Treatment of panic disorder: live therapy vs. self-help via the Internet

Carlbring, Per; Nilsson-Ihrfelt, Elisabeth; Waara, Johan; Kollenstam, Cecilia; Buhrman, Monica; Kaldo, Viktor; Söderberg, Marie; Ekselius, Lisa; Andersson, Gerhard

doi:10.1016/j.brat.2004.10.002

Cited by 328 publications

(191 citation statements)

References 33 publications

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“…Only eight reported allocation to conditions by an independent party. Blinding of assessors was reported in seven studies (Bornas, TortellaFeliu, & Llabrés, 2006;Carlbring et al, 2005Carlbring et al, , 2006Ghosh et al, 1988;Greist et al, 2002;Marks et al, 2004). Dropout ranged from 2 to 29% (two studies did not report dropout; Bornas, Tortella-Feliu, Llabrés, & Fullana, 2001;Hassan, 1992).…”

Section: Quality Of Included Studiesmentioning

confidence: 99%

“…Dropout ranged from 2 to 29% (two studies did not report dropout; Bornas, Tortella-Feliu, Llabrés, & Fullana, 2001;Hassan, 1992). In 11 studies Carlbring, Ekselius, & Andersson, 2003;Carlbring, Westling, Ljungstrand, Ekselius, & Andersson, 2001;Carlbring et al, 2005Carlbring et al, , 2007Greist et al, 2002;Kenardy et al, 2003;Knaevelsrud et al, 2007;Marks et al, 2004; Note. CAVE5computer-aided vicarious exposure; CAFFT5computer-assisted fear of flying treatment; CBSM5computer-based symbolic modeling; NR5not reported; SHTC5self-help program for traumatic event-related consequences; SBT5cognitive behavioural therapy; PTSD5posttraumatic stress disorder; OCD5obsessive-compulsive disorder; FTF5face to face; IVR5interactive voice response.…”

Section: Quality Of Included Studiesmentioning

confidence: 99%

“…Some CP systems are as effective as face-to-face care despite requiring far less therapist time (e.g. Carlbring et al, 2005;Ghosh, Marks, & Carr, 1988;Kenardy, McCafferty, & Rosa, 2003;Marks, Kenwright, McDonough, Whittaker, & Mataix-Cols, 2004). They may also speed access, allow patients to work at their own pace, and abolish the need to schedule appointments with a therapist .…”

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confidence: 99%

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Computer‐Aided Psychotherapy for Anxiety Disorders: A Meta‐Analytic Review

Cuijpers

Marks

Straten

et al. 2009

Cognitive Behaviour Therapy

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Abstract. Computer-aided psychotherapy (CP) is said to (1) be as effective as face-to-face psychotherapy, while requiring less therapist time, for anxiety disorder sufferers, (2) speed access to care, and (3) save traveling time. CP may be delivered on stand-alone or Internet-linked computers, palmtop computers, phone-interactive voice response, DVDs, and cell phones. The authors performed a meta-analysis of 23 randomised controlled studies (RCTs) that compared CP with non-CP in anxiety disorders: phobias, n510; panic disorder/agoraphobia, n59; PTSD, n53; obsessivecompulsive disorder, n51. Overall mean effect size of CP compared with non-CP was 1.08 (95% confidence interval: 0.84-1.32). CP and face-to-face psychotherapy did not differ significantly from each other (13 comparisons, d520.06). Much caution is needed when interpreting the findings indicating that outcome was unrelated to type of disorder, type of comparison group, mode of CP delivery (Internet, stand-alone PC, palmtop), and recency of the CP system and that effect size decreased when more therapist time was replaced by the computer. Because CP as a whole was as effective as face-to-face psychotherapy, certain forms of CP deserve to be integrated into routine practice.

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Section: Quality Of Included Studiesmentioning

confidence: 99%

Section: Quality Of Included Studiesmentioning

confidence: 99%

mentioning

confidence: 99%

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Computer‐Aided Psychotherapy for Anxiety Disorders: A Meta‐Analytic Review

Cuijpers

Marks

Straten

et al. 2009

Cognitive Behaviour Therapy

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391

263

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“…There are a few direct comparisons in the literature, but some are in progress. For example, Carlbring et al (2005) found equivalent outcomes of individual faceto-face CBT and Internet CBT for panic disorder. In a trial on depression, found no differences between live group treatment and Internet CBT.…”

Section: Brief Review Of the Evidencementioning

confidence: 99%

What Makes Internet Therapy Work?

Andersson

Carlbring²,

Berger

et al. 2009

Cognitive Behaviour Therapy

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“…Since 2001, a considerable number of randomized controlled and comparative trials examining the effects of Web-based self-help interventions have been published, and most of these were published after 2005 [26][27][28][29][30][31]. This rapidly growing research area reflects the possibilities of the Internet for researching and implementing Web-based self-help interventions.…”

Section: Internet-based Self-help For Anxiety Disordersmentioning

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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Treatment of panic disorder: live therapy vs. self-help via the Internet

Cited by 328 publications

References 33 publications

Computer‐Aided Psychotherapy for Anxiety Disorders: A Meta‐Analytic Review

Computer‐Aided Psychotherapy for Anxiety Disorders: A Meta‐Analytic Review

What Makes Internet Therapy Work?

Self-help interventions for anxiety disorders: An overview

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