Effectiveness of cognitive--behavioral treatment for panic disorder versus treatment as usual in a managed care setting.
Eighty clients enrolled in a managed care health plan who identified panic disorder as their primary presenting problem were randomly assigned to treatment by a therapist recently trained in a manual-based empirically supported psychotherapy or a therapist conducting treatment as usual (TAU). Participants in both conditions showed significant change from pre- to posttreatment on a number of measures. Those receiving panic control therapy (PCT) showed greater levels of change than those receiving TAU. Among treatment completers, an average of 42.9% of those in PCT and 18.8% in TAU achieved clinically significant change across measures. The results are discussed with reference to the dissemination of PCT and other evidence-based psychotherapies to clinical practice settings.
Department of Psychology, Clark University, Worcester, MA 01610, USA. maddis@clarku.edu
Michael E
ME
Addis
Christina
C
Hatgis
Aaron D
AD
Krasnow
Karen
K
Jacob
Leslie
L
Bourne
Abigail
A
Mansfield
D000293:Adolescent; D000328:Adult; D000368:Aged; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003430:Cross-Sectional Studies; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006279:Health Maintenance Organizations; D006801:Humans; D008297:Male; D008875:Middle Aged; D016584:Panic Disorder / Q000175:diagnosis / Q000628:therapy*; D012720:Severity of Illness Index; D012944:Social Support; D011795:Surveys and Questionnaires