The Bergen 4-day treatment for panic disorder: implementation in a rural clinical setting

BMC Psychiatry

Research

Gerd Kvale¹  Stian Solem²  Kay Morten Hjelle³  Bjarne Hansen³  Rolf Olof Sköld⁴  Ida Ueland Sætre⁴  Thorbjørn Olsen⁴  Kristen Hagen⁵  Thorstein Olsen Eide⁶ 

[1] Bergen Center for Brain Plasticity, Haukeland University Hospital, Bergen, Norway;Department of Clinical Psychology, University of Bergen, Bergen, Norway;Bergen Center for Brain Plasticity, Haukeland University Hospital, Bergen, Norway;Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway;Center for Crisis Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway;Bergen Center for Brain Plasticity, Haukeland University Hospital, Bergen, Norway;Førde Hospital, Førde Hospital Trust, Førde, Norway;Molde Hospital, Møre og Romsdal Hospital Trust, Molde, Norway;Bergen Center for Brain Plasticity, Haukeland University Hospital, Bergen, Norway;Department of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway;Molde Hospital, Møre og Romsdal Hospital Trust, Molde, Norway;Center for Crisis Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway;Bergen Center for Brain Plasticity, Haukeland University Hospital, Bergen, Norway;

关键词: Panic disorder;    Intensive treatment;    Exposure;    B4DT;    CBT;   

DOI  :  10.1186/s12888-023-04812-x

 received in 2023-01-18, accepted in 2023-04-22,  发布年份 2023

来源: Springer

【 摘 要 】

IntroductionThe Bergen 4-Day Treatment (B4DT) is a concentrated treatment with individually tailored exposure exercises. The format has shown promising results in the treatment of panic disorder.AimThe aim of the current study was to investigate the effectiveness of the B4DT in a large sample in a rural clinical setting.MethodFifty-eight patients with panic disorder were consecutively included using an open trial design. The primary outcome measure was the Panic Disorder Severity Scale. The Generalized Anxiety Disorder-7 and the Patient Health Questionnaire-9 were used as secondary outcome measures. Assessments were conducted at pretreatment, posttreatment, and 3-month follow-up. Treatment satisfaction was measured at posttreatment using the Client Satisfaction Questionnaire-8.ResultsThere was a significant reduction in symptoms of panic disorder from pre- to posttreatment (d = 3.36) and from pretreatment to follow-up (d = 3.63). At posttreatment and follow-up, 72.4% and 81.0% of patients, respectively, were classified as in remission. Patients reported high treatment satisfaction, and there were significant reductions in symptoms of generalized anxiety and depression.ConclusionThe results from the current study replicated the findings from previous studies using a larger sample size. The findings indicate that the B4DT is a promising treatment format for panic disorder. The study also demonstrated that the treatment format can be successfully implemented in new rural clinics.

【 授权许可】

CC BY   
© The Author(s) 2023