Per Carlbring
  • Email
  • Facebook
  • Linkedin
  • Twitter
  • YouTube
  • RSS
  • News
  • Publications
  • MSc thesis
  • Questionnaires
  • CV
  • Contact
Search the site...
  • Swedish
  • English
  • Home
  • Nyheter @en
  • Stepped care versus face-to–face CBT for panic disorder and social anxiety disorder

Stepped care versus face-to–face CBT for panic disorder and social anxiety disorder

Posted on 2015-06-27 by Per Carlbring in Nyheter @en
0

Today a manuscript entitled “Stepped care versus face-to–face cognitive behavior therapy for panic disorder and social anxiety disorder: Predictors and moderators of outcome” was published in the journal Behaviour Research and Therapy.

In that paper we wanted to investigate predictors and moderators of treatment outcome by comparing immediate face-to-face cognitive behavioral therapy (FtF-CBT) to a Stepped Care treatment model comprising three steps: Psychoeducation, Internet-delivered CBT, and FtF-CBT for panic disorder (PD) and social anxiety disorder (SAD).

Method

Patients (N = 173) were recruited from nine public mental health out-patient clinics and randomized to immediate FtF-CBT or Stepped Care treatment. Characteristics related to social functioning, impairment from the anxiety disorder, and comorbidity was investigated as predictors and moderators by treatment format and diagnosis in multiple regression analyses.

Results

Lower social functioning, higher impairment from the anxiety disorder, and a comorbid cluster C personality disorder were associated with significantly less improvement, particularly among patients with PD. Furthermore, having a comorbid anxiety disorder was associated with a better treatment outcome among patients with PD but not patients with SAD. Patients with a comorbid depression had similar outcomes from the different treatments, but patients without comorbid depression had better outcomes from immediate FtF-CBT compared to guided self-help.

Conclusions

In general, the same patient characteristics appear to be associated with the treatment outcome for CBT provided in low- and high-intensity formats when treated in public mental health care clinics. The findings suggest that patients with lower social functioning and higher impairment from their anxiety disorder benefit less from these treatments and may require more adapted and extensive treatment.

Read the full paper:
Haug, T., Nordgreen, T., Öst, L.-G., Kvale, G., Tangen, T., Andersson, G., Carlbring, P., Heiervang, E. R., & Havik, O. E. (2015). Stepped care versus face-to–face cognitive behavior therapy for panic disorder and social anxiety disorder: Predictors and moderators of outcome. Behaviour Research and Therapy, 71, 76-89. doi: 10.1016/j.brat.2015.06.002

Cognitive behavioral therapy, guided self-help, Internet-delivered CBT, Moderators, Predictors, Stepped care

Subscribe to my Newsletter!

Keep you up-to-date with what is happening. One mail per month.

News

  • Signing OFF once and signing ON twice!

    2022-06-30
  • The Future of Mental Health Treatment: Prescription Digital Therapeutics, Cyberpsychology, and Care Intelligence Solutions

    2022-04-11
  • Open PhD position in Psychology (with salary!)

    2022-03-09
  • Integrating virtual realities and psychotherapy

    2021-08-03
  • Internet-based cognitive behavior therapy for depression, social anxiety disorder, and panic disorder: Effectiveness and predictors of response in a teaching clinic

    2021-07-14
  • New impact factor for “my” journal

    2021-07-01
  • Dismantling, optimising, and personalising internet cognitive behavioural therapy for depression: a systematic review and component network meta-analysis

    2021-05-04
  • New meta-analysis on genes and psychotherapy outcome in anxiety disorders

    2021-02-25
  • The Prevalence and Clinical and Sociodemographic Factors of Problem Online Gambling: A Systematic Review

    2021-02-02
  • Online Consultations in Mental Healthcare During the Covid-19 Outbreak: An International Survey Study on Uptake and Experiences

    2020-12-17
  • NEW STUDY: How to succeed in keeping your New Year’s resolution

    2020-12-09
  • Virtual Reality exposure therapy for public speaking anxiety in routine care: a single-subject effectiveness trial

    2020-11-30
  • Sudden gains and large intersession improvements in internet-based psychodynamic treatment (IPDT) for depressed adolescents

    2020-11-30
  • Seeking neutral: A Virtual Reality-based person-identity-matching task for attentional bias modification

    2020-11-30
  • Measuring Alliance Toward Embodied Virtual Therapists in the Era of Automated Treatments

    2020-07-09
  • Measuring Alliance Toward Embodied Virtual Therapists in the Era of Automated Treatments

    2020-07-09
  • Internet Interventions for Adults with Anxiety and Mood Disorders: A Narrative Umbrella Review of Recent Meta-Analyses

    2020-05-19
  • In the Absence of Effects: An Individual Patient Data Meta-Analysis of Non-response and Its Predictors in Internet-Based Cognitive Behavior Therapy

    2020-05-18
  • Are physical activity and sedentary behavior related to depression?

    2020-05-13
  • Comparing internet-delivered cognitive therapy and behavior therapy with telephone support for insomnia disorder: a randomized controlled trial

    2020-04-27

Popular subjects:

Anxiety Attention bias training Cancer CBT Cognitive behavior therapy cognitive flexibility Conference content analysis Depression Effectiveness Exposure therapy fMRI Gambling group therapy ICBT Internet-based treatment Internetbehandling Internet Interventions internet treatment Just published meta-analysis Negative effects Ny artikel Online gambling open access Panic disorder Ph.D. Dissertation PhD Physical activity Problem gambling Procrastination Psychometric PTSD qualitative Randomized controlled trial responsible gambling Review Smartphone @en Social anxiety social anxiety disorder social phobia Stepped care Thesis Treatment Virtual reality
Copyleft (ɔ) 2020 Professor Per Carlbring