A review of self-management interventions for panic disorders, phobias and obsessive-compulsive disorders.

Abstract

OBJECTIVE To review current evidence for the clinical and cost-effectiveness of self-management interventions for panic disorder, phobias and obsessive-compulsive disorder (OCD). METHOD Papers were identified through computerized searches of databases for the years between 1995 and 2003, manual searches and personal contacts. Only randomized-controlled trials were reviewed. RESULTS Ten studies were identified (one OCD, five panic disorder, four phobias). Effective self-management interventions included cognitive-behavioural therapy (CBT) and exposure to the trigger stimuli for phobias and panic disorders. All involved homework. There was evidence of effectiveness in terms of improved symptoms and psychological wellbeing when compared with standard care, waiting list or relaxation. Brief interventions and computer-based interventions were effective for most participants. In terms of quality, studies were mainly based on small samples, lacked long-term follow-up, and failed to address cost-effectiveness. CONCLUSION Despite the limitations of reviewed studies, there appears to be sufficient evidence to warrant greater exploration of self-management in these disorders.

0204060200920102011201220132014201520162017
Citations per Year

111 Citations

Semantic Scholar estimates that this publication has 111 citations based on the available data.

See our FAQ for additional information.

Cite this paper

@article{Barlow2005ARO, title={A review of self-management interventions for panic disorders, phobias and obsessive-compulsive disorders.}, author={Julie H Barlow and David R Ellard and Jenny M Hainsworth and Franca R. Jones and Abi Fisher}, journal={Acta psychiatrica Scandinavica}, year={2005}, volume={111 4}, pages={272-85} }