Guided and Traditional Cognitive Behavioral Therapy Protocol for Resistant Panic
NCT ID: NCT07247955
Last Updated: 2025-11-25
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
46 participants
INTERVENTIONAL
2023-04-05
2025-05-02
Brief Summary
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An application was developed in which both treatment models follow the same eight-session CBT manual. Patients are evaluated using psychological assessments at the first and eighth sessions.
The study includes 46 patients divided into two groups of 23 participants each. Both groups undergo individual assessments at the beginning and end of the treatment protocol.
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Detailed Description
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Methods: A total of 46 patients were separated into two groups of 23 patients, one in each format, with the patients in both groups being individually evaluated at their first and eighth sessions.
Conditions
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Study Design
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RANDOMIZED
CROSSOVER
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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Group of 23 patients undergoing traditional cognitive behavioral therapy
Twenty-three patients were selected for group. The group consisted of patients with panic disorder and breathing difficulties in a traditional cognitive behavioral therapy format, 8-session treatment protocol.
The group intervention used the sessions described in traditional form
Model of the sessions:
* Session 1 - General information for the Client
* Session 2 - Breaking the panic cycle
* Session 3 - Increasing the range of cognitive management skills
* Session 4 - Improving corporal management skills
* Session 5 - Strengthening self-efficacy
* Session 6 - Stimulating life reorientation
* Session 7 - Promoting existential management
* Session 8 - Revising and evaluating the treatment
Group of 23 patients undergoing self-guided cognitive behavioral therapy using an app
Twenty-three patients were selected for group. The group consisted of patients with panic disorder and breathing difficulties in a self-guided cognitive behavioral therapy format, using the 8-session treatment protocol.
The group intervention used the sessions described in a self-guided format using an application
Model of the sessions:
* Session 1 - General information for the Client
* Session 2 - Breaking the panic cycle
* Session 3 - Increasing the range of cognitive management skills
* Session 4 - Improving corporal management skills
* Session 5 - Strengthening self-efficacy
* Session 6 - Stimulating life reorientation
* Session 7 - Promoting existential management
* Session 8 - Revising and evaluating the treatment
Interventions
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The group intervention used the sessions described in traditional form
Model of the sessions:
* Session 1 - General information for the Client
* Session 2 - Breaking the panic cycle
* Session 3 - Increasing the range of cognitive management skills
* Session 4 - Improving corporal management skills
* Session 5 - Strengthening self-efficacy
* Session 6 - Stimulating life reorientation
* Session 7 - Promoting existential management
* Session 8 - Revising and evaluating the treatment
The group intervention used the sessions described in a self-guided format using an application
Model of the sessions:
* Session 1 - General information for the Client
* Session 2 - Breaking the panic cycle
* Session 3 - Increasing the range of cognitive management skills
* Session 4 - Improving corporal management skills
* Session 5 - Strengthening self-efficacy
* Session 6 - Stimulating life reorientation
* Session 7 - Promoting existential management
* Session 8 - Revising and evaluating the treatment
Eligibility Criteria
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Inclusion Criteria
* Diagnosis of panic disorder confirmed.
* Age between 18 and 60 years.
* Under psychiatric follow-up by a university psychiatrist and taking medication.
* Provide written informed consent to participate and have data stored.
Exclusion Criteria
* Age under 18 or over 60 years.
* Not undergoing psychiatric follow-up.
* Presence of other psychiatric or medical diagnoses.
18 Years
60 Years
ALL
Yes
Sponsors
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Universidade Federal do Rio de Janeiro
OTHER
Responsible Party
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Luisa Pelucio Ribeiro Barbosa
Master - Principal Investigator
Principal Investigators
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Luisa Pelucio, Master
Role: PRINCIPAL_INVESTIGATOR
Universidade Federal do Rio de Janeiro
Locations
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Universidade Federal do Rio de JAneiro
Rio de Janeiro, Rio de Janeiro, Brazil
Countries
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References
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Gal E, Stefan S, Cristea IA. The efficacy of mindfulness meditation apps in enhancing users' well-being and mental health related outcomes: a meta-analysis of randomized controlled trials. J Affect Disord. 2021 Jan 15;279:131-142. doi: 10.1016/j.jad.2020.09.134. Epub 2020 Oct 7.
Yogeswaran V, El Morr C. Effectiveness of online mindfulness interventions on medical students' mental health: a systematic review. BMC Public Health. 2021 Dec 18;21(1):2293. doi: 10.1186/s12889-021-12341-z.
Linardon J. Can Acceptance, Mindfulness, and Self-Compassion Be Learned by Smartphone Apps? A Systematic and Meta-Analytic Review of Randomized Controlled Trials. Behav Ther. 2020 Jul;51(4):646-658. doi: 10.1016/j.beth.2019.10.002. Epub 2019 Nov 26.
Whittaker R, McRobbie H, Bullen C, Borland R, Rodgers A, Gu Y. Mobile phone-based interventions for smoking cessation. Cochrane Database Syst Rev. 2012 Nov 14;11:CD006611. doi: 10.1002/14651858.CD006611.pub3.
Bakker D, Kazantzis N, Rickwood D, Rickard N. Mental Health Smartphone Apps: Review and Evidence-Based Recommendations for Future Developments. JMIR Ment Health. 2016 Mar 1;3(1):e7. doi: 10.2196/mental.4984.
Loucas CE, Fairburn CG, Whittington C, Pennant ME, Stockton S, Kendall T. E-therapy in the treatment and prevention of eating disorders: A systematic review and meta-analysis. Behav Res Ther. 2014 Dec;63:122-31. doi: 10.1016/j.brat.2014.09.011. Epub 2014 Oct 5.
Schueller SM, Torous J. Scaling evidence-based treatments through digital mental health. Am Psychol. 2020 Nov;75(8):1093-1104. doi: 10.1037/amp0000654.
Wu J, Ma Y, Zuo Y, Zheng K, Zhou Z, Qin Y, Ren Z. Effects of Mindfulness Exercise Guided by a Smartphone App on Negative Emotions and Stress in Non-Clinical Populations: A Systematic Review and Meta-Analysis. Front Public Health. 2022 Jan 25;9:773296. doi: 10.3389/fpubh.2021.773296. eCollection 2021.
Rathbone AL, Clarry L, Prescott J. Assessing the Efficacy of Mobile Health Apps Using the Basic Principles of Cognitive Behavioral Therapy: Systematic Review. J Med Internet Res. 2017 Nov 28;19(11):e399. doi: 10.2196/jmir.8598.
Hansen WB, Scheier LM. Specialized Smartphone Intervention Apps: Review of 2014 to 2018 NIH Funded Grants. JMIR Mhealth Uhealth. 2019 Jul 29;7(7):e14655. doi: 10.2196/14655.
Hwang WJ, Ha JS, Kim MJ. Research Trends on Mobile Mental Health Application for General Population: A Scoping Review. Int J Environ Res Public Health. 2021 Mar 2;18(5):2459. doi: 10.3390/ijerph18052459.
Firth J, Torous J, Carney R, Newby J, Cosco TD, Christensen H, Sarris J. Digital Technologies in the Treatment of Anxiety: Recent Innovations and Future Directions. Curr Psychiatry Rep. 2018 May 19;20(6):44. doi: 10.1007/s11920-018-0910-2.
Wright JH, Mishkind M, Eells TD, Chan SR. Computer-Assisted Cognitive-Behavior Therapy and Mobile Apps for Depression and Anxiety. Curr Psychiatry Rep. 2019 Jun 27;21(7):62. doi: 10.1007/s11920-019-1031-2.
Khademian F, Aslani A, Bastani P. The effects of mobile apps on stress, anxiety, and depression: overview of systematic reviews. Int J Technol Assess Health Care. 2020 Dec 14;37:e4. doi: 10.1017/S0266462320002093.
Ito LM, Noshirvani H, Basoglu M, Marks IM. Does exposure to internal cues enhance exposure to external cues in agoraphobia with panic? A pilot controlled study of self-exposure. Psychother Psychosom. 1996;65(1):24-28. doi: 10.1159/000289027.
Ito LM, de Araujo LA, Tess VL, de Barros-Neto TP, Asbahr FR, Marks I. Self-exposure therapy for panic disorder with agoraphobia: randomised controlled study of external v. interoceptive self-exposure. Br J Psychiatry. 2001 Apr;178:331-6. doi: 10.1192/bjp.178.4.331.
Clark DM. A cognitive approach to panic. Behav Res Ther. 1986;24(4):461-70. doi: 10.1016/0005-7967(86)90011-2. No abstract available.
Other Identifiers
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UFRJ-2025-001
Identifier Type: -
Identifier Source: org_study_id
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