Literature DB >> 1704245

Self-help materials for anxiety: a randomized controlled trial in general practice.

P Donnan1, A Hutchinson, R Paxton, B Grant, M Firth.   

Abstract

The efficacy of a self-help package in treating chronic anxiety was evaluated in a randomized controlled trial in which the intervention group received self-help materials in the form of an audiotape and booklet, in addition to their current treatment. The intervention was successful in terms of mean depression scores (P = 0.01), anxiety scores (P = 0.04) and general health questionnaire scores (P = 0.02) which were significantly lower for the intervention group than for the controls. In addition, the depression scores fell faster for the intervention group than for the controls. The overall mean reduction in three months in adjusted depression scores was approximately two points greater for the intervention group than for the controls (P = 0.02). Clinicians welcomed the package as a valuable addition to the therapies available for managing chronic anxiety problems. Further studies should include larger sample sizes, taking into account the non-response to postal questionnaires over time.

Entities:  

Mesh:

Year:  1990        PMID: 1704245      PMCID: PMC1371446     

Source DB:  PubMed          Journal:  Br J Gen Pract        ISSN: 0960-1643            Impact factor:   5.386


  4 in total

1.  The Leeds scales for the self-assessment of anxiety and depression.

Authors:  R P Snaith; G W Bridge; M Hamilton
Journal:  Br J Psychiatry       Date:  1976-02       Impact factor: 9.319

2.  Explanatory and pragmatic attitudes in therapeutical trials.

Authors:  D Schwartz; J Lellouch
Journal:  J Chronic Dis       Date:  1967-08

Review 3.  Benzodiazepine dependence. A review of the evidence.

Authors:  R T Owen; P Tyrer
Journal:  Drugs       Date:  1983-04       Impact factor: 9.546

4.  Detecting anxiety and depression in general medical settings.

Authors:  D Goldberg; K Bridges; P Duncan-Jones; D Grayson
Journal:  BMJ       Date:  1988-10-08
  4 in total
  9 in total

Review 1.  General practitioner psychological management of common emotional problems (II): A research agenda for the development of evidence-based practice.

Authors:  J Cape; C Barker; M Buszewicz; N Pistrang
Journal:  Br J Gen Pract       Date:  2000-05       Impact factor: 5.386

Review 2.  Improving mental health through primary care.

Authors:  C Dowrick
Journal:  Br J Gen Pract       Date:  1992-09       Impact factor: 5.386

3.  A controlled trial of internet-based cognitive-behavioural therapy for panic disorder with face-to-face support from a general practitioner or email support from a psychologist.

Authors:  Ciaran Pier; David W Austin; Britt Klein; Joanna Mitchell; Peter Schattner; Lisa Ciechomski; Kathryn J Gilson; David Pierce; Kerrie Shandley; Victoria Wade
Journal:  Ment Health Fam Med       Date:  2008-03

4.  From specialist care to self directed treatment.

Authors:  N Troop; J Treasure; U Schmidt
Journal:  BMJ       Date:  1993-09-04

5.  First step in managing bulimia nervosa: controlled trial of therapeutic manual.

Authors:  J Treasure; U Schmidt; N Troop; J Tiller; G Todd; M Keilen; E Dodge
Journal:  BMJ       Date:  1994-03-12

Review 6.  Treatment of anxiety.

Authors:  M Lader
Journal:  BMJ       Date:  1994-07-30

7.  Reducing therapist contact in cognitive behaviour therapy for panic disorder and agoraphobia in primary care: global measures of outcome in a randomised controlled trial.

Authors:  D M Sharp; K G Power; V Swanson
Journal:  Br J Gen Pract       Date:  2000-12       Impact factor: 5.386

Review 8.  The clinical and cost-effectiveness of self-help treatments for anxiety and depressive disorders in primary care: a systematic review.

Authors:  P Bower; D Richards; K Lovell
Journal:  Br J Gen Pract       Date:  2001-10       Impact factor: 5.386

Review 9.  On-site mental health workers delivering psychological therapy and psychosocial interventions to patients in primary care: effects on the professional practice of primary care providers.

Authors:  Elaine F Harkness; Peter J Bower
Journal:  Cochrane Database Syst Rev       Date:  2009-01-21
  9 in total

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