干旱区生态环境知识资源中心(Arid): CBT-Based and eHealth-Supported Case Management for Patients with Panic Disorder or Depression in Primary Care: Results of a Proof of Concept

Arid

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
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).