{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:45:39Z","timestamp":1787021139975,"version":"build-2736575974"},"reference-count":9,"publisher":"Royal College of Psychiatrists","issue":"5","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":5906,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2001,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Many patients with phobia\/panic find it hard to access effective treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To test the feasibility of computer-guided exposure therapy for phobia\/panic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Self-referrals were screened for 20 min and, if suitable, had six sessions of computer-guided self-help (from a system called\n                      <jats:italic>Fear Fighter<\/jats:italic>\n                      ). Pre\u2014 and post-treatment ratings of 54 patients were compared with those of 31 similar out-patients with phobia\/panic who received the same treatment guided by a clinician.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At pre-treatment, computer-guided cases were slightly less severe than clinician-guided patients. In a post-treatment intent-to-treat analysis, both groups improved comparably but computer-guided patients spent 86% less time with a clinician than did purely clinician-guided patients, who had no access to the computer system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Computer-guided self-exposure therapy appeared feasible and effective for self-referrals and saved much clinician time. A controlled study is now needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjp.179.5.456","type":"journal-article","created":{"date-parts":[[2002,8,29]],"date-time":"2002-08-29T17:36:18Z","timestamp":1030642578000},"page":"456-459","source":"Crossref","is-referenced-by-count":80,"title":["Reducing demands on clinicians by offering computer-aided self-help for phobia\/panic"],"prefix":"10.1192","volume":"179","author":[{"given":"Mark","family":"Kenwright","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheena","family":"Liness","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaac","family":"Marks","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000267858_ref9","first-page":"44","article-title":"Lessons from pilot tests of computer self help for agora\/claustrophobia and panic","volume":"16","author":"Shaw","year":"1999","journal-title":"MD Computing"},{"key":"S0007125000267858_ref8","unstructured":"McDonough M. & Marks I. M. (2001) Teaching medical students exposure therapy: a randomised comparison of face-to-face vs computer instruction. Medical Education, in press."},{"key":"S0007125000267858_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291799002950"},{"key":"S0007125000267858_ref3","volume-title":"The NHS Plan.","year":"2000"},{"key":"S0007125000267858_ref6","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1177\/070674379904400602","article-title":"Computer aids to mental health care","volume":"44","author":"Marks","year":"1999","journal-title":"Canadian Journal of Psychiatry"},{"key":"S0007125000267858_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(79)90041-X"},{"key":"S0007125000267858_ref4","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1192\/S0007125000293355","article-title":"The social costs of anxiety disorders","volume":"166","author":"Leon","year":"1995","journal-title":"British Journal of Psychiatry"},{"key":"S0007125000267858_ref2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.311.7018.1447"},{"key":"S0007125000267858_ref5","volume-title":"Behavioural Psychotherapy.","author":"Marks","year":"1986"}],"container-title":["British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125000267858","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,7]],"date-time":"2019-05-07T18:47:14Z","timestamp":1557254834000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125000267858\/type\/journal_article"}},"subtitle":["Feasibility study"],"short-title":[],"issued":{"date-parts":[[2001,11]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2001,11]]}},"alternative-id":["S0007125000267858"],"URL":"https:\/\/doi.org\/10.1192\/bjp.179.5.456","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,11]]}}}