Abstract
Behavioural methods of treating anxiety have been shown to be highly effective but are not widely available in general practice where most people suffering from anxiety are treated. This study reports a development in service delivery which is simple, inexpensive and does not make great time demands on general practitioners or require them to extend their training and expertise. The study shows that for patients suffering from panic disorder or generalized anxiety disorder the use of an anxiety management booklet in addition to their usual treatment from their general practitioner produces clinically and statistically significant improvements. Of particular importance is the speed of response to the booklet. Within the first two weeks those patients who received the booklet were significantly less anxious than the controls. The booklet was acceptable to patients and recommendations are made about how to incorporate it into clinical practice.
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Selected References
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- Blowers C., Cobb J., Mathews A. Generalised anxiety: a controlled treatment study. Behav Res Ther. 1987;25(6):493–502. doi: 10.1016/0005-7967(87)90057-x. [DOI] [PubMed] [Google Scholar]
- Butler G., Cullington A., Hibbert G., Klimes I., Gelder M. Anxiety management for persistent generalised anxiety. Br J Psychiatry. 1987 Oct;151:535–542. doi: 10.1192/bjp.151.4.535. [DOI] [PubMed] [Google Scholar]
- Catalan J., Gath D., Bond A., Martin P. The effects of non-prescribing of anxiolytics in general practice. II. Factors associated with outcome. Br J Psychiatry. 1984 Jun;144:603–610. doi: 10.1192/bjp.144.6.603. [DOI] [PubMed] [Google Scholar]
- Clark D. M., Salkovskis P. M., Chalkley A. J. Respiratory control as a treatment for panic attacks. J Behav Ther Exp Psychiatry. 1985 Mar;16(1):23–30. doi: 10.1016/0005-7916(85)90026-6. [DOI] [PubMed] [Google Scholar]
- Ghosh A., Marks I. M., Carr A. C. Therapist contact and outcome of self-exposure treatment for phobias. A controlled study. Br J Psychiatry. 1988 Feb;152:234–238. doi: 10.1192/bjp.152.2.234. [DOI] [PubMed] [Google Scholar]
- Glasgow R. E., Rosen G. M. Behavioral bibliotherapy: a review of self-help behavior therapy manuals. Psychol Bull. 1978 Jan;85(1):1–23. [PubMed] [Google Scholar]
- Glasgow R. E., Rosen G. M. Behavioral bibliotherapy: a review of self-help behavior therapy manuals. Psychol Bull. 1978 Jan;85(1):1–23. [PubMed] [Google Scholar]
- Jupp H., Dudley M. Group cognitive/anxiety management. J Adv Nurs. 1984 Nov;9(6):573–580. doi: 10.1111/j.1365-2648.1984.tb00413.x. [DOI] [PubMed] [Google Scholar]
- Kellner R., Sheffield B. F. A self-rating scale of distress. Psychol Med. 1973 Feb;3(1):88–100. doi: 10.1017/s0033291700046377. [DOI] [PubMed] [Google Scholar]
- Lindsay W. R., Gamsu C. V., McLaughlin E., Hood E. M., Espie C. A. A controlled trial of treatments for generalized anxiety. Br J Clin Psychol. 1987 Feb;26(Pt 1):3–15. doi: 10.1111/j.2044-8260.1987.tb00718.x. [DOI] [PubMed] [Google Scholar]
- Petursson H., Lader M. H. Benzodiazepine dependence. Br J Addict. 1981;76(2):133–145. doi: 10.1111/j.1360-0443.1981.tb00218.x. [DOI] [PubMed] [Google Scholar]
- Zigmond A. S., Snaith R. P. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983 Jun;67(6):361–370. doi: 10.1111/j.1600-0447.1983.tb09716.x. [DOI] [PubMed] [Google Scholar]