Disorder-specific versus transdiagnostic and clinician-guided versus self-guided internet-delivered treatment for panic disorder and comorbid disorders: a randomized controlled trial

V. J. Fogliati; B. F. Dear; L. G. Staples; M. D. Terides; J. Sheehan; L. Johnston; R. Kayrouz; R. Dear; P. M. McEvoy; N. Titov

doi:10.1016/j.janxdis.2016.03.005

Disorder-specific versus transdiagnostic and clinician-guided versus self-guided internet-delivered treatment for panic disorder and comorbid disorders: a randomized controlled trial

V. J. Fogliati, B. F. Dear^*, L. G. Staples, M. D. Terides, J. Sheehan, L. Johnston, R. Kayrouz, R. Dear, P. M. McEvoy, N. Titov

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

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Abstract

Transdiagnostic cognitive behaviour therapy (TD-CBT) aims to target the symptoms of multiple disorders whereas disorder-specific CBT (DS-CBT) targets the symptoms of principal disorders. This study compared the relative benefits of internet-delivered TD-CBT and DS-CBT when provided in clinician-guided (CG-CBT) and self-guided (SG-CBT) formats for people with a principal diagnosis of Panic Disorder (PD). Participants (n = 145) were randomly allocated to receive TD-CBT or DS-CBT and CG-CBT or SG-CBT. Large reductions in symptoms of PD (Cohen's d ≥ 0.71; avg. reduction ≥ 36%) and moderate-to-large reductions in symptoms of comorbid depression (Cohen's d ≥ 0.71; avg. reduction ≥ 33%), generalised anxiety disorder (Cohen's d ≥ 0.91; avg. reduction ≥ 34%) and social anxiety disorder (Cohen's d ≥ 0.50; avg. reduction ≥ 15%) were found over the 24-month follow-up period. Highlighting their efficacy and acceptability, no marked and consistent differences were observed between TD-CBT and DS-CBT or CG-CBT and DS-CBT.

Original language	English
Pages (from-to)	88-102
Number of pages	15
Journal	Journal of Anxiety Disorders
Volume	39
DOIs	https://doi.org/10.1016/j.janxdis.2016.03.005
Publication status	Published - 1 Apr 2016

Bibliographical note

Copyright the Author(s) 2016. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

panic disorder
anxiety disorders
depression, treatment
transdiagnostic
disorder-specific
self-guided
therapist-guided
internet
24-month follow-up
randomized controlled trial

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10.1016/j.janxdis.2016.03.005

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Fogliati, V. J., Dear, B. F., Staples, L. G., Terides, M. D., Sheehan, J., Johnston, L., Kayrouz, R., Dear, R., McEvoy, P. M., & Titov, N. (2016). Disorder-specific versus transdiagnostic and clinician-guided versus self-guided internet-delivered treatment for panic disorder and comorbid disorders: a randomized controlled trial. Journal of Anxiety Disorders, 39, 88-102. https://doi.org/10.1016/j.janxdis.2016.03.005

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abstract = "Transdiagnostic cognitive behaviour therapy (TD-CBT) aims to target the symptoms of multiple disorders whereas disorder-specific CBT (DS-CBT) targets the symptoms of principal disorders. This study compared the relative benefits of internet-delivered TD-CBT and DS-CBT when provided in clinician-guided (CG-CBT) and self-guided (SG-CBT) formats for people with a principal diagnosis of Panic Disorder (PD). Participants (n = 145) were randomly allocated to receive TD-CBT or DS-CBT and CG-CBT or SG-CBT. Large reductions in symptoms of PD (Cohen's d ≥ 0.71; avg. reduction ≥ 36%) and moderate-to-large reductions in symptoms of comorbid depression (Cohen's d ≥ 0.71; avg. reduction ≥ 33%), generalised anxiety disorder (Cohen's d ≥ 0.91; avg. reduction ≥ 34%) and social anxiety disorder (Cohen's d ≥ 0.50; avg. reduction ≥ 15%) were found over the 24-month follow-up period. Highlighting their efficacy and acceptability, no marked and consistent differences were observed between TD-CBT and DS-CBT or CG-CBT and DS-CBT.",

keywords = "panic disorder, anxiety disorders, depression, treatment, transdiagnostic, disorder-specific, self-guided, therapist-guided, internet, 24-month follow-up, randomized controlled trial",

author = "Fogliati, {V. J.} and Dear, {B. F.} and Staples, {L. G.} and Terides, {M. D.} and J. Sheehan and L. Johnston and R. Kayrouz and R. Dear and McEvoy, {P. M.} and N. Titov",

note = "Copyright the Author(s) 2016. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.",

year = "2016",

month = apr,

day = "1",

doi = "10.1016/j.janxdis.2016.03.005",

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Fogliati, VJ, Dear, BF, Staples, LG, Terides, MD, Sheehan, J, Johnston, L, Kayrouz, R, Dear, R, McEvoy, PM & Titov, N 2016, 'Disorder-specific versus transdiagnostic and clinician-guided versus self-guided internet-delivered treatment for panic disorder and comorbid disorders: a randomized controlled trial', Journal of Anxiety Disorders, vol. 39, pp. 88-102. https://doi.org/10.1016/j.janxdis.2016.03.005

Disorder-specific versus transdiagnostic and clinician-guided versus self-guided internet-delivered treatment for panic disorder and comorbid disorders: a randomized controlled trial. / Fogliati, V. J.; Dear, B. F.; Staples, L. G. et al.
In: Journal of Anxiety Disorders, Vol. 39, 01.04.2016, p. 88-102.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Disorder-specific versus transdiagnostic and clinician-guided versus self-guided internet-delivered treatment for panic disorder and comorbid disorders

T2 - a randomized controlled trial

AU - Fogliati, V. J.

AU - Dear, B. F.

AU - Staples, L. G.

AU - Terides, M. D.

AU - Sheehan, J.

AU - Johnston, L.

AU - Kayrouz, R.

AU - Dear, R.

AU - McEvoy, P. M.

AU - Titov, N.

N1 - Copyright the Author(s) 2016. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

PY - 2016/4/1

Y1 - 2016/4/1

N2 - Transdiagnostic cognitive behaviour therapy (TD-CBT) aims to target the symptoms of multiple disorders whereas disorder-specific CBT (DS-CBT) targets the symptoms of principal disorders. This study compared the relative benefits of internet-delivered TD-CBT and DS-CBT when provided in clinician-guided (CG-CBT) and self-guided (SG-CBT) formats for people with a principal diagnosis of Panic Disorder (PD). Participants (n = 145) were randomly allocated to receive TD-CBT or DS-CBT and CG-CBT or SG-CBT. Large reductions in symptoms of PD (Cohen's d ≥ 0.71; avg. reduction ≥ 36%) and moderate-to-large reductions in symptoms of comorbid depression (Cohen's d ≥ 0.71; avg. reduction ≥ 33%), generalised anxiety disorder (Cohen's d ≥ 0.91; avg. reduction ≥ 34%) and social anxiety disorder (Cohen's d ≥ 0.50; avg. reduction ≥ 15%) were found over the 24-month follow-up period. Highlighting their efficacy and acceptability, no marked and consistent differences were observed between TD-CBT and DS-CBT or CG-CBT and DS-CBT.

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KW - panic disorder

KW - anxiety disorders

KW - depression, treatment

KW - transdiagnostic

KW - disorder-specific

KW - self-guided

KW - therapist-guided

KW - internet

KW - 24-month follow-up

KW - randomized controlled trial

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UR - http://purl.org/au-research/grants/nhmrc/630560

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DO - 10.1016/j.janxdis.2016.03.005

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AN - SCOPUS:84961164994

SN - 0887-6185

VL - 39

SP - 88

EP - 102

JO - Journal of Anxiety Disorders

JF - Journal of Anxiety Disorders

ER -

Disorder-specific versus transdiagnostic and clinician-guided versus self-guided internet-delivered treatment for panic disorder and comorbid disorders: a randomized controlled trial

Abstract

Bibliographical note

Keywords

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Transdiagnostic internet therapy for internalising disorders

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Disorder-specific versus transdiagnostic and clinician-guided versus self-guided internet-delivered treatment for panic disorder and comorbid disorders: a randomized controlled trial

Abstract

Bibliographical note

Keywords

Access to Document

Other files and links

Fingerprint

Projects

Transdiagnostic internet therapy for internalising disorders

Cite this