Empirically supported treatments for panic disorder: costs, benefits, and stepped care.

Abstract:

:Treatment outcome findings suggest that cognitive-behavioral therapy (CBT) and pharmacotherapy offer similar short-term treatment gains for panic disorder and that CBT may afford more optimal maintenance of treatment gains without the need for ongoing treatment. However, efficacy is not the only consideration for patients, and because of limited health care resources, evaluation of the cost-benefit ratio of these treatments is important. In this article, the authors review estimates of the relative efficacy, acceptability, tolerability, and costs of these treatments; empirically examine the costs and outcome of cognitive-behavioral and pharmacologic interventions as they are delivered in an outpatient clinic specializing in these treatments; and comment on how these data inform a stepped care model of treatment. Analysis of the "services" data indicated that CBT was at least equal to pharmacotherapy in terms of pretreatment severity and acute treatment outcome and that CBT is an especially cost-effective treatment option.

journal_name

J Consult Clin Psychol

authors

Otto MW,Pollack MH,Maki KM

keywords:

subject

Has Abstract

pub_date

2000-08-01 00:00:00

pages

556-63

issue

4

eissn

0022-006X

issn

1939-2117

journal_volume

68

pub_type

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