A review of self-management interventions for panic disorders, phobias and obsessive-compulsive disorders
Article first published online: 17 FEB 2005
Acta Psychiatrica Scandinavica
Volume 111, Issue 4, pages 272–285, April 2005
How to Cite
Barlow, J. H., Ellard, D. R., Hainsworth, J. M., Jones, F. R. and Fisher, A. (2005), A review of self-management interventions for panic disorders, phobias and obsessive-compulsive disorders. Acta Psychiatrica Scandinavica, 111: 272–285. doi: 10.1111/j.1600-0447.2005.00499.x
- Issue published online: 1 MAR 2005
- Article first published online: 17 FEB 2005
- Accepted for publication December 7, 2004
- literature review;
- phobic disorders;
- panic disorder;
- obsessive-compulsive disorder
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.