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Behavior Modification, Vol. 32, No. 3, 333-351 (2008)
DOI: 10.1177/0145445507309025
© 2008 SAGE Publications

Cognitive-Behavioral Treatment for Panic Disorder With Agoraphobia

A Randomized, Controlled Trial and Cost-Effectiveness Analysis

Pasquale Roberge

Univérsité of Montréal, Québéc

André Marchand

Univérsity of Québéc, Montréal

Daniel Reinharz

Univérsité Laval, Québéc City, Québéc

Pierre Savard

Sacré-Coeur Hospital of Montréal, Québéc

A randomized, controlled trial was conducted to examine the cost-effectiveness of cognitive-behavioral treatment (CBT) for panic disorder with agoraphobia. A total of 100 participants were randomly assigned to standard (n = 33), group (n = 35), and brief (n = 32) treatment conditions. Results show significant clinical and statistical improvement on standard symptom measures and quality of life from baseline to posttreatment and 3-month follow-up, with no significant differences between treatment conditions. Compared with standard CBT, brief and group CBT incurred lower treatment costs and had a superior cost-effectiveness ratio, suggesting the potential of these alternative treatment conditions in increasing access to effective treatment.

Key Words: panic disorder • agoraphobia • cognitive-behavioral therapy • cost-effectiveness • brief treatment • group treatment


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