Intensive one-week internet-delivered cognitive behavioral therapy for panic disorder and agoraphobia: A pilot study

Autor: Eileen P. Stech, Ashlee B. Grierson, Aileen Z. Chen, Maria J. Sharrock, Alison E.J. Mahoney, Jill M. Newby
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Internet Interventions, Vol 20, Iss , Pp - (2020)
Druh dokumentu: article
ISSN: 2214-7829
DOI: 10.1016/j.invent.2020.100315
Popis: This is the first pilot study to explore the feasibility, acceptability and preliminary efficacy of intensive cognitive behavioral therapy (CBT) for panic disorder and/or agoraphobia delivered via the internet. Ten participants who met DSM-5 criteria for panic disorder and/or agoraphobia (6 males; mean age = 43.40, SD = 15.25) completed The Intensive Panic Program: a six-lesson exposure-based CBT program, delivered online over seven days. Clinician support was provided via phone and email. All 10 participants completed the program (100% adherence) and high levels of satisfaction were reported. We found large and significant reductions in panic symptom severity at post-treatment (d = 1.40), which were maintained at two-month follow-up. We also found large reductions in agoraphobic avoidance (d = 0.92) and functional impairment (d = 1.04) at follow-up, and days out of role were halved. On average, 132 min (SD = 42, range: 47–183) of clinician time was spent per participant during the treatment week. The results provide promising preliminary evidence for the feasibility and acceptability of internet-delivered intensive CBT for panic disorder and/or agoraphobia. A larger, randomized control trial is now needed to evaluate the efficacy of this program compared to a control group and to explore long-term outcomes.Clinical trial registration numberACTRN12618001501235
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