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Related Concept Videos

Panic Disorder01:27

Panic Disorder

313
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
313
Behavior Therapy01:22

Behavior Therapy

274
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
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Rational Emotive Behavior Therapy01:24

Rational Emotive Behavior Therapy

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Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
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Cognitive Therapy01:25

Cognitive Therapy

602
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
602
Operant Conditioning Intervention01:24

Operant Conditioning Intervention

285
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
285
Generalized Anxiety Disorder01:30

Generalized Anxiety Disorder

352
Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...
352

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Exploring the Neural Correlates of Cognitive Reappraisal in Obsessive-Compulsive Disorder Using Task-based Functional Magnetic Resonance Imaging
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Remote cognitive behavioral therapy for panic disorder: A meta-analysis.

Gene Efron1, Bethany M Wootton1

  • 1Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Ultimo, NSW, 2007, Australia.

Journal of Anxiety Disorders
|March 28, 2021
PubMed
Summary
This summary is machine-generated.

Remote cognitive behavioral therapy (RCBT) effectively treats panic disorder (PD) symptoms, showing large improvements from pre-treatment to follow-up. RCBT is comparable to face-to-face therapy and enhances treatment accessibility.

Keywords:
Cognitive behavioral therapyMeta-analysisPanic disorderRemote treatment

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Area of Science:

  • Psychiatry
  • Psychology
  • Digital Health

Background:

  • Cognitive behavioral therapy (CBT) is a primary treatment for panic disorder (PD).
  • Remote CBT (RCBT) delivery models are emerging, offering potential for increased treatment accessibility.
  • Meta-analysis is a suitable method for synthesizing evidence on RCBT efficacy.

Purpose of the Study:

  • To evaluate the efficacy of remote cognitive behavioral therapy (RCBT) for panic disorder (PD) through a meta-analytic approach.
  • To compare RCBT effectiveness against passive and active control conditions.
  • To assess the impact of different remote delivery formats on PD symptom reduction.

Main Methods:

  • A systematic electronic database search and reference review identified 21 studies (n=1,604) for meta-analysis.
  • Included studies comprised randomized controlled trials (RCTs) and non-randomized trials.
  • Pooled effect sizes (Hedges' g) were calculated for within-group and between-group comparisons.

Main Results:

  • RCBT demonstrated large within-group effect sizes for PD symptom reduction from pre-treatment to post-treatment (g=1.18) and follow-up (g=1.51).
  • RCBT was significantly more effective than passive control (g=1.17) and comparable to active treatments like face-to-face CBT (g=0.02).
  • Internet-delivered, videoconferencing-delivered, and bibliotherapy-delivered CBT all yielded large effect sizes for PD symptoms.

Conclusions:

  • Remote CBT is an effective treatment for panic disorder, yielding significant symptom reduction.
  • RCBT offers a viable alternative to traditional face-to-face therapy, with comparable efficacy.
  • The findings support the widespread implementation of remote stepped-care models for PD treatment.