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Effectiveness of Internet-based cognitive behaviour therapy for panic disorder in routine psychiatric care

2013; Wiley; Volume: 128; Issue: 6 Linguagem: Inglês

10.1111/acps.12079

1600-0447

Erik Hedman, Brjánn Ljótsson, Christian Rück, J Bergström, Gerhard Andersson, Viktor Kaldo, Liselotte Jansson, Erik Andersson, Erik Andersson, Kerstin Blom, Samir El Alaoui, L. Falk, J. Ivarsson, Berkeh Nasri, Sara Rydh, Nils Lindefors,

Child and Adolescent Psychosocial and Emotional Development

Acta Psychiatrica ScandinavicaVolume 128, Issue 6 p. 457-467 Original Article Effectiveness of Internet-based cognitive behaviour therapy for panic disorder in routine psychiatric care E. Hedman, Corresponding Author E. Hedman Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, Stockholm Department of Clinical Neuroscience, Osher Center for Integrative Medicine, Karolinska Institutet, Stockholm Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm Erik Hedman, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77 Stockholm, Sweden. E-mail: [email protected]Search for more papers by this authorB. Ljótsson, B. Ljótsson Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, Stockholm Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, StockholmSearch for more papers by this authorC. Rück, C. Rück Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorJ. Bergström, J. Bergström Department of Psychology, Stockholm University, StockholmSearch for more papers by this authorG. Andersson, G. Andersson Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, Stockholm Department of Behavioural Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Linköping, SwedenSearch for more papers by this authorV. Kaldo, V. Kaldo Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorL. Jansson, L. Jansson Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorE. Andersson, E. Andersson Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorE. Andersson, E. Andersson Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorK. Blom, K. Blom Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorS. El Alaoui, S. El Alaoui Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorL. Falk, L. Falk Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorJ. Ivarsson, J. Ivarsson Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorB. Nasri, B. Nasri Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorS. Rydh, S. Rydh Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorN. Lindefors, N. Lindefors Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this author E. Hedman, Corresponding Author E. Hedman Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, Stockholm Department of Clinical Neuroscience, Osher Center for Integrative Medicine, Karolinska Institutet, Stockholm Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm Erik Hedman, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77 Stockholm, Sweden. E-mail: [email protected]Search for more papers by this authorB. Ljótsson, B. Ljótsson Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, Stockholm Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, StockholmSearch for more papers by this authorC. Rück, C. Rück Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorJ. Bergström, J. Bergström Department of Psychology, Stockholm University, StockholmSearch for more papers by this authorG. Andersson, G. Andersson Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, Stockholm Department of Behavioural Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Linköping, SwedenSearch for more papers by this authorV. Kaldo, V. Kaldo Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorL. Jansson, L. Jansson Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorE. Andersson, E. Andersson Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorE. Andersson, E. Andersson Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorK. Blom, K. Blom Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorS. El Alaoui, S. El Alaoui Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorL. Falk, L. Falk Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorJ. Ivarsson, J. Ivarsson Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorB. Nasri, B. Nasri Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorS. Rydh, S. Rydh Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this authorN. Lindefors, N. Lindefors Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, StockholmSearch for more papers by this author First published: 14 February 2013 https://doi.org/10.1111/acps.12079Citations: 93Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract Objective Guided Internet-based cognitive behaviour therapy (ICBT) for panic disorder has been shown to be efficacious in several randomized controlled trials. However, the effectiveness of the treatment when delivered within routine psychiatric care has not been studied. The aim of this study was to investigate the effectiveness of ICBT for panic disorder within the context of routine psychiatric care. Method We conducted a cohort study investigating all patients (n = 570) who had received guided ICBT for panic disorder between 2007 and 2012 in a routine care setting at an out-patient psychiatric clinic providing Internet-based treatment. The primary outcome measure was the Panic Disorder Severity Scale-Self-report (PDSS-SR). Results Participants made large improvements from screening and pretreatment assessments to posttreatment (Cohen's d range on the PDSS-SR = 1.07–1.55). Improvements were sustained at 6-month follow-up. Conclusion This study suggests that ICBT for panic disorder is as effective when delivered in a routine care context as in the previously published randomized controlled trials. 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