Recommendations for a cost-offset model of psychotherapy allocation using generalized anxiety disorder as an example.

Newman, Michelle G.

doi:10.1037/0022-006x.68.4.549

Cited by 149 publications

(126 citation statements)

References 63 publications

(76 reference statements)

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“…Not all patients need the same type and intensity of intervention, and for some, self-help interventions (with the support of a trained paraprofessional) may be sufficiently successful in reducing anxiety. When self-help proves to be insufficiently effective for a particular patient, a more intensive treatment can be offered, such as a standardized individual treatment by a highly trained professional therapist [35,36]. Although guided self-help interventions undoubtedly are not successful for every patient, the available research findings suggest that there are many patients for whom self-help interventions are sufficient to treat their problems successfully.…”

Section: Advantages Of Self-help Interventionsmentioning

confidence: 99%

Self-help interventions for anxiety disorders: An overview

Cuijpers

Schuurmans²

2007

Curr Psychiatry Rep

118

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Anxiety disorders are highly prevalent and are associated with a marked impairment in quality of life and a huge economic cost to society. Unfortunately, a considerable number of people who struggle with anxiety do not seek or receive adequate treatment. Self-help interventions have been proposed to constitute a relatively cheap, effective, efficient, and low-threshold intervention for anxiety disorders. This paper offers a critical discussion of their advantages and disadvantages and the evidence for their effectiveness. We conclude that guided self-help can play a major role in mental health care for patients with anxiety disorders. However, several research questions need to be answered before broad-scale dissemination is possible. The Internet will continue to play a prominent role in the further development of this field of research and clinical practice.

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Section: Advantages Of Self-help Interventionsmentioning

confidence: 99%

Self-help interventions for anxiety disorders: An overview

Cuijpers

Schuurmans²

2007

Curr Psychiatry Rep

118

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“…Newman [36] assessed its psychometric properties on the basis of studies conducted using this questionnaire. They concluded that a score of 7.5 was the optimal balance between sensitivity and specificity.…”

Section: Diagnostic and Screening Measuresmentioning

confidence: 99%

The effectiveness of eye movement desensitization and reprocessing (EMDR) in reducing pathological worry in patients with generalized anxiety disorder: a preliminary study

Rezvani¹,

Dowlatabadi²,

Behzadi³

2015

Arch Psych Psych

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Aim of the studyThe current study aimed to investigate the effectiveness of eye movement desensitization and reprocessing (EMDR) in reducing pathological worry in patients with generalized anxiety disorder (GAD).Subject or material and methodsMethod. Three women with GAD were selected using a purposeful sampling method based on the Structured Clinical Interview for DSM-IV Axis I disorders (SCID-I). A baseline single-case experimental design was used and participants were included in the treatment in a stepped manner. The Generalized Anxiety Disorder Questionnaire (GADQ-IV), the Pennsylvania State Worry Questionnaire (PSWQ), the Worry Domain Questionnaire (WDQ), the Intolerance of Uncertainty Scale (IUS) and the Cognitive Avoidance Questionnaire (CAQ) were used as the baseline, pre-treatment, post-treatment and one-month followup assessments.ResultsResults. The results showed that EMDR is effective in reducing pathological worry in patients with GAD. The participants were also successful in reducing the extent of their areas of worry, increasing their tolerance to uncertainty and conquering their cognitive avoidance. One-month follow-up also showed that the decline trend of participants’ worries continued.DiscussionDuring EMDR, participants’ negative images, emotions and cognition were decreased and gradually lost their reliability, whereas positive aspects became alive and active.ConclusionsEMDR is an effective method for the treatment of GAD in women.

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“…effective adjuncts to more conventional treatment for a variety of anxiety disorders, including panic disorder, agoraphobia, social phobia, obsessive-compulsive disorder, and generalized anxiety disorder (Newman, 2000). With the advent of powerful, inexpensive hand-held computers, it has become possible to provide a realistic version of CBT that may be used in the patient's own environment Preliminary studies by Kenardy, Fried, Taylor, and Kraemer (1992) on the use of hand held computers to aid monitoring of anxiety and coping ability among panic disorder patients showed that the computers were well accepted, led to increased compliance and more reliable self-monitoring.…”

mentioning

confidence: 99%

A Comparison of Delivery Methods of Cognitive-Behavioral Therapy for Panic Disorder: An International Multicenter Trial.

Kenardy¹,

Dow

Johnston

et al. 2003

Journal of Consulting and Clinical Psychology

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125

131

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Cognitive--behavioral therapy (CBT) is the psychological treatment of choice for panic disorder (PD). However, given limited access to CBT, it must be delivered with maximal cost-effectiveness. Previous researchers have found that a brief computer-augmented CBT was as effective as extended therapistdelivered CBT. To test this finding, this study randomly allocated 186 patients with PD across 2 sites in Scotland and Australia to 12 sessions of therapist-delivered CBT (CBT12), 6 sessions of therapistdelivered (CBT6) or computer-augmented CBT (CBT6-CA), or a waitlist control. On a composite measure, at posttreatment, the outcome for CBT12 was statistically better than the outcome for CBT6. The outcome for CBT6-CA fell between CBT12 and CBT6, but could not be statistically distinguished from either treatment. The active treatments did not differ statistically at 6-month follow-up. The study provided some support for the use of computers as an innovative adjunctive-therapy tool and merits further investigation.Substantial research evidence indicates that the psychological treatment of choice for panic disorder is cognitive-behavioral therapy (CBT) intervention (Barlow, Gorman, Shear, & Woods, 2000;Hofmann & Spiegel, 1999;Otto, Pollack, & Maki, 2000). As a result, there has been a corresponding growth of demand for treatment, an increase in waiting times in some health care systems, and consequently, pressure for more accessible and efficient forms of treatment delivery.This need is further highlighted by the high prevalence of panic disorder (Kessler et al., 1994) as well as by the nature of the condition, which often involves a level of agoraphobic avoidance. This may limit patients' regular clinic attendance and their access to conventional therapist-administered treatment (Co ˆte ´, Gauthier, Laberge, Cormier, & Plamondon, 1994). To date, one of the main alternatives to conventional CBT delivery has involved the use of written self-help materials, or bibliotherapy.Bibliotherapy (Dow, 1982) has proven to be as effective as eight sessions of group or individual CBT (Lidren et al., 1994), although Power, Sharp, Swanson, andSimpson (2000) found a totally self-administered bibliotherapy condition to be significantly less effective on a range of outcome measures compared with "standard" therapist-delivered CBT. This may be related to the inaccessibility and inconvenience of bibliotherapy during daily activities. One possible solution to the limits of bibliotherapy lies in computer-assisted therapy.Computers can increase patient access to treatment programs (Kenardy, McCafferty, & Rosa, 2003); extend therapy to the patient's own environment; and enhance cost-effectiveness, with costs reduced to between one third and one sixth that of conventional behavioral treatment (Kenardy & Adams, 1993;Newman, 2000). Computer programs have been shown to be effective adjuncts to more conventional treatment for a variety of anxiety disorders, including panic disorder, agoraphobia, social phobia, obsessive-compulsive disorder, and gener...

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Recommendations for a cost-offset model of psychotherapy allocation using generalized anxiety disorder as an example.

Cited by 149 publications

References 63 publications

Self-help interventions for anxiety disorders: An overview

Self-help interventions for anxiety disorders: An overview

The effectiveness of eye movement desensitization and reprocessing (EMDR) in reducing pathological worry in patients with generalized anxiety disorder: a preliminary study

A Comparison of Delivery Methods of Cognitive-Behavioral Therapy for Panic Disorder: An International Multicenter Trial.

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