a eMeistring, Bjørgvin DPS, Division of Psychiatry , Haukeland University Hospital , Bergen , Norway.
b Faculty of Psychology, Department of Clinical Psychology , University of Bergen , Bergen , Norway.
Cogn Behav Ther. 2018 Jan;47(1):62-75. doi: 10.1080/16506073.2017.1348389. Epub 2017 Jul 17.
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.
惊恐障碍是一种常见的精神障碍。基于互联网的认知行为疗法（基于互联网的认知行为疗法（ICBT））是一种很有前途的方法，可以帮助更多有需要的人。在本项有效性研究中，我们研究了在常规护理中实施基于互联网的认知行为疗法对惊恐障碍的治疗效果。共有 124 名患者入组本研究，其中 114 名患者开始接受治疗。在主要的惊恐障碍症状方面，观察到了较大的组内效应量（治疗后：d=1.24；6 个月随访：d=1.39），并且在次要的惊恐障碍症状和抑郁症状方面，在治疗后和随访时观察到了中度到较大的效应量（d=.55-1.13）。超过一半（56.1%）开始治疗的患者在治疗后得到缓解或改善。在接受治疗的患者中（完成了 9 个模块中的至少 5 个），69.9%的患者得到缓解或改善。本试验报告的疗效与之前惊恐障碍基于互联网的认知行为疗法的有效性和疗效试验一致。这为基于互联网的认知行为疗法作为常规护理的一种治疗选择提供了额外的支持。
