Computer-Aided Self-Exposure Therapy for Phobia/Panic Disorder: A Pilot Economic Evaluation. Computer-Aided Self-Exposure Therapy for Phobia/Panic Disorder: A Pilot Economic Evaluation Paul McCrone; Isaac M. Marks; David Mataix-Cols; Mark Kenwright; Michael McDonough et al Centre for the Economics of Mental Health, Health Service and Population Research Department, Institute of Psychiatry, King’s College London, London Insititute of Psychiatry, King’s College London, London Psychobiology of Anxiety and Obsessive-Compulsive Disorders Group, Section of Cognitive Neuropsychiatry, Institute of Psychiatry, King’s College London, London d West London Mental Health Trust, London St. Patrick’s Hospital, Dublin, Ireland.
The Feasibility and Effectiveness of Computer-Guided CBT (FearFighter) in a Rural Area. Evaluations of computer-guided CBT (CCBT) suggest that this is a promising approach to closing the gap between the demand for, and the supply of, CBT. However, additional studies are required that are conducted by researchers independent of the programme developers, and include a wider range of participants. This independent study examined the viability of CCBT for panic and phobic anxiety in an unselected sample of referrals in remote and rural areas of Scotland. Outcome was assessed by a wide range of outcome measures, completed before and after treatment, and at 4-month follow-up. Participants experienced few difficulties in using the programme, and GPs and participants regarded CCBT as acceptable and useful. Major improvements were obtained, with several large effect sizes, which remained at follow-up. It was concluded that computer-guided CBT can play a useful part in delivering CBT services in rural areas; and that self-help CBT may be the only treatment option available to some sufferers.
Internet-Guided Self-Help with or without Exposure Therapy for Phobic and Panic Disorders: (A Randomised Controlled Trial).
As many sufferers from phobia and panic (phobia/panic) disorders cannot get to suitable therapists, routine aspects of therapy were delegated to internet-accessed computer-aided self-help with or without exposure instructions.
Computer-Aided CBT Self-Help for Anxiety and Depressive Disorders : Experience of a London Clinic and Future Directions. This article describes the first-ever clinic to use four computer-aided cognitive behavioural therapy (CCBT) systems to guide interactive self-help for sufferers from anxiety and depressive disorders. The clinic ran a free service in London for 15 months, in the last few months of which clients were to use all four, not just two, of the systems at home supplemented by brief live support on a phone helpline as needed. This article gives three detailed case illustrations to give practitioners a taste of CCBT.
Saving Clinicians’ time by delegating routine aspects of therapy to a computer: a randomised controlled trial in phobia/panic disorder.
Despite its (non-significantly) higher dropout rate, self-exposure therapy for panic/ phobia cut clinician time per patient by 73% without losing efficacy when guided mainly by a computer rather than entirely by a clinician.
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