- Title
- Internet-based treatment for panic disorder: Does frequency of therapist contact make a difference?
- Creator
- Klein, Britt; Austin, David; Pier, Ciaran; Kiropoulos, Litza; Shandley, Kerrie; Mitchell, Joanna; Gilson, Kathryn; Ciechomski, Lisa
- Date
- 2009
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/101810
- Identifier
- vital:10722
- Identifier
- ISBN:16506073 (ISSN)
- Abstract
- Internet-based interventions with therapist support have proven effective for treating a range of mental health conditions. This study examined whether frequency of therapist contact affected treatment outcomes. Fifty-seven people with panic disorder (including 32 with agoraphobia) were randomly allocated to an 8-week Internet-based cognitive behavioural treatment intervention (Panic Online) with either frequent (three e-mails per week) or infrequent (one e-mail per week) support from a psychologist. Posttreatment, intention-to-treat analyses revealed that both treatments were effective at improving panic disorder and agoraphobia severity ratings, panic-related cognitions, negative affect, and psychological and physical quality of life domains, with no differences between conditions. High end-state functioning was achieved by 28.6% of the frequent and infrequent participants, respectively. Therapist alliance, treatment credibility, and satisfaction also did not differ between groups, despite significantly greater therapist time invested in the frequent contact condition. The results provide evidence that the effectiveness of Internet-based mental health interventions may be independent of the frequency of therapist support and may, therefore, be more cost-effective than previously reported. © 2009 Taylor & Francis.
- Relation
- Cognitive Behaviour Therapy Vol. 38, no. 2 (2009), p. 100-113
- Rights
- Copyright Routledge
- Rights
- This metadata is freely available under a CCO license
- Subject
- CBT treatment; Internet intervention; Panic disorder; Randomised controlled trial (RCT); Therapist-assisted; Agoraphobia; Cognition; Cognitive therapy; Computer assisted therapy; Controlled study; Disease severity; E-mail; Female; Functional status; Human; Internet; Major clinical study; Male; Mental health; Online system; Outcome assessment; Panic; Patient satisfaction; Physical capacity; Psychologic assessment; Quality of life; Adolescent; Aged; Humans; Middle Aged; Prevalence; Professional-Patient Relations; Psychotherapy; Young Adult; 1701 Psychology; 1702 Cognitive Science
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