J. Med. Internet Res. - An Internet-based guided self-help intervention for panic symptoms: randomized controlled trial.

Tópicos

{ treatment(1704) effect(941) patient(846) }
{ intervent(3218) particip(2042) group(1664) }
{ group(2977) signific(1463) compar(1072) }
{ measur(2081) correl(1212) valu(896) }
{ method(1219) similar(1157) match(930) }
{ assess(1506) score(1403) qualiti(1306) }
{ first(2504) two(1366) second(1323) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ imag(1057) registr(996) error(939) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ case(1353) use(1143) diagnosi(1136) }
{ sampl(1606) size(1419) use(1276) }
{ use(2086) technolog(871) perceiv(783) }
{ estim(2440) model(1874) function(577) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ design(1359) user(1324) use(1319) }
{ general(901) number(790) one(736) }
{ risk(3053) factor(974) diseas(938) }
{ system(1050) medic(1026) inform(1018) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(976) code(926) identifi(902) }
{ survey(1388) particip(1329) question(1065) }
{ process(1125) use(805) approach(778) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ system(1976) rule(880) can(841) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ motion(1329) object(1292) video(1091) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ activ(1138) subject(705) human(624) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ decis(3086) make(1611) patient(1517) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: Internet-based guided self-help is efficacious for panic disorder, but it is not known whether such treatment is effective for milder panic symptoms as well.OBJECTIVE: To evaluate the effectiveness of Don't Panic Online, an Internet-based self-help course for mild panic symptoms, which is based on cognitive behavioral principles and includes guidance by email.METHODS: A pragmatic randomized controlled trial was conducted. Participants (N=126) were recruited from the general population and randomized to either the intervention group or to a waiting-list control group. Inclusion criteria were a Panic Disorder Severity Scale-Self Report (PDSS-SR) score between 5-15 and no suicide risk. Panic symptom severity was the primary outcome measure; secondary outcome measures were anxiety and depressive symptom severity. Measurements were conducted online and took place at baseline and 12 weeks after baseline (T1). At baseline, diagnoses were obtained by telephone interviews.RESULTS: Analyses of covariance (intention-to-treat) showed no significant differences in panic symptom reduction between groups. Completers-only analyses revealed a moderate effect size in favor of the intervention group (Cohen's d=0.73, P=.01). Only 27% of the intervention group finished lesson 4 or more (out of 6). Nonresponse at T1 was high for the total sample (42.1%). Diagnostic interviews showed that many participants suffered from comorbid depression and anxiety disorders.CONCLUSIONS: The Internet-based guided self-help course appears to be ineffective for individuals with panic symptoms. However, intervention completers did derive clinical benefits from the intervention.TRIAL REGISTRATION: Nederlands Trial Register: NTR1639; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=1639 (Archived by WebCite at http://www.webcitation.org/6ITZPozs9).

Resumo Limpo

ckground internetbas guid selfhelp efficaci panic disord known whether treatment effect milder panic symptom wellobject evalu effect dont panic onlin internetbas selfhelp cours mild panic symptom base cognit behavior principl includ guidanc emailmethod pragmat random control trial conduct particip n recruit general popul random either intervent group waitinglist control group inclus criteria panic disord sever scaleself report pdsssr score suicid risk panic symptom sever primari outcom measur secondari outcom measur anxieti depress symptom sever measur conduct onlin took place baselin week baselin t baselin diagnos obtain telephon interviewsresult analys covari intentiontotreat show signific differ panic symptom reduct group completerson analys reveal moder effect size favor intervent group cohen d p intervent group finish lesson nonrespons t high total sampl diagnost interview show mani particip suffer comorbid depress anxieti disordersconclus internetbas guid selfhelp cours appear ineffect individu panic symptom howev intervent complet deriv clinic benefit interventiontri registr nederland trial regist ntr httpwwwtrialregisternltrialregadminrctviewasptc archiv webcit httpwwwwebcitationorgitzpoz

Resumos Similares

J. Med. Internet Res. - Short-term effects of a web-based guided self-help intervention for employees with depressive symptoms: randomized controlled trial. ( 0,965655468818384 )
J. Med. Internet Res. - Long-term results of a web-based guided self-help intervention for employees with depressive symptoms: randomized controlled trial. ( 0,962278416696871 )
J. Med. Internet Res. - Multimodal e-mental health treatment for depression: a feasibility trial. ( 0,942163775696068 )
J. Med. Internet Res. - Internet-based early intervention to prevent posttraumatic stress disorder in injury patients: randomized controlled trial. ( 0,940989449096903 )
J. Med. Internet Res. - Effectiveness of a web-based solution-focused brief chat treatment for depressed adolescents and young adults: randomized controlled trial. ( 0,940872224364606 )
J. Med. Internet Res. - Effects of a multilingual information website intervention on the levels of depression literacy and depression-related stigma in Greek-born and Italian-born immigrants living in Australia: a randomized controlled trial. ( 0,939362472595324 )
J. Med. Internet Res. - Chinese My Trauma Recovery, a Web-based intervention for traumatized persons in two parallel samples: randomized controlled trial. ( 0,938105687229008 )
J. Med. Internet Res. - The clinical effectiveness of web-based cognitive behavioral therapy with face-to-face therapist support for depressed primary care patients: randomized controlled trial. ( 0,935764856958547 )
J. Med. Internet Res. - Is a severe clinical profile an effect modifier in a Web-based depression treatment for adults with type 1 or type 2 diabetes? Secondary analyses from a randomized controlled trial. ( 0,935136665586753 )
J. Med. Internet Res. - Web-based treatment program using intensive therapeutic contact for patients with eating disorders: before-after study. ( 0,934555979042938 )
J. Med. Internet Res. - An Internet-based intervention to promote mental fitness for mildly depressed adults: randomized controlled trial. ( 0,928592159217081 )
J. Med. Internet Res. - Effectiveness of an online group course for depression in adolescents and young adults: a randomized trial. ( 0,927090301507989 )
J. Med. Internet Res. - Self-monitoring using mobile phones in the early stages of adolescent depression: randomized controlled trial. ( 0,926327660414701 )
J. Med. Internet Res. - Internet-based, culturally sensitive, problem-solving therapy for Turkish migrants with depression: randomized controlled trial. ( 0,91383767281863 )
J. Med. Internet Res. - Internet-delivered interpersonal psychotherapy versus internet-delivered cognitive behavioral therapy for adults with depressive symptoms: randomized controlled noninferiority trial. ( 0,912765921706297 )
Telemed J E Health - A randomized controlled trial of an internet-based posttreatment care for patients with eating disorders. ( 0,910150241177037 )
J. Med. Internet Res. - Acceptability of a clinician-assisted computerized psychological intervention for comorbid mental health and substance use problems: treatment adherence data from a randomized controlled trial. ( 0,909087230147268 )
J. Med. Internet Res. - Effectiveness of a web-based cognitive-behavioral tool to improve mental well-being in the general population: randomized controlled trial. ( 0,893427108281891 )
J. Med. Internet Res. - Attrition in web-based treatment for problem drinkers. ( 0,888045065918673 )
J. Med. Internet Res. - Comparing in-person to videoconference-based cognitive behavioral therapy for mood and anxiety disorders: randomized controlled trial. ( 0,887199371936977 )
J. Med. Internet Res. - Multilevel growth curve analyses of treatment effects of a Web-based intervention for stress reduction: randomized controlled trial. ( 0,878069918351868 )
Telemed J E Health - Faked depression: comparing malingering via the internet, pen-and-paper, and telephone administration modes. ( 0,874305651110811 )
J Telemed Telecare - Effect of mobile phone-based psychotherapy in suicide prevention: a randomized controlled trial in Sri Lanka. ( 0,872622245364641 )
J. Med. Internet Res. - Rethinking the dose-response relationship between usage and outcome in an online intervention for depression: randomized controlled trial. ( 0,870670533347762 )
J. Med. Internet Res. - For whom does it work? moderators of outcome on the effect of a transdiagnostic internet-based maintenance treatment after inpatient psychotherapy: randomized controlled trial. ( 0,870622535499691 )
J Telemed Telecare - A brief self-guided telehealth intervention for post-traumatic stress disorder in combat veterans: a pilot study. ( 0,860931585585604 )
J. Med. Internet Res. - Effectiveness of a self-guided web-based cannabis treatment program: randomized controlled trial. ( 0,85998334031478 )
Telemed J E Health - Who is being reached for a telephone-delivered intervention for patients with uncontrolled hypertension? ( 0,859238337658731 )
J. Med. Internet Res. - Anxiety online: a virtual clinic: preliminary outcomes following completion of five fully automated treatment programs for anxiety disorders and symptoms. ( 0,857167545184405 )
J. Med. Internet Res. - Predictors of participant retention in a guided online self-help program for university students: prospective cohort study. ( 0,853023650825574 )
J. Med. Internet Res. - Cost-utility and cost-effectiveness of internet-based treatment for adults with depressive symptoms: randomized trial. ( 0,847999502213177 )
J. Med. Internet Res. - Online cognitive behavioral therapy for bulimic type disorders, delivered in the community by a nonclinician: qualitative study. ( 0,841846928434624 )
J. Med. Internet Res. - Internet-based interventions to promote mental health help-seeking in elite athletes: an exploratory randomized controlled trial. ( 0,839446972270162 )
J. Med. Internet Res. - Working alliance in online cognitive behavior therapy for anxiety disorders in youth: comparison with clinic delivery and its role in predicting outcome. ( 0,836440995634114 )
J. Med. Internet Res. - Web-based cognitive behavioral self-help intervention to reduce cocaine consumption in problematic cocaine users: randomized controlled trial. ( 0,827611915753096 )
J. Med. Internet Res. - Exploring patients' views of a cognitive behavioral therapy-based website for the self-management of irritable bowel syndrome symptoms. ( 0,820649028563899 )
J. Med. Internet Res. - Posttreatment attrition and its predictors, attrition bias, and treatment efficacy of the anxiety online programs. ( 0,808630741688497 )
J. Med. Internet Res. - Effectiveness of a web-based physical activity intervention in patients with knee and/or hip osteoarthritis: randomized controlled trial. ( 0,803616795455127 )
J. Med. Internet Res. - Experiential virtual scenarios with real-time monitoring (interreality) for the management of psychological stress: a block randomized controlled trial. ( 0,802121503774392 )
Telemed J E Health - Computer-based recovery support for patients receiving residential treatment for alcohol/drug dependence: relationship between program use and outcomes. ( 0,798816462733061 )
J. Med. Internet Res. - Comparing effects in regular practice of e-communication and Web-based self-management support among breast cancer patients: preliminary results from a randomized controlled trial. ( 0,796209643982439 )
J. Med. Internet Res. - Pretreatment attrition and formal withdrawal during treatment and their predictors: an exploratory study of the anxiety online data. ( 0,796146439520981 )
J. Med. Internet Res. - Internet-based cognitive behavioral therapy for patients with chronic somatic conditions: a meta-analytic review. ( 0,795568117922986 )
J. Med. Internet Res. - Short-term effectiveness of web-based guided self-help for phobic outpatients: randomized controlled trial. ( 0,795213028121794 )
J. Med. Internet Res. - Feasibility and effectiveness of a web-based positive psychology program for youth mental health: randomized controlled trial. ( 0,791272999066313 )
J. Med. Internet Res. - Individually tailored internet-based treatment for young adults and adults with panic attacks: randomized controlled trial. ( 0,78553539667594 )
J. Med. Internet Res. - MEMO--a mobile phone depression prevention intervention for adolescents: development process and postprogram findings on acceptability from a randomized controlled trial. ( 0,782748497853066 )
J. Med. Internet Res. - Development and initial evaluation of an Internet-based support system for face-to-face cognitive behavior therapy: a proof of concept study. ( 0,780779807192777 )
Med Decis Making - Crediting treatments for good outcomes that would have happened anyway: the impact of baseline risk on treatment perceptions. ( 0,780737769354055 )
J. Med. Internet Res. - Acceptability of online self-help to people with depression: users' views of MoodGYM versus informational websites. ( 0,778880483475433 )
J. Med. Internet Res. - A service-based evaluation of a therapist-supported online cognitive behavioral therapy program for depression. ( 0,778501762680664 )
J. Med. Internet Res. - Web-based cognitive behavior therapy for depression with and without telephone tracking in a national helpline: secondary outcomes from a randomized controlled trial. ( 0,773889210321197 )
BMC Med Inform Decis Mak - Prevention praised, cure preferred: results of between-subjects experimental studies comparing (monetary) appreciation for preventive and curative interventions. ( 0,773548641780992 )
J. Med. Internet Res. - A 5-Year follow-up of internet-based cognitive behavior therapy for social anxiety disorder. ( 0,771028042390954 )
Telemed J E Health - Internet-based aftercare for patients with back pain-a pilot study. ( 0,770480425362146 )
J Am Med Inform Assoc - mHealth interventions for weight loss: a guide for achieving treatment fidelity. ( 0,769752335423338 )
J. Med. Internet Res. - Effectiveness of a proactive mail-based alcohol Internet intervention for university students: dismantling the assessment and feedback components in a randomized controlled trial. ( 0,767483118023389 )
J. Med. Internet Res. - Impact of interactive web-based education with mobile and email-based support of general practitioners on treatment and referral patterns of patients with atopic dermatitis: randomized controlled trial. ( 0,762969774367644 )
J. Med. Internet Res. - Reducing suicidal ideation: cost-effectiveness analysis of a randomized controlled trial of unguided web-based self-help. ( 0,761629686485693 )
J. Med. Internet Res. - A comparison between phone-based psychotherapy with and without text messaging support in between sessions for crisis patients. ( 0,74845793014222 )
J. Med. Internet Res. - Effect of a Kinect-based exercise game on improving executive cognitive performance in community-dwelling elderly: case control study. ( 0,746846183285449 )
J. Med. Internet Res. - Executive functioning in alcoholics following an mHealth cognitive stimulation program: randomized controlled trial. ( 0,742481930712945 )
J. Med. Internet Res. - Technology-based interventions for mental health in tertiary students: systematic review. ( 0,742422624931398 )
J. Med. Internet Res. - Internal versus external motivation in referral of primary care patients with depression to an internet support group: randomized controlled trial. ( 0,741904181104466 )
J. Med. Internet Res. - The ins and outs of an online bipolar education program: a study of program attrition. ( 0,740448684010544 )
J. Med. Internet Res. - A smartphone-based intervention with diaries and therapist-feedback to reduce catastrophizing and increase functioning in women with chronic widespread pain: randomized controlled trial. ( 0,740369078066258 )
J. Med. Internet Res. - Understanding the usage of content in a mental health intervention for depression: an analysis of log data. ( 0,739143187893092 )
Health Informatics J - A feasibility study of conducting the Montreal Cognitive Assessment remotely in individuals with movement disorders. ( 0,738274809910546 )
J. Med. Internet Res. - Internet-based motivation program for women with eating disorders: eating disorder pathology and depressive mood predict dropout. ( 0,734550095679339 )
J. Med. Internet Res. - Effects of internet-based tailored advice on the use of cholesterol-lowering interventions: a randomized controlled trial. ( 0,734044858823195 )
J. Med. Internet Res. - Providing web-based feedback and social norms information to reduce student alcohol intake: a multisite investigation. ( 0,733274639544506 )
J. Med. Internet Res. - Changes in depressive symptoms, social support, and loneliness over 1 year after a minimum 3-month videoconference program for older nursing home residents. ( 0,733011654845957 )
J. Med. Internet Res. - Internet-based recruitment to a depression prevention intervention: lessons from the Mood Memos study. ( 0,731633363866964 )
J. Med. Internet Res. - Harnessing context sensing to develop a mobile intervention for depression. ( 0,717365506917032 )
J. Med. Internet Res. - Overcoming Addictions, a Web-based application, and SMART Recovery, an online and in-person mutual help group for problem drinkers, part 1: three-month outcomes of a randomized controlled trial. ( 0,717055338997501 )
Comput. Biol. Med. - Use of agent-based simulations to design and interpret HIV clinical trials. ( 0,716573988445458 )
J. Med. Internet Res. - Prevention of generalized anxiety disorder using a web intervention, iChill: randomized controlled trial. ( 0,716540175145896 )
J. Med. Internet Res. - Web-based intervention in mindfulness meditation for reducing residual depressive symptoms and relapse prophylaxis: a qualitative study. ( 0,715973932884528 )
J. Med. Internet Res. - Attrition and adherence in a WEB-Based Distress Management Program for Implantable Cardioverter defibrillator Patients (WEBCARE): randomized controlled trial. ( 0,711743113228668 )
J Telemed Telecare - A randomised trial of telemedicine-based treatment versus conventional hospitalisation in patients with severe COPD and exacerbation - effect on self-reported outcome. ( 0,710543210186534 )
J. Med. Internet Res. - Long-term outcomes of internet-based self-management support in adults with asthma: randomized controlled trial. ( 0,707279862475346 )
J. Med. Internet Res. - Effectiveness of a web-based intervention for problem drinkers and reasons for dropout: randomized controlled trial. ( 0,705127448614064 )
J Telemed Telecare - Telephone-delivered cognitive behavioural therapy: a systematic review and meta-analysis. ( 0,703046424090594 )
Telemed J E Health - Telemedicine-based treatment versus hospitalization in patients with severe chronic obstructive pulmonary disease and exacerbation: effect on cognitive function. A randomized clinical trial. ( 0,702931870063244 )
J. Med. Internet Res. - Feasibility of an eHealth service to support collaborative depression care: results of a pilot study. ( 0,702838410342861 )
Telemed J E Health - Two-way text messaging for health behavior change among human immunodeficiency virus-positive individuals. ( 0,696187020058918 )
J. Med. Internet Res. - Use of email and telephone prompts to increase self-monitoring in a Web-based intervention: randomized controlled trial. ( 0,692231210704753 )
J. Med. Internet Res. - A text messaging-based smoking cessation program for adult smokers: randomized controlled trial. ( 0,688397900263604 )
J. Med. Internet Res. - Effectiveness of a Web-based multiple tailored smoking cessation program: a randomized controlled trial among Dutch adult smokers. ( 0,68824941409804 )
J. Med. Internet Res. - Mining online social network data for biomedical research: a comparison of clinicians' and patients' perceptions about amyotrophic lateral sclerosis treatments. ( 0,687765896780939 )
J. Med. Internet Res. - Breathe Easier Online: evaluation of a randomized controlled pilot trial of an Internet-based intervention to improve well-being in children and adolescents with a chronic respiratory condition. ( 0,687647534704341 )
J. Med. Internet Res. - Web-based intervention programs for depression: a scoping review and evaluation. ( 0,686896333921133 )
J. Med. Internet Res. - Ethical dilemmas in online research and treatment of sexually abused adolescents. ( 0,68529914334489 )
Telemed J E Health - Are e-health web users looking for different symptom information than callers to triage centers? ( 0,681284279835276 )
Int J Med Inform - One-year outcome of an interactive internet-based physical activity intervention among university students. ( 0,680276446428096 )
J. Med. Internet Res. - A smartphone-based intervention with diaries and therapist feedback to reduce catastrophizing and increase functioning in women with chronic widespread pain. part 2: 11-month follow-up results of a randomized trial. ( 0,679596108131973 )
J. Med. Internet Res. - Computer-delivered and web-based interventions to improve depression, anxiety, and psychological well-being of university students: a systematic review and meta-analysis. ( 0,675709362163981 )
Comput Methods Programs Biomed - PODSE: a computer program for optimal design of trials with discrete-time survival endpoints. ( 0,673142691174559 )
Telemed J E Health - Evaluating opportunities for text message communication: a survey of parents and teens. ( 0,672185916864562 )
Perspect Health Inf Manag - A patient-centric, provider-assisted diabetes telehealth self-management intervention for urban minorities. ( 0,669733816059614 )