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Treatment of panic disorder via the Internet: A randomized trial of a self-help program
Uppsala universitet, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
Uppsala universitet, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för neurovetenskap, Psykiatri, Akademiska sjukhuset.
Vise andre og tillknytning
2001 (engelsk)Inngår i: Behavior Therapy, ISSN 0005-7894, E-ISSN 1878-1888, Vol. 32, nr 4, s. 751-764Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

This controlled study, evaluated an Internet-delivered self-help program plus minimal therapist contact via e-mail for people suffering front panic disorder. Out of the 500 individuals screened using the self-administered diagnostic instrument Composite International Diagnostic Interview in shortened form (World Health Organization, 1999), 41 fulfilled the inclusion criteria. These participants were randomized to either treatment via the Internet or to a waiting-list control. The main components of the treatment were psychoeducation. breathing retraining, cognitive restructuring, interoceptive exposure. in vivo exposure, and relapse prevention. From pre- to post- test self-help, participants improved significantly more on almost all dimensions. The results from this experiment generally provide evidence for the continued use and development of self-help programs for panic disorder distributed via the Internet.

sted, utgiver, år, opplag, sider
2001. Vol. 32, nr 4, s. 751-764
HSV kategori
Identifikatorer
URN: urn:nbn:se:uu:diva-91569DOI: 10.1016/S0005-7894(01)80019-8ISI: 000175072600009OAI: oai:DiVA.org:uu-91569DiVA, id: diva2:164344
Tilgjengelig fra: 2004-04-13 Laget: 2004-04-13 Sist oppdatert: 2017-12-14bibliografisk kontrollert
Inngår i avhandling
1. Panic! Its Prevalence, Diagnosis and Treatment via the Internet
Åpne denne publikasjonen i ny fane eller vindu >>Panic! Its Prevalence, Diagnosis and Treatment via the Internet
2004 (engelsk)Doktoravhandling, med artikler (Annet vitenskapelig)
Abstract [en]

As evidenced by several trials, cognitive behavior therapy (CBT) is a highly effective treatment for Panic disorder with or without agoraphobia (PD). However, therapists are short in supply, and patients with agoraphobia may not seek therapy due to fear of leaving their homes or traveling certain distances. A major challenge therefore is to increase the accessibility and affordability of evidence-based psychological treatments.

This thesis is based on five studies; three treatment studies set up as randomized controlled trails (RCT), one prevalence study, and one study testing the equivalence of an Internet-administered diagnostic assessment tool with a clinician-administered interview.

Study I showed that the Swedish 12-month PD prevalence is consistent with findings in most other parts of the Western world (2.2%; CI 95% 1.0%-3.4%). There was a significant sex difference, with a greater prevalence for women (3.6%) compared to men (0.7%).

Study II showed that the validity of the computerized diagnostic interview (CIDI-SF) was generally low. However, the agoraphobia and obsessive-compulsive disorder modules had good specificity and sensitivity, respectively.

The three RCTs showed, directly or indirectly, that Internet-based self-help is superior to a waiting-list. When 10 individual weekly sessions of CBT for PD was compared with a 10-module self-help program on the Internet, the results suggest that Internet-administered self-help, plus minimal therapist contact via e-mail, is as effective as traditional individual CBT (80% vs. 67% no longer met criteria for panic disorder; composite within-group effect size was Cohen’s d= 0.78 vs. 0.99). One-year follow-up confirmed the results (92% vs. 88% no longer met criteria for panic disorder; d= 0.80 vs. 0.93). The results generally provide evidence to support the continued use and development of Internet-distributed self-help programs.

sted, utgiver, år, opplag, sider
Uppsala: Acta Universitatis Upsaliensis, 2004. s. 75
Serie
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 0282-7492 ; 136
Emneord
Psychology, panic disorder, self-help techniques, agoraphobia, bibliotherapy, internet, randomized controlled trail, prevalence, screening, Psykologi
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-4148 (URN)91-554-5927-7 (ISBN)
Disputas
2004-05-19, Sal X, Universitetshuset, St Olofsgatan, Uppsala, 10:15
Opponent
Veileder
Tilgjengelig fra: 2004-04-13 Laget: 2004-04-13bibliografisk kontrollert

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