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 journalArticle

28 Citations (Scopus)
6 Downloads (Pure)

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 languageEnglish
Pages (from-to)88-102
Number of pages15
JournalJournal of Anxiety Disorders
Volume39
DOIs
Publication statusPublished - 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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  • Projects

    Transdiagnostic internet therapy for internalising disorders

    Titov, N.

    1/01/1031/12/14

    Project: Research

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