The implementation of guided Internet-based cognitive behaviour therapy for panic disorder in a routine-care setting: effectiveness and implementation efforts |
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| Authors: | Tine Nordgreen Rolf Gjestad Gerhard Andersson Per Carlbring Odd E. Havik |
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| Affiliation: | 1. eMeistring, Bj?rgvin DPS, Division of Psychiatry, Haukeland University Hospital, Bergen, Norway;2. Faculty of Psychology, Department of Clinical Psychology, University of Bergen, Bergen, Norwaytine.nordgreen@helse-bergen.no;4. Research Department, Division of Psychiatry, Haukeland University Hospital, Bergen, Norway;5. Centre for Research and Education in Forensic Psychiatry, Haukeland University Hospital, Bergen, Norway;6. Department of Behavioural Sciences and Learning, Link?ping University, Link?ping, Sweden;7. Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden;8. Department of Psychology, Stockholm University, Stockholm, Sweden;9. Faculty of Psychology, Department of Clinical Psychology, University of Bergen, Bergen, Norway |
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| Abstract: | Panic disorder is a common mental disorder. Guided Internet-based cognitive behavioural therapy (Guided Internet-based cognitive behaviour therapy (ICBT)) is a promising approach to reach more people in need of help. In the present effectiveness study, we investigated the outcome of guided ICBT for panic disorder after implementation in routine care. A total of 124 patients were included in the study, of which 114 started the treatment. Large within-group effect sizes were observed on the primary panic disorder symptoms (post-treatment: d = 1.24; 6-month follow-up: d = 1.39) and moderate and large effects on secondary panic disorder symptoms and depressive symptoms at post-treatment and follow-up (d = .55–1.13). More than half (56.1%) of the patients who started treatment recovered or improved at post-treatment. Among treatment takers (completed at least five of the nine modules), 69.9% recovered or improved. The effectiveness reported in the present trial is in line with previous effectiveness and efficacy trials of guided ICBT for panic disorder. This provides additional support for guided ICBT as a treatment alternative in routine care. |
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| Keywords: | Panic disorder guided Internet-based treatment implementation cognitive behavioural therapy effectiveness |
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