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A review of self‐management interventions for panic disorders, phobias and obsessive‐compulsive disorders
Author(s) -
Barlow J. H.,
Ellard D. R.,
Hainsworth J. M.,
Jones F. R.,
Fisher A.
Publication year - 2005
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/j.1600-0447.2005.00499.x
Subject(s) - phobias , psychological intervention , panic disorder , panic , psychology , anxiety disorder , cognitive therapy , specific phobia , clinical psychology , anxiety , psychiatry , exposure therapy , psychotherapist , phobic disorder , cognitive behavioral therapy , cognition
Objective: To review current evidence for the clinical and cost‐effectiveness of self‐management interventions for panic disorder, phobias and obsessive‐compulsive disorder (OCD). Method: Papers were identified through computerized searches of databases for the years between 1995 and 2003, manual searches and personal contacts. Only randomized‐controlled trials were reviewed. Results: Ten studies were identified (one OCD, five panic disorder, four phobias). Effective self‐management interventions included cognitive‐behavioural therapy (CBT) and exposure to the trigger stimuli for phobias and panic disorders. All involved homework. There was evidence of effectiveness in terms of improved symptoms and psychological wellbeing when compared with standard care, waiting list or relaxation. Brief interventions and computer‐based interventions were effective for most participants. In terms of quality, studies were mainly based on small samples, lacked long‐term follow‐up, and failed to address cost‐effectiveness. Conclusion: Despite the limitations of reviewed studies, there appears to be sufficient evidence to warrant greater exploration of self‐management in these disorders.