Journal
JOURNAL OF CLINICAL PSYCHOLOGY
Volume 59, Issue 3, Pages 251-274Publisher
WILEY
DOI: 10.1002/jclp.10128
Keywords
anxiety; phobia; self-help therapy; bibliotherapy; minimal-contact therapy; computer-assisted therapy; panic disorder; GAD; OCD; social phobia
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Funding
- NIMH NIH HHS [MH-58593] Funding Source: Medline
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Self-help materials, brief therapies, and treatments involving minimal therapist contact have all been proposed as effective and low-cost interventions for anxiety disorders. However, research also suggests that the therapeutic alliance is a central predictor of therapy outcome. Interestingly, amounts of therapist contact within and across ''self-help interventions vary greatly. It is therefore unclear how much therapist contact is necessary for a positive anxiety disorder treatment outcome. The present article reviews the literature on anxiety disorder treatments using self-help, self-administered, and decreased therapist-contact interventions. Treatment studies are grouped together by anxiety diagnosis as well as amount of therapist contact. It is concluded that self-administered treatments are most effective for motivated clients seeking treatment for simple phobias. Predominantly self-help therapies are efficacious for panic disorder and mixed anxiety samples. On the other hand, minimal-contact therapies have demonstrated efficacy for the greatest variety of anxiety diagnoses. (C) 2003 Wiley Periodicals, Inc.
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