{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T02:38:29Z","timestamp":1770431909404,"version":"3.49.0"},"reference-count":12,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2005,1,1]],"date-time":"2005-01-01T00:00:00Z","timestamp":1104537600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2005,1,1]],"date-time":"2005-01-01T00:00:00Z","timestamp":1104537600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom"],"published-print":{"date-parts":[[2005]]},"abstract":"<i>Background:<\/i> As many sufferers from phobic and panic (phobia\/panic) disorders cannot get to suitable therapists, routine aspects of therapy were delegated to internet-accessed computer-aided self-help with or without exposure instructions. <i>Methods:<\/i> Phobia\/panic referrals were randomised to computer-aided self-help via the internet at home in a 2:1 ratio either by self-exposure cognitive behaviour therapy (CBT) [<i>FearFighter (FF),<\/i> n = 45] or by minimal CBT without exposure [<i>Managing Anxiety (MA),<\/i> n = 23]. All had brief backup phone advice from a clinician concerning their computer guidance. <i>Results:<\/i> On self-ratings and blinded assessor ratings, patients improved equally with each form of self-help over 10 treatment weeks but significantly more on 5 out of 10 measures by week 14 (1-month follow-up) when the self-help included self-exposure instructions than when it did not. In accord with this, standardised effect sizes (Cohen\u2019s d) indicated superiority of <i>FF<\/i> over <i>MA<\/i> on 5 measures by week 14. Satisfaction with treatment in all patients pooled correlated positively with improvement after treatment and at 1-month follow-up. <i>Conclusions:<\/i> At the end of treatment, computer-aided CBT self-help at home via the internet plus brief live helpline support was effective with or without exposure instructions, and at 1-month follow-up it was more effective on some measures if exposure instructions had been included. Analysis is needed of how non-exposure CBT produced its shorter-term effect.<\/jats:p>","DOI":"10.1159\/000084000","type":"journal-article","created":{"date-parts":[[2005,4,15]],"date-time":"2005-04-15T12:40:32Z","timestamp":1113568832000},"page":"154-164","source":"Crossref","is-referenced-by-count":93,"title":["Internet-Guided Self-Help with or without Exposure Therapy for Phobic and Panic Disorders"],"prefix":"10.1159","volume":"74","author":[{"given":"Andreas J.","family":"Schneider","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Mataix-Cols","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isaac M.","family":"Marks","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Bachofen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2005,4,11]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1017%2FS003329170300878X"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1192%2Fbjp.179.5.456"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1192%2Fbjp.183.1.57"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1192%2Fbjp.184.5.448"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1192%2Fbjp.176.6.507"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016%2FS0005-7894%2805%2980224-2"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1192%2Fbjp.162.6.776"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1192%2Fbjp.180.5.461"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1192%2Fbjp.172.1.7"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016%2FS0005-7967%2802%2900176-6"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016%2F0005-7967%2879%2990055-X"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1136%2Fbmj.290.6476.1181"}],"container-title":["Psychotherapy and Psychosomatics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/84000","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/84000","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T03:39:05Z","timestamp":1745465945000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000084000"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005]]},"references-count":12,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2005,4,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000084000","archive":["Portico"],"relation":{},"ISSN":["0033-3190","1423-0348"],"issn-type":[{"value":"0033-3190","type":"print"},{"value":"1423-0348","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005]]}}}