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Internet-Based Treatment for Panic Disorder: Does Frequency of Therapist Contact Make a Difference?

机译：基于Internet的恐慌症治疗：治疗师的接触频率会有所不同吗？

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Internet-based interventions with therapist support have proven effective for treating a range of mental health conditions. This study examined whether frequency of therapist contact affected treatment outcomes. Fifty-seven people with panic disorder (including 32 with agoraphobia) were randomly allocated to an 8-week Internet-based cognitive behavioural treatment intervention (Panic Online) with either frequent (three e-mails per week) or infrequent (one e-mail per week) support from a psychologist. Posttreatment, intention-to-treat analyses revealed that both treatments were effective at improving panic disorder and agoraphobia severity ratings, panic-related cognitions, negative affect, and psychological and physical quality of life domains, with no differences between conditions. High end-state functioning was achieved by 28.6% of the frequent and infrequent participants, respectively. Therapist alliance, treatment credibility, and satisfaction also did not differ between groups, despite significantly greater therapist time invested in the frequent contact condition. The results provide evidence that the effectiveness of Internet-based mental health interventions may be independent of the frequency of therapist support and may, therefore, be more cost-effective than previously reported.
机译：在治疗师的支持下，基于Internet的干预措施已被证明可有效治疗多种精神疾病。这项研究检查了治疗师接触的频率是否会影响治疗效果。 57名恐慌症患者（包括32名患有恐惧症的人）被随机分配到一项基于互联网的为期8周的认知行为治疗干预措施（Panic Online），该干预措施频繁（每周3封电子邮件）或不频繁（1封电子邮件）每周）获得心理学家的支持。治疗后的意向性治疗分析表明，两种治疗均有效改善恐慌症和恐旷症的严重程度，恐慌相关的认知，负面影响以及生活领域的心理和身体素质，但条件之间无差异。频繁和不频繁参与者分别达到28.6％的高端状态功能。治疗师联盟，治疗信誉和满意度在两组之间也没有差异，尽管在频繁接触的情况下花费了大量的治疗师时间。结果提供了证据，表明基于互联网的心理健康干预措施的有效性可能与治疗师支持的频率无关，因此可能比以前的报告更具成本效益。

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