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Vol. 74, No. 3, 2005
Issue release date: April 2005
Section title: Regular Article
Psychother Psychosom 2005;74:154–164
(DOI:10.1159/000084000)

Internet-Guided Self-Help with or without Exposure Therapy for Phobic and Panic Disorders

Schneider A.J. · Mataix-Cols D. · Marks I.M. · Bachofen M.
Departments of Psychological Medicine, Imperial College London and Institute of Psychiatry, King’s College London, London, UK

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Article / Publication Details

First-Page Preview
Abstract of Regular Article

Published online: 4/11/2005

Number of Print Pages: 11
Number of Figures: 2
Number of Tables: 2

ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)

For additional information: http://www.karger.com/PPS

Abstract

Background: As many sufferers from phobic and panic (phobia/panic) disorders cannot get to suitable therapists, routine aspects of therapy were delegated to internet-accessed computer-aided self-help with or without exposure instructions. Methods: Phobia/panic referrals were randomised to computer-aided self-help via the internet at home in a 2:1 ratio either by self-exposure cognitive behaviour therapy (CBT) [FearFighter (FF), n = 45] or by minimal CBT without exposure [Managing Anxiety (MA), n = 23]. All had brief backup phone advice from a clinician concerning their computer guidance. Results: On self-ratings and blinded assessor ratings, patients improved equally with each form of self-help over 10 treatment weeks but significantly more on 5 out of 10 measures by week 14 (1-month follow-up) when the self-help included self-exposure instructions than when it did not. In accord with this, standardised effect sizes (Cohen’s d) indicated superiority of FF over MA on 5 measures by week 14. Satisfaction with treatment in all patients pooled correlated positively with improvement after treatment and at 1-month follow-up. Conclusions: At the end of treatment, computer-aided CBT self-help at home via the internet plus brief live helpline support was effective with or without exposure instructions, and at 1-month follow-up it was more effective on some measures if exposure instructions had been included. Analysis is needed of how non-exposure CBT produced its shorter-term effect.


  

Author Contacts

Prof. Isaac M. Marks
43 Dulwich Common
London SE217 EU (UK)
Tel. +44 208 299 4130, E-Mail I.Marks@iop.kcl.ac.uk

  

Article Information

Number of Print Pages : 11
Number of Figures : 2, Number of Tables : 2, Number of References : 29

  

Publication Details

Psychotherapy and Psychosomatics

Vol. 74, No. 3, Year 2005 (Cover Date: April 2005)

Journal Editor: Fava, G.A. (Bologna)
ISSN: 0033–3190 (print), 1423–0348 (Online)

For additional information: http://www.karger.com/pps


Article / Publication Details

First-Page Preview
Abstract of Regular Article

Published online: 4/11/2005

Number of Print Pages: 11
Number of Figures: 2
Number of Tables: 2

ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)

For additional information: http://www.karger.com/PPS


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