trials. The publication time span ranges from 1968 to 2020. We are now extracting data to provide an overview of the included study characteristics. The statistical analysis will be conducted between December 2020 and January 2021, and its results presented for the first time at the forthcoming 2021 EPA congress. CONCLUSIONS: 126 trials on psychotherapy for panic disorders in adults are available. Because of this huge body of knowledge, it is important that the results of these studies are summarized using network meta-analytic techniques. The findings of this study will guide future research as knowledge gaps will be easily identified. Moreover, policymakers will have the opportunity to use this summarized knowledge to inform evidence-based decision making. DISCLOSURE: No significant relationships.
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spelling pubmed-94703922022-09-29 Which psychotherapy is effective in panic disorder? Findings and reflections from a systematic network meta-analysis Papola, D. Ostuzzi, G. Gastaldon, C. Purgato, M. Giovane, C. Del Pompoli, A. Karyotaki, E. Sijbrandij, M. Furukawa, T. Cuijpers, P. Barbui, C. Eur Psychiatry Abstract INTRODUCTION: Panic disorder is among the most prevalent anxiety diseases. Although psychotherapy is recommended as first-line treatment for panic disorder, little is known about the relative efficacy of different types of psychotherapies. OBJECTIVES: To evaluate the effectiveness and acceptability of different types of psychotherapies for adults suffering from panic disorder, with or without agoraphobia. METHODS: We are conducting a systematic network meta-analysis of randomized controlled trials examining panic disorder. A comprehensive search was performed to identify relevant studies. The primary efficacy outcome is anxiety symptoms at study endpoint. The primary acceptability outcome is all-cause trial discontinuation at endpoint. Pairwise and network meta-analysis will be conducted. We are considering any kind of psychotherapy delivered by any therapist, as long as they were trained to deliver the therapy, or as self-help. RESULTS: To date we have identified 126 panic disorder and agoraphobia trials. The publication time span ranges from 1968 to 2020. We are now extracting data to provide an overview of the included study characteristics. The statistical analysis will be conducted between December 2020 and January 2021, and its results presented for the first time at the forthcoming 2021 EPA congress. CONCLUSIONS: 126 trials on psychotherapy for panic disorders in adults are available. Because of this huge body of knowledge, it is important that the results of these studies are summarized using network meta-analytic techniques. The findings of this study will guide future research as knowledge gaps will be easily identified. Moreover, policymakers will have the opportunity to use this summarized knowledge to inform evidence-based decision making. DISCLOSURE: No significant relationships. Cambridge University Press 2021-08-13 /pmc/articles/PMC9470392/ http://dx.doi.org/10.1192/j.eurpsy.2021.336 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstract
Papola, D.
Ostuzzi, G.
Gastaldon, C.
Purgato, M.
Giovane, C. Del
Pompoli, A.
Karyotaki, E.
Sijbrandij, M.
Furukawa, T.
Cuijpers, P.
Barbui, C.
Which psychotherapy is effective in panic disorder? Findings and reflections from a systematic network meta-analysis
title Which psychotherapy is effective in panic disorder? Findings and reflections from a systematic network meta-analysis
title_full Which psychotherapy is effective in panic disorder? Findings and reflections from a systematic network meta-analysis
title_fullStr Which psychotherapy is effective in panic disorder? Findings and reflections from a systematic network meta-analysis
title_full_unstemmed Which psychotherapy is effective in panic disorder? Findings and reflections from a systematic network meta-analysis
title_short Which psychotherapy is effective in panic disorder? Findings and reflections from a systematic network meta-analysis
title_sort which psychotherapy is effective in panic disorder? findings and reflections from a systematic network meta-analysis
topic Abstract
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9470392/
http://dx.doi.org/10.1192/j.eurpsy.2021.336
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