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Clinician-assisted Internet-based treatment is effective for panic: A randomized controlled trial
Edward Wims1, Nickolai Titov, Gavin Andrews
1St Vincent's Hospital, Darlinghurst, Sydney, NSW, Australia.
The Australian and New Zealand Journal of Psychiatry
|June 22, 2010
Summary
The Internet-based clinician-assisted cognitive behavioural treatment program, the Panic Program, effectively reduced panic disorder symptoms. This online treatment showed sustained efficacy at follow-up, offering a viable option for panic disorder management.
Area of Science:
- Psychiatry and Behavioral Science
- Digital Health Interventions
- Cognitive Behavioral Therapy
Background:
- Panic disorder is a debilitating condition often treated with cognitive behavioral therapy (CBT).
- Internet-based interventions offer scalable and accessible treatment options.
- Clinician-assisted online CBT may bridge the gap between traditional therapy and self-help.
Purpose of the Study:
- To evaluate the efficacy of an Internet-based clinician-assisted CBT program (the Panic Program) for panic disorder.
- To assess treatment outcomes for panic disorder with or without agoraphobia.
Main Methods:
- Randomized controlled trial with 59 participants diagnosed with panic disorder with agoraphobia.
- Treatment group received the 8-week online Panic Program with clinician email support and a discussion forum.
- Waitlist control group received no active treatment during the study period; intention-to-treat analysis was employed.
Main Results:
- Significant reductions in panic symptoms, disability, and depression were observed in the treatment group compared to the control group.
- High completion rates (79%) for the online program were noted.
- Sustained treatment effects were evident at 1-month follow-up, with large effect sizes on key outcome measures.
Conclusions:
- The Internet-based clinician-assisted Panic Program is an effective treatment for panic disorder with agoraphobia.
- These findings replicate previous open-trial results, supporting the program's clinical utility.
- The program demonstrates a favorable therapist time investment (75 minutes per participant).
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