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Stepped Care Versus...
Stepped Care Versus Direct Face-to-Face Cognitive Behavior Therapy for Social Anxiety Disorder and Panic Disorder : A Randomized Effectiveness Trial
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- Nordgreen, Tine (författare)
- Haukeland Hospital, Norway; University of Bergen, Norway
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- Haug, Thomas (författare)
- Haukeland Hospital, Norway
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- Öst, Lars-Göran (författare)
- Stockholms universitet,Klinisk psykologi,Haukeland Hospital, Norway; University of Bergen, Norway; Stockholm University, Sweden; Karolinska Institute, Sweden
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- Andersson, Gerhard (författare)
- Linköpings universitet,Karolinska Institutet,Psykologi,Filosofiska fakulteten,Karolinska Institute, Sweden
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- Carlbring, Per (författare)
- Stockholms universitet,Klinisk psykologi,Stockholm University, Sweden
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- Kvale, Gerd (författare)
- Haukeland Hospital, Norway; University of Bergen, Norway
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- Tangen, Tone (författare)
- Haukeland Hospital, Norway; University of Bergen, Norway
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- Haiervang, Einar (författare)
- Haukeland Hospital, Norway; University of Oslo, Norway
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- Havik, Odd E. (författare)
- Haukeland Hospital, Norway; University of Bergen, Norway
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(creator_code:org_t)
- Elsevier BV, 2016
- 2016
- Engelska.
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Ingår i: Behavior Therapy. - : Elsevier BV. - 0005-7894 .- 1878-1888. ; 47:2, s. 166-183
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- The aim of this study was to assess the effectiveness of a cognitive behavioral therapy(CBT) stepped care model (psychoeducation, guided Internet treatment, and face-to-face CBT) compared with direct face-to-face (FtF) CBT. Patients with panic disorder or social anxiety disorder were randomized to either stepped care (n = 85) or direct FtF CBT (n = 88). Recovery was defined as meeting two of the following three criteria: loss of diagnosis, below cut-off for self-reported symptoms, and functional improvement. No significant differences in intention-to-treat recovery rates were identified between stepped care (40.0%) and direct FtF CBT (43.2%). The majority of the patients who recovered in the stepped care did so at the less therapist-demanding steps (26/34, 76.5%). Moderate to large within-groups effect sizes were identified at posttreatment and 1-year follow-up. The attrition rates were high: 41.2% in the stepped care condition and 27.3% in the direct FtF CBT condition. These findings indicate that the outcome of a stepped care model for anxiety disorders is comparable to that of direct FtF CBT. The rates of improvement at the two less therapist-demanding steps indicate that stepped care models might be useful for increasing patients’ access to evidence-based psychological treatments for anxiety disorders. However, attrition in the stepped care condition was high, and research regarding the factors that can improve adherence should be prioritized.
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
- stepped care
- effectiveness
- social anxiety disorder
- panic disorder
- psykologi
- Psychology
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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