Therapist-Assisted, Internet-Based Treatment for Panic Disorder: Can General Practitioners Achieve Comparable Patient Outcomes to Psychologists?
2008

Therapist-Assisted Internet Treatment for Panic Disorder

Sample size: 96 publication 10 minutes Evidence: moderate

Author Information

Author(s): Eysenbach Gunther, Shandley Kerrie, Austin David William, Klein Britt, Pier Ciaran, Schattner Peter, Pierce David, Wade Victoria

Primary Institution: Swinburne University of Technology

Hypothesis

Can general practitioners achieve comparable patient outcomes to psychologists when using an internet-based treatment for panic disorder?

Conclusion

Internet-based interventions are effective adjuncts to existing mental health care systems, improving patient outcomes.

Supporting Evidence

  • Both treatments led to significant improvements in panic symptoms.
  • Improvements were maintained at follow-up.
  • The GP group had a higher attrition rate compared to the psychologist group.

Takeaway

This study shows that people with panic disorder can get better with online therapy, whether they see a doctor in person or talk to a psychologist through email.

Methodology

Participants completed the Panic Online program over 12 weeks with support from either a GP or a psychologist, with assessments at three time points.

Potential Biases

Potential differences in participant characteristics between the GP and psychologist groups may introduce bias.

Limitations

The study used a nonrandomized design, which may affect the comparability of treatment outcomes.

Participant Demographics

Participants had a primary diagnosis of panic disorder, with 75 also assessed for agoraphobia; 52% were taking medication.

Statistical Information

P-Value

P = .00 for physical quality of life, P = .04 for environmental quality of life.

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.2196/jmir.1033

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