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Comment on the London/Toronto Study of Alprazolam and Exposure in Panic Disorder with Agoraphobia

Published online by Cambridge University Press:  02 January 2018

David A. Spiegel*
Affiliation:
Department of Psychiatry and Behavioral Medicine, University of Illinois College of Medicine at Peoria, IL, USA
Martin Roth
Affiliation:
University of Cambridge
Myrna Weissman
Affiliation:
Department of Psychiatry and Epidemiology, College of Physicians & Surgeons, Columbia University, New York, USA
Philip Lavori
Affiliation:
Biological Studies Unit, College of Physicians & Surgeons, Columbia University, New York, USA
Jack Gorman
Affiliation:
Cooperative Studies Coordinating Center, Department of Veterans Affairs Medical Center, Palo Alto, CA, USA
John Rush
Affiliation:
Department of Psychiatry, University of Texas, Southwestern Medical Center at Dallas, TX, USA
James Ballenger
Affiliation:
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA
*
Correspondence

Extract

The study reported by Marks et al is of considerable importance, since it is the largest clinical trial to date comparing the combination of a benzodiazepine and behaviour therapy to either component alone, and the first combined treatment trial to use alprazolam as the pharmacological agent. It was an ambitious project that was apparently well run, and the findings should be of wide interest. However, the potential value of the study is limited by the method, the patient sample, and the analysis and presentation of the data.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 

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References

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