You are not logged in.
Openly accessible

A controlled trial of internet-based cognitive-behavioural therapy for panic disorder with face-to-face support from a general practitioner or email support from a psychologist

Pier, Ciaran, Austin, David W., Klein, Britt, Mitchell, Joanna, Schattner, Peter, Ciechomski, Lisa, Gilson, Kathryn J, Pierce, David, Shandley, Kerrie and Wade, Victoria 2008, A controlled trial of internet-based cognitive-behavioural therapy for panic disorder with face-to-face support from a general practitioner or email support from a psychologist, Mental health in family medicine, vol. 5, no. 1, pp. 29-39.

Attached Files
Name Description MIMEType Size Downloads
austin-controlledtrial-2008.pdf Published version application/pdf 278.14KB 55

Title A controlled trial of internet-based cognitive-behavioural therapy for panic disorder with face-to-face support from a general practitioner or email support from a psychologist
Author(s) Pier, Ciaran
Austin, David W.ORCID iD for Austin, David W. orcid.org/0000-0002-1296-3555
Klein, Britt
Mitchell, Joanna
Schattner, Peter
Ciechomski, Lisa
Gilson, Kathryn J
Pierce, David
Shandley, Kerrie
Wade, Victoria
Journal name Mental health in family medicine
Volume number 5
Issue number 1
Start page 29
End page 39
Total pages 11
Publisher Radcliffe Publishing Ltd
Place of publication Abingdon, England
Publication date 2008-03
ISSN 1756-834X
1756-8358
Keyword(s) agoraphobia
internet therapy
mental healthcare in general practice
panic disorder
Summary Background: Panic disorder (PD) is one of the most common anxiety disorders seen in general practice, but provision of evidence-based cognitive-behavioural treatment (CBT) is rare. Many Australian GPs are now trained to deliver focused psychological strategies, but in practice this is time consuming and costly.

Objective: To evaluate the efficacy of an internet-based CBT intervention (Panic Online) for the treatment of PD supported by general practitioner (GP)-delivered therapeutic assistance.

Design: Panic Online supported by GP-delivered face-to-face therapy was compared to Panic Online supported by psychologist-delivered email therapy.

Methods: Sixty-five people with a primary diagnosis of PD (78% of whom also had agoraphobia) completed 12 weeks of therapy using Panic Online and therapeutic assistance with his/her GP (n = 34) or a clinical psychologist (n = 31). The mean duration of PD for participants allocated to these groups was 59 months and 58 months, respectively. Participants completed a clinical diagnostic interview delivered by a psychologist via telephone and questionnaires to assess panic-related symptoms, before and after treatment.

Results: The total attrition rate was 20%, with no group differences in attrition frequency. Both treatments led to significant improvements in panic attack frequency, depression, anxiety, stress, anxiety sensitivity and quality of life. There were no statistically significant differences in the two treatments on any of these measures, or in the frequency of participants with clinically significant PD at post assessment.

Conclusions: When provided with accessible online treatment protocols, GPs trained to deliver focused psychological strategies can achieve patient outcomes comparable to efficacious treatments delivered by clinical psychologists. The findings of this research provide a model for how GPs may be assisted to provide evidence-based mental healthcare successfully.
Language eng
Field of Research 110319 Psychiatry (incl Psychotherapy)
Socio Economic Objective 920209 Mental Health Services
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2008, Radcliffe Publishing
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30017771

Document type: Journal Article
Collections: School of Psychology
Open Access Collection
Connect to link resolver
 
Link to Related Work
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in TR Web of Science
Scopus Citation Count Cited 16 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 824 Abstract Views, 50 File Downloads  -  Detailed Statistics
Created: Fri, 14 Aug 2009, 13:56:59 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.