Title page for ETD etd-06072006-124152
|Type of Document
||Gould, Robert Andrew
||The use of a self-help treatment intervention for panic disorder with agoraphobia
|Clum, George A. Jr.
|Eisler, Richard M.
|Jones, Russell T.
|Stephens, Robert S.
|Winett, Richard A.
- Agoraphobia Treatment
- Panic disorders Treatmen
- Self-help techniques.
|Date of Defense
A recent study suggested that bibliotherapy may be an effective
intervention for panic disordered individuals with agoraphobia. The present study
attempted to enhance this bibliotherapy intervention by adding audio- and
videotape self-help supplements. Thirty subjects suffering panic disorder with
mild to moderate agoraphobia were matched on level of avoidance and then
randomly assigned to 1) a Wait-list control condition (WL). or 2) a Self-help
condition (SH). The intervention lasted four weeks followed by an eight week post treatment
phase. and follow-up measures at the end of this phase. Results indicated
that, from pre-treatment to follow-up, SH subjects improved significantly on 11 of
the 12 dependent measures used in this study. while WL subjects did not.
Furthermore. SH subjects were significantly more improved than WL subjects at
follow-up with regard to agoraphobic avoidance, coping with panic attacks, self efficacy
for mild, moderate and severe attacks, and for two critical measures of
distress: frequency of panic attacks. and total severity of each attack. Clinical
outcome measures also supported the effectiveness of the self-help approach. More
than two-thirds of SH subjects met the criteria for clinical improvement. While only
one-quarter of WL subjects met these criteria. Implications for the treatment of
panic disordered individuals are discussed, as is the role of self-efficacy in
mediating clinical change.
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