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Stresspac: A Controlled Trial of a Self-Help Package for the Anxiety Disorders

Published online by Cambridge University Press:  16 June 2009

Jim White
Jim White
Affiliation:
Hairmyres Hospital, East Kilbride
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Abstract

In order to test the efficacy of a self-help anxiety management package, sixty-two individuals meeting DSM-III-R criteria for an anxiety disorder were randomly allocated to one of three conditions: Stresspac patients were given a self-help/information package. Advice only patients were offered verbal advice on ways of coping with anxiety. Patients in both conditions were seen on one occasion shortly after referral for assessment and management advice. They were then placed back on the waiting list for a three month period. Patients in the No intervention condition also completed measures during this time. They were not seen until the end of this period when formal assessment took place. All patients were then followed through individual therapy and to 12 month follow-up. Results clearly support the superiority of the Stresspac condition after the waiting period, at post therapy and at follow-up on a range of measures. Possible explanations for the results are discussed.

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 23 , Issue 2 , April 1995 , pp. 89 - 107
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1995

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References

American Psychiatric Association (1980). Diagnostic and Statistical Manual of Mental Disorders (3rd edition). Washington, DC: APA.Google Scholar
American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders (3rd edition revised). Washington, DC: APA.Google Scholar
Barlow, D.H. (1991). The nature of anxiety: anxiety, depression, and emotional disorders. In Rapee, R.M. and Barlow, D.H. (Eds). Chronic Anxiety, Generalized Anxiety Disorder, and Mixed Anxiety Disorder. New York: Guilford Press.Google Scholar
Beck, A.T. and Emery, G. (1985). Anxiety Disorders and Phobias: A Cognitive Perspective. New York: Basic Books.Google Scholar
Bernstein, D.A. and Borkovec, T.D. (1973). Progressive Relaxation Training. Champaign, IL: Research Press.Google Scholar
Borkovec, T.D. and Mathews, A.M. (1988). Treatment of non-phobic anxiety disorders: a comparison of non-directive, cognitive and coping desensitization therapy. Journal of Consulting and Clinical Psychology 56, 877–884.CrossRefGoogle Scholar
Brown, T.A. and Barlow, D.H. (1992). Comorbidity among anxiety disorders: implications for treatment and DSM-IV. Journal of Consulting and Clinical Psychology 60, 835–844.CrossRefGoogle ScholarPubMed
Brown, T.A., Hertz, R.M. and Barlow, D.H. (1992). New developments in cognitive-behavioral treatment of anxiety disorders. In Tasman, A. (Ed). American Psychiatric Press Review of Psychiatry (Vol. 11). Washington, DC: American Psychiatric Press.Google Scholar
Butler, G. and Booth, R.G. (1991). Developing psychological treatments for generalized anxiety disorder. In Rapee, R.M. and Barlow, D.H. (Eds). Chronic Anxiety, Generalized Anxiety Disorder, and Mixed Anxiety Disorder. New York: Guilford Press.Google Scholar
Chambless, D.L. and Gillis, M.M. (1993). Cognitive therapy of anxiety disorders. Journal of Consulting and Clinicial Psychology 61, 248–260.CrossRefGoogle ScholarPubMed
Derogatis, L.R. (1983). SCL–90-R Manual. Towson, MD: Clinical Psychometric Research.Google Scholar
DiNardo, P.A. and Barlow, D.H. (1988). Anxiety Disorders Interview Schedule-revised (ADIS-R). Albany, NY: Phobia and Anxiety Disorders Clinic, State University of New York.Google Scholar
Donnan, P., Hutchison, A., Paxton, R., Grant, B. and Firth, M. (1990). Self-help materials for anxiety: a randomised controlled trial in general practice. British Journal of General Practice 40, 498–501.Google ScholarPubMed
Espie, C.A. and White, J. (1986). The effectiveness of psychological intervention in primary care: a comparative analysis of outcome ratings. Journal of the Royal College of General Practitioners 36, 310–312.Google ScholarPubMed
Flesch, R. (1948). A new readability yardstick. Journal of Applied Psychology 32, 221–233.CrossRefGoogle ScholarPubMed
Glasgow, R.E. and Rosen, G.M. (1978). Behavioural bibliotherapy: a review of self-help therapy manuals. Psychological Bulletin 85, 1–23.CrossRefGoogle ScholarPubMed
Gould, R.A. and Clum, G.A. (1993). A meta-analysis of self-help treatment approaches. Clinical Psychology Review 13, 169–186.CrossRefGoogle Scholar
Gould, R.A., Clum, G.A. and Shapiro, D. (1993). The use of bibliotherapy in the treatment of panic: a preliminary investigation. Behavior Therapy 24, 241–252.CrossRefGoogle Scholar
Ley, L. (1977). Psychological studies of doctor-patient communication. In Rachman, S. (Ed). Contributions to Medical Psychology. Vol. 1. Oxford: Pergamon.Google Scholar
Marsland, D.W., Wood, M. and Mayo, F. (1976). Content of family practice: a data bank for patient care, curriculum and research in family practice: 526,196 patient problems. Journal of Family Practice 3, 25–68.Google Scholar
Meichenbaum, D. (1985). Stress Inoculation Training. New York: Pergamon Press.Google Scholar
Peveler, R.C., and Fairburn, C.G. (1990). Measurement of neurotic symptoms by self-report questionnaire: validity of the SCL–90R. Psychological Medicine 20, 873–879.CrossRefGoogle ScholarPubMed
Rachman, S. (1978). Human fears: a three systems analysis. Scandinavian Journal of Behaviour Therapy 7, 237–245.CrossRefGoogle Scholar
Rapee, R.M. (1991). Generalized Anxiety Disorder: a review of clinical feature and theoretical concepts. Clinical Psychology Review 11, 419–440.CrossRefGoogle Scholar
Regier, D.A., Burke, J.D. and Burke, K.C. (1990). Comorbidity of affective and anxiety disorders in the NIMH Epidemiologic Catchment Area Program. In Maser, J.D. and Cloniger, C.R. (Eds). Comorbidity of Mood and Anxiety Disorders. Washington, DC: American Psychiatric Press.Google Scholar
Rosen, G.M. (1987). Self-help treatment books and the commercialization of psychotherapy. American Psychologist 42, 46–51.CrossRefGoogle ScholarPubMed
Sanderson, W.C., DiNardo, P.A., Rapee, R.M. and Barlow, D.H. (1990). Symptom comorbidity in patients diagnosed with a DSM-III-R anxiety disorder. Journal of Abnormal Psychology 99, 308–312.CrossRefGoogle ScholarPubMed
Telch, M.J., Lucas, J.A., Schmidt, N.B., Hanna, H.H., LaNae Jaimez, T. and Lucas, R.A. (1993). Group cognitive-behavioral treatment of panic disorder. Behaviour Research and Therapy 31, 279–287.CrossRefGoogle ScholarPubMed
Turvey, A.A. (1985). Treatment Manuals. In Watts, F.N. (Ed). New Developments in Clinical Psychology. Exeter: British Psychological Press.Google Scholar
Tyrer, P., Seivewright, N., Ferguson, B., Murphy, S. and Johnson, A.L. (1993). The Nottingham study of neurotic disorder: effect of personality status on response to drug treatment, cognitive therapy and self-help over two years. British Journal of Psychiatry 162, 219–226.CrossRefGoogle ScholarPubMed
Wallston, B.S., Wallston, K.A., Kaplan, G.D. and Maides, S.A. (1976). Development and validation of the Health Locus of Control (HLC) Scale. Journal of Consulting and Clinical Psychology 44, 580–585.CrossRefGoogle ScholarPubMed
Wallston, K.A., Wallston, B.S. and DeVellis, R. (1978). Development of the Multi-dimensional Health Locus of Control (MHLC) Scales. Health Education Monographs 6, 160–171.CrossRefGoogle Scholar
Wilkinson, M.J.B. and Barczak, P. (1988). Psychiatric screening in general practice: comparison of the General Health Questionnaire and the Hospital Anxiety and Depression Scale. Journal of the Royal College of General Practitioners 38, 311–313.Google Scholar
Winer, B.J. (1962). Statistical Principles in Experimental Design. New York: McGraw Hill.CrossRefGoogle Scholar
White, J. (1992). Use of the media and public lectures to publicise stress. In Trent, D. (Ed). Promotion of Mental Health (Vol. 1). London: Avebury Press.Google Scholar
White, J., Keenan, M. and Brooks, N. (1992). Stress control: a controlled comparative investigation of large group therapy for Generalized Anxiety Disorder. Behavioural Psychotherapy 20, 97–114.CrossRefGoogle Scholar
Zigmond, A.S. and Snaith, R.P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica 67, 361–370.CrossRefGoogle ScholarPubMed
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