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Stepped care versus...
Stepped care versus face-to–face cognitive behavior therapy for panic disorder and social anxiety disorder : Predictors and moderators of outcome
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- Haug, Thomas (författare)
- Haukeland University Hospital and University of Bergen, Bergen, Norway
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- Nordgreen, Tine (författare)
- Haukeland University Hospital and University of Bergen, Bergen, Norway
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- Öst, Lars-Göran (författare)
- Stockholms universitet,Psykologiska institutionen,Haukeland University Hospital, Bergen, Norway; Department of Clinical Neuroscience, Karolinska Institutet,Haukeland Hospital, Norway; University of Stockholm, Sweden; Karolinska Institute, Sweden
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- Kvale, Gerd (författare)
- Haukeland University Hospital and University of Bergen, Bergen, Norway
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- Tangen, Tone (författare)
- Haukeland University Hospital and University of Bergen, Bergen, Norway
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- Andersson, Gerhard (författare)
- Karolinska Institutet,Linköpings universitet,Psykologi,Filosofiska fakulteten,Karolinska Institute, Sweden
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- Carlbring, Per (författare)
- Stockholms universitet,Psykologiska institutionen,University of Stockholm, Sweden
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- Heiervang, Einar R. (författare)
- Haukeland University Hospital and University of Oslo, Norway
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- Havik, Odd E. (författare)
- Haukeland University Hospital and University of Bergen, Bergen, Norway
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(creator_code:org_t)
- Elsevier, 2015
- 2015
- Engelska.
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Ingår i: Behaviour Research and Therapy. - : Elsevier. - 0005-7967 .- 1873-622X. ; 71, s. 76-89
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Objective: 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 comorbidcluster 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.ClinicalTrials.govIdentifier: NCT00619138.
Ämnesord
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine (hsv//eng)
Nyckelord
- cognitive behavioral therapy
- stepped care
- guided self-help
- internet-delivered CBT
- predictors
- moderators
- Psychology
- psykologi
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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