liu.seSök publikationer i DiVA
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Internet-versus group-administered cognitive behaviour therapy for panic disorder in a psychiatric setting: a randomised trial
Karolinska Institute.
Linköpings universitet, Institutionen för beteendevetenskap och lärande, Avdelningen för klinisk och socialpsykologi (CS). Linköpings universitet, Filosofiska fakulteten.ORCID-id: 0000-0003-4753-6745
Karolinska Institute.
Karolinska Institute.
Visa övriga samt affilieringar
2010 (Engelska)Ingår i: BMC PSYCHIATRY, ISSN 1471-244X, Vol. 10, nr 54Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Internet administered cognitive behaviour therapy (CBT) is a promising new way to deliver psychological treatment, but its effectiveness in regular care settings and in relation to more traditional CBT group treatment has not yet been determined. The primary aim of this study was to compare the effectiveness of Internet- and group administered CBT for panic disorder (with or without agoraphobia) in a randomised trial within a regular psychiatric care setting. The second aim of the study was to establish the cost-effectiveness of these interventions. Methods: Patients referred for treatment by their physician, or self-referred, were telephone-screened by a psychiatric nurse. Patients fulfilling screening criteria underwent an in-person structured clinical interview carried out by a psychiatrist. A total of 113 consecutive patients were then randomly assigned to 10 weeks of either guided Internet delivered CBT (n = 53) or group CBT (n = 60). After treatment, and at a 6-month follow-up, patients were again assessed by the psychiatrist, blind to treatment condition. Results: Immediately after randomization 9 patients dropped out, leaving 104 patients who started treatment. Patients in both treatment conditions showed significant improvement on the main outcome measure, the Panic Disorder Severity Scale (PDSS) after treatment. For the Internet treatment the within-group effect size (pre-post) on the PDSS was Cohens d = 1.73, and for the group treatment it was d = 1.63. Between group effect sizes were low and treatment effects were maintained at 6-months follow-up. We found no statistically significant differences between the two treatment conditions using a mixed models approach to account for missing data. Group CBT utilised considerably more therapist time than did Internet CBT. Defining effect as proportion of PDSS responders, the cost-effectiveness analysis concerning therapist time showed that Internet treatment had superior cost-effectiveness ratios in relation to group treatment both at post-treatment and follow-up. Conclusions: This study provides support for the effectiveness of Internet CBT in a psychiatric setting for patients with panic disorder, and suggests that it is equally effective as the more widely used group administered CBT in reducing panic-and agoraphobic symptoms, as well as being more cost effective with respect to therapist time.

Ort, förlag, år, upplaga, sidor
BioMed Central , 2010. Vol. 10, nr 54
Nationell ämneskategori
Samhällsvetenskap
Identifikatorer
URN: urn:nbn:se:liu:diva-58791DOI: 10.1186/1471-244X-10-54ISI: 000280843500001OAI: oai:DiVA.org:liu-58791DiVA, id: diva2:345761
Anmärkning
Original Publication: Jan Bergstrom, Gerhard Andersson, Brjann Ljotsson, Christian Ruck, Sergej Andreewitch, Andreas Karlsson, Per Carlbring, Erik Andersson and Nils Lindefors, Internet-versus group-administered cognitive behaviour therapy for panic disorder in a psychiatric setting: a randomised trial, 2010, BMC PSYCHIATRY, (10), 54. http://dx.doi.org/10.1186/1471-244X-10-54 Licensee: BioMed Central http://www.biomedcentral.com/ Tillgänglig från: 2010-08-27 Skapad: 2010-08-27 Senast uppdaterad: 2014-11-28

Open Access i DiVA

fulltext(699 kB)582 nedladdningar
Filinformation
Filnamn FULLTEXT01.pdfFilstorlek 699 kBChecksumma SHA-512
263e05d20197cf19c5594380dac2bb829bbd9b98d066848256f27bf9f708eaebd712505ff09020e7cccd36e72311716119e11a86d94c5ded7de66db266960777
Typ fulltextMimetyp application/pdf

Övriga länkar

Förlagets fulltext

Personposter BETA

Andersson, Gerhard

Sök vidare i DiVA

Av författaren/redaktören
Andersson, Gerhard
Av organisationen
Avdelningen för klinisk och socialpsykologi (CS)Filosofiska fakulteten
Samhällsvetenskap

Sök vidare utanför DiVA

GoogleGoogle Scholar
Totalt: 582 nedladdningar
Antalet nedladdningar är summan av nedladdningar för alla fulltexter. Det kan inkludera t.ex tidigare versioner som nu inte längre är tillgängliga.

doi
urn-nbn

Altmetricpoäng

doi
urn-nbn
Totalt: 404 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf