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DOI | 10.1007/s41811-023-00195-9 |
CBT-Based and eHealth-Supported Case Management for Patients with Panic Disorder or Depression in Primary Care: Results of a Proof of Concept | |
Lukaschek, K.; Lezius, S.; van den Akker, M.; Hanf, M.; Zapf, A.; Heider, D.; Koenig, H. H.; Gensichen, J.; PREMA-Study Grp | |
通讯作者 | Lukaschek, K |
来源期刊 | INTERNATIONAL JOURNAL OF COGNITIVE THERAPY
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ISSN | 1937-1209 |
EISSN | 1937-1217 |
出版年 | 2023 |
英文摘要 | Evaluation of a team-based intervention in primary care that includes cognitive behavioural therapy elements and case management and was supported by eHealth components in patients with panic disorder with or without agoraphobia (PD +/- AG) and/or depression. In a two-armed cluster-randomised controlled trial (cRCT), mental health conditions were assessed by the Mental Health Index (MHI-5), Patient Health Questionnaire (PHQ-9), Overall Anxiety Severity and Impairment Scale (OASIS), Panic and Agoraphobia Scale (PAS), Mobility Inventory for Agoraphobia (MIA), and Patient Assessment of Chronic Illness Care (PACIC) at baseline (T0), after 6 months (T1), and after 12 months (T2). Scores were analysed as differences from baseline using a mixed linear model with general practitioner (GP) as a random intercept and treatment, time point, and respective baseline value as fixed factors. The majority of participants (mean age 54 years, SD 12.8 years) were women (n = 40, 67.8%). We found consistent mean effects in favour of the intervention group (MHI-5 index, 6.66 [-7.38; 20.70]; PACIC, 15.92 [4.58; 27.26]; PHQ-9, -3.43 [-5.71; -1.14]; OASIS, -2.89 [-5.41; -0.37]). A cautious interpretation indicates promising effects of the intervention. Obstacles to recruitment included the workload for GPs and medical assistants (MAs), potential reservations regarding eHealth, and the onset of the COVID-19 pandemic. |
英文关键词 | Primary care Depression Panic disorder Case management eHealth Cognitive behaviour therapy |
类型 | Article ; Early Access |
语种 | 英语 |
开放获取类型 | hybrid |
收录类别 | SSCI |
WOS记录号 | WOS:001124740300001 |
WOS关键词 | ANXIETY DISORDERS ; HEALTH-CARE ; COMORBIDITY ; AGORAPHOBIA ; IMPAIRMENT ; SCALE |
WOS类目 | Psychology, Clinical ; Psychiatry |
WOS研究方向 | Psychology ; Psychiatry |
资源类型 | 期刊论文 |
条目标识符 | http://119.78.100.177/qdio/handle/2XILL650/396980 |
推荐引用方式 GB/T 7714 | Lukaschek, K.,Lezius, S.,van den Akker, M.,et al. CBT-Based and eHealth-Supported Case Management for Patients with Panic Disorder or Depression in Primary Care: Results of a Proof of Concept[J],2023. |
APA | Lukaschek, K..,Lezius, S..,van den Akker, M..,Hanf, M..,Zapf, A..,...&PREMA-Study Grp.(2023).CBT-Based and eHealth-Supported Case Management for Patients with Panic Disorder or Depression in Primary Care: Results of a Proof of Concept.INTERNATIONAL JOURNAL OF COGNITIVE THERAPY. |
MLA | Lukaschek, K.,et al."CBT-Based and eHealth-Supported Case Management for Patients with Panic Disorder or Depression in Primary Care: Results of a Proof of Concept".INTERNATIONAL JOURNAL OF COGNITIVE THERAPY (2023). |
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