Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-26T20:58:14.029Z Has data issue: false hasContentIssue false

Agoraphobia: An Outreach Treatment Programme

Published online by Cambridge University Press:  28 September 2012

Alison Croft*
Affiliation:
Oxford Cognitive Therapy Centre, Oxford, UK
Ann Hackmann
Affiliation:
Oxford Cognitive Therapy Centre, Oxford, UK
*
Reprint requests to Alison Croft, Oxford Cognitive Therapy Centre, Warneford Hospital, Oxford OX3 7JX, UK. E-mail: [email protected]

Abstract

Background: Agoraphobia is disabling and clients find it hard to access effective treatment. Aims: This paper describes the development of an inexpensive service, delivered by trained volunteers in or near the client's own home. Method: We describe the development of the service, including selection, training and supervision. Outcomes were evaluated over 5 years, and compared with those available from the local psychology service. Results: Effect sizes on all measures were high. Benchmarking indicated that results on comparable measures were not significantly different from the local psychology service. As in many previous studies drop-out rate was fairly high. Conclusions: This model worked well, and was inexpensive and effective. Further research on long term outcome and methods of enhancing engagement is needed.

Type
Brief Clinical Reports
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Beck, A. T., Epstein, N., Brown, G. and Steer, R. A. (1988). An inventory for measuring clinical anxiety: psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893897.CrossRefGoogle ScholarPubMed
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J. and Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 18, 561571.Google Scholar
Chambless, D. L., Caputo, G. C., Bright, P. and Gallagher, R. (1984). Assessment of fear of fear in agoraphobics: the body sensations questionnaire and the Agoraphobia Cognitions Questionnaire. Journal of Consulting and Clinical Psychology, 52, 10901097.CrossRefGoogle ScholarPubMed
Clark, D. M., Salkovskis, P. M., Hackmann, A., Middleton, H., Anastasiades, P. and Gelder, M. G. (1994). A comparison of cognitive therapy, applied relaxation and imipramine in the treatment of panic disorder. British Journal of Psychiatry, 164, 759769.CrossRefGoogle ScholarPubMed
Grey, N., Salkovskis, P. M., Quigley, A., Clark, D. M. and Ehlers, A. (2008). Dissemination of cognitive therapy for panic disorder in primary care. Behavioural and Cognitive Psychotherapy, 36, 509520.CrossRefGoogle ScholarPubMed
Hackmann, A. (1998). Cognitive therapy with panic and agoraphobia: working with complex cases. In Tarrier, N., Wells, A. and Haddock, G. (Eds.), Treating Complex Cases. Chichester: John Wiley & Sons Ltd.Google Scholar
Hackmann, A. (2004). Panic and agoraphobia. In Bennett-Levy, J., Butler, G., Fennell, M., Hackmann, A., Mueller, M. and Westbrook, D. (Eds.), The Oxford Guide to Behavioural Experiments in Cognitive Therapy. Oxford: Oxford University Press.Google Scholar
Hoffart, A., Hackmann, A. and Sexton, H. (2006). Interpersonal fears among patients with panic disorder with agoraphobia. Behavioural and Cognitive Psychotherapy, 34, 359363.CrossRefGoogle Scholar
Marks, I. M. and Matthews, A. M. (1979). Brief standard self-rating scale for phobic patients. Behaviour Research and Therapy, 17, 263267.Google Scholar
Wade, W. A., Treat, T. A. and Stuart, G. L. (1998). Transporting an empirically supported treatment for panic disorder to a service clinic setting: a benchmarking strategy. Journal of Consulting and Clinical Psychology, 66, 231239.Google Scholar
Westbrook, D. and Kirk, J. (2005). The clinical effectiveness of cognitive behaviour therapy: outcome for a large sample of adults treated in routine practice. Behaviour Research and Therapy, 43, 12431261.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.