Efficacy of Internet therapy for panic disorder

University of Ballarat, Ballarat, Australia.
Journal of Behavior Therapy and Experimental Psychiatry (Impact Factor: 2.23). 10/2006; 37(3):213-38. DOI: 10.1016/j.jbtep.2005.07.001
Source: PubMed

ABSTRACT Fifty-five people with panic disorder (PD) were randomised to internet-based cognitive behavioural panic treatment (CBT) (with email contact), therapist-assisted CBT manual or information-only control (both with telephone contact). Both CBT treatments were more effective in reducing PD symptomatology, panic-related cognition, negative affect, and number of GP visits and improving physical health ratings. Internet treatment was more effective than CBT manual in reducing clinician-rated agoraphobia and number of GP visits at post-assessment. At follow-up, these effects were maintained for both CBT groups, with internet CBT better at improving physical health ratings and reducing GP visits. This study provides support for the efficacy of internet-based CBT.

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    • "Measures used were administered online and all were validated, except for the programme and forum satisfaction questionnaires, which were based on previously used programme satisfaction measures (Klein et al., 2006, 2011). Demographic details obtained included age, date of birth, marital status, employment status, gross annual income, ethnicity, languages spoken, postcode, prostate cancer date of diagnosis, date of treatment, and type of treatment. "
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    ABSTRACT: Men with prostate cancer are not routinely offered psychosocial support despite strong evidence that being diagnosed with prostate cancer poses significant quality of life concerns and places the patient at elevated risk of developing a range of mental health disorders. The objective of this study was to develop an online psychological intervention for men with prostate cancer and to pilot test the feasibility and acceptability of the intervention. Development of the intervention involved a multidisciplinary collaboration, adapting face-to-face and group intervention strategies for an online format. The full online intervention and moderated forum were pilot tested with 64 participants who were recruited from urology practices in Melbourne, Victoria, Australia. After consenting to participate and creating a personal account in the online programme, participants completed baseline demographic questionnaires. Participants were provided access to the programme for 6-12 weeks. After completing the programme participants completed an online survey to assess intervention and forum utilisation and satisfaction, as well as suggest intervention refinements following their use of the intervention. Patient satisfaction was calculated using mean responses to the satisfaction questionnaire. The intervention was received positively with 47.82% of participants highly satisfied with the programme, and 78.26% said they would recommend it to a friend. Participants' qualitative feedback indicated good acceptability of the online intervention. A number of technical and participant engagement issues were identified and changes recommended as a result of the feasibility testing.
    10/2014; 1(4). DOI:10.1016/j.invent.2014.10.001
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    • "As therapist support is not required, online programs can provide services to larger numbers of people without concomitant increases in cost, provided that servers can cope with increased capacities. An evaluation of Australian-based online treatment program for panic disorder found that the cost of hosting treatment and questionnaire website was approximately AUD$12.12 per participant (N=33) (Klein et al., 2006). In a comparative analysis, a Dutch online problem-drinking program and information brochure produced greater clinical outcomes after 12-months than a non-online information resource (Smit et al., 2006). "
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    ABSTRACT: A minority of problem gamblers access formal treatment. Factors contributing to this low service utilization rate include geographical and time constraints, a desire to self-manage problems, shame, denial and concerns over privacy/confidentiality. The Internet is an effective medium for the delivery of health-related information, self-assessment, counselling, peer-based support and other therapeutic interventions. Consequently, online self-help programs should be offered as an alternative means to access treatment for gamblers reluctant to pursue traditional options. Benefits of the Internet include its capacity to provide a systematic delivery of cognitive-behavioural therapies, practical visual demonstrations of probabilities correcting erroneous beliefs, accessibility, convenience, cost-effectiveness, anonymity and privacy. We conducted a review of the literature to outline the advantages and current status of self-guided online interventions for gambling-related problem. Although this is a new field, empirical evidence indicates that online self-guided interventions are efficacious and represent an important treatment adjunct for individuals with gambling-related problems.
    International Gambling Studies 12/2012; 11(3):289-308. DOI:10.1080/14459795.2011.617764 · 1.29 Impact Factor
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    • "The team also included members with expertise in bipolar disorder, as well as previous experience and expertise in the development of online interventions (e.g. Klein et al., 2006). The team members regularly communicated through emails and regular telephone and group meetings. "
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    ABSTRACT: We describe the development process and completed structure, of a self-help online intervention for bipolar disorder, known as MoodSwings ( . The MoodSwings program was adapted as an Internet intervention from an efficacious and validated face-to-face, group-based psychosocial intervention. The adaptation was created by a psychologist, who had previously been involved with the validation of the face-to-face program, in collaboration with website designers. The project was conducted under the supervision of a team of clinician researchers. The website is available at no cost to registered participants. Self-help modules are accessed sequentially. Other features include a mood diary and a moderated discussion board. There has been an average of 1,475,135 hits on the site annually (2008 and 2009), with some 7400 unique visitors each year. A randomised controlled trial based on this program has been completed. Many people with bipolar disorder are accepting of the Internet as a source of treatment and, once engaged, show acceptable retention rates. The Internet appears to be a viable means of delivering psychosocial self-help strategies.
    Psychology Health and Medicine 06/2012; 18(2). DOI:10.1080/13548506.2012.689840 · 1.53 Impact Factor
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