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The implementation of guided Internet-based cognitive behaviour therapy for panic disorder in a routine-care setting:
Tine Nordgreen1,2, Rolf Gjestad3,4, Gerhard Andersson5,6
1a eMeistring, Bjørgvin DPS, Division of Psychiatry , Haukeland University Hospital , Bergen , Norway.
Guided Internet-based cognitive behavioural therapy (ICBT) effectively treats panic disorder in routine care. This approach shows significant symptom improvement and recovery rates, supporting its use as a viable treatment option.
Area of Science:
- Psychiatry
- Mental Health
- Digital Therapeutics
Background:
- Panic disorder is a prevalent mental health condition.
- Guided Internet-based cognitive behavioural therapy (ICBT) offers a scalable solution.
- Implementation in routine care settings is crucial for accessibility.
Purpose of the Study:
- To evaluate the effectiveness of guided ICBT for panic disorder in a real-world clinical setting.
- To assess symptom reduction and recovery rates post-treatment and at follow-up.
Main Methods:
- An effectiveness study involving 124 patients with panic disorder.
- 114 patients initiated guided ICBT treatment.
- Symptom severity and recovery were measured post-treatment and at 6-month follow-up.
Main Results:
- Large effect sizes were observed for primary panic disorder symptoms (d = 1.24 post-treatment, d = 1.39 at follow-up).
- Moderate to large effects were noted for secondary symptoms and depression (d = 0.55–1.13).
- Over 56% of patients recovered or improved by post-treatment, with 69.9% among those completing at least five modules.
Conclusions:
- Guided ICBT demonstrates significant effectiveness for panic disorder within routine care.
- The findings align with previous efficacy and effectiveness trials.
- Guided ICBT is a supported treatment alternative for panic disorder in clinical practice.
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