None listed
Conditions
Brief summary
The purpose of this study is to investigate the effectiveness of a self-help workbook “Face Your Fears” (Author Dr. D.F. Tolin). This workbook is written by a leading expert in the field and contains cognitive behavioural therapy skills to equip participants to learn how to address all anxiety disorders. Participants are supported by a clinician (by phone) as they work their way through the program.
Interventions
Suitable participants will be provided with the self-help workbook “Face Your Fears”. This workbook is written by a leading expert in the field of anxiety disorders and contains cognitive-behavioural skills to address all anxiety disorders (i.e. is a transdiagnostic treatment). Participants will be encouraged to follow a schedule of reading rather than reading the whole book at once. The proposed reading schedule will be delivered over an 8 week period and is outlined below. Participants will be informed of this structure in a welcome letter that is provided with the book. Participants are required to read the book and practice the skills described within the book for homework. Brief therapist support is provided by phone as the participant works through the program (approximately 10-15 minutes per weekly call). It is anticipated that participants will spend 3-4 hours per week doing the readings and practising the skills and 10-15 minutes each week with the therapist over the phone. Week 1 Chapter 1-3 Psychoeducation Week 2 Chapter 4-6 Rationale for exposure therapy, constructing an exposure hierarchy, and conducting exposures Week 3 Chapter 7 Eliminating safety behaviors Week 4 Chapter 8 Cognitive restructuring Week 5 Chapter 9-11 Information relevant to conducting exposures for specific phobia, panic disorder, and social anxiety disorder. Week 6 Chapter 12-14 Information relevant to conducting exposures for obsessive compulsive disorder, generalized anxiety disorder, and posttraumatic stress disorder. Week 7 Chapter 15 Tracking progress Week 8 Chapter 16 Relapse prevention
Sponsors
Hartford Hospital
Study design
Allocation
Non-randomised trial
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1) over 18 years of age; 2) meet criteria for panic disorder (PD), social anxiety disorder (SAD), generalized anxiety disorder (GAD), obsessive compulsive disorder (OCD), specific phobia (SP), agoraphobia (AG), or post-traumatic stress disorder (PTSD) as primary diagnosis; 3) have regular access to the internet and an email address; 4) minimum score of 3 (“mildly ill”) on the Clinician Global Impression Scale (Guy, 1976); and 5) were not taking psychiatric medications or had been on a stable dose of psychiatric medications for at least 4 weeks.
Exclusion criteria
1) moderate or severe risk of suicide; 2) had previous adequate CBT for an anxiety disorder (weekly sessions that included an exposure component and between-session homework); or 3) had a current or past psychotic disorder, bipolar disorder or developmental disorder.
Outcome results
None listed