@article{ikic_reduction_2017,

title = {Reduction in costs after treating comorbid panic disorder with agoraphobia and generalized anxiety disorder},

author = {V. Ikic and C. Bélanger and S. Bouchard and P. Gosselin and F. Langlois and J. Labrecque and M. J. Dugas and A. Marchand},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85018690998&partnerID=40&md5=0d0600e6dd4e2a381f733ac063d639dc},

issn = {10914358},

year  = {2017},

date = {2017-01-01},

journal = {Journal of Mental Health Policy and Economics},

volume = {20},

number = {1},

pages = {11–20},

abstract = {Background: Panic disorder with agoraphobia (PDA) and generalized anxiety disorder (GAD) are impairing and costly disorders that are often misdiagnosed and left untreated despite multiple consultations. These disorders frequently co-occur, but little is known about the costs associated with their comorbidity and the impact of cognitive-behavioral therapy (CBT) on cost reduction. Aims of the Study: The first objective of this study was to assess the mental health-related costs associated with the specific concomitance of PDA and GAD. The second aim was to determine whether there is a reduction in direct and indirect mental healthrelated costs following conventional CBT for the primary disorder only (PDA or GAD) or combined CBT adapted to the comorbidity (PDA and GAD). Methods: A total of 123 participants with a double diagnosis of PDA and GAD participated in this study. Direct and indirect mental health-related costs were assessed and calculated from a societal perspective at the pre-Test, the post-Test, and the three-month, sixmonth and one-year follow-ups. Results: At the pre-Test, PDA-GAD comorbidity was found to generate a mean total cost of CAD2,000.48 (SD = 2,069.62) per participant over a three-month period. The indirect costs were much higher than the direct costs. Both treatment modalities led to significant and similar decreases in all cost categories from the pretest to the post-Test. This reduction was maintained until the oneyear follow-up. Discussion: Methodological choices may have underestimated cost evaluations. Nonetheless, this study supports the cost offset effects of both conventional CBT for primary PDA or GAD and combined CBT for PDA-GAD comorbidity. Implications for Healthcare Provision and Use: Treatment of comorbid and costly disorders with evidence-based treatments such as CBT may lead to considerable economic benefits for society. Implications for Health Policies: Considering the limited resources of healthcare systems, it is important to make choices that will lead to better accessibility of quality services. The application of CBT for PDA, GAD or both disorders and training mental health professionals in this therapeutic approach should be encouraged. Additionally, it would be favorable for insurance plans to reimburse employees for expenses associated with psychological treatment for anxiety disorders. Implications for Further Research: In addition to symptom reduction, it would be of great pertinence to explore which factors can contribute to reducing direct and indirect mental health-related costs. © 2017 ICMPE.},

note = {Publisher: ICMPE},

keywords = {adult, agoraphobia, Anxiety disorder, Anxiety Disorders, article, cognitive behavioral therapy, cognitive therapy, comorbidity, controlled study, dysthymia, economics, female, follow up, generalized anxiety disorder, health care cost, Health Care Costs, human, Humans, major clinical study, major depression, male, Mental health, obsessive compulsive disorder, panic, Panic Disorder, phobia, posttraumatic stress disorder, procedures, Quebec, social phobia, statistics and numerical data},

pubstate = {published},

tppubtype = {article}

}

@article{cousineau_insomnia_2016,

title = {Insomnia symptoms following treatment for comorbid panic disorder with agoraphobia and generalized anxiety disorder},

author = {H. Cousineau and A. Marchand and S. Bouchard and C. Bélanger and P. Gosselin and F. Langlois and J. Labrecque and M. J. Dugas and G. Belleville},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84962128029&doi=10.1097%2fNMD.0000000000000466&partnerID=40&md5=2ca2dd82c29553bd7377ba64dd5522cc},

doi = {10.1097/NMD.0000000000000466},

issn = {00223018},

year  = {2016},

date = {2016-01-01},

journal = {Journal of Nervous and Mental Disease},

volume = {204},

number = {4},

pages = {267–273},

abstract = {Patients with panic disorder with agoraphobia (PDA) or generalized anxiety disorder (GAD) frequently also suffer from insomnia. However, the impact of cognitive-behavioral therapy (CBT) for anxiety disorders on insomnia has been understudied. Furthermore, comorbidity between anxiety disorders is common. Our main objective was to assess the impact of CBT for PDA or GAD on insomnia. In a quasi-experimental design, 86 participants with PDA and GAD received conventional CBT for their primary disorder or combined CBT for both disorders. Overall, CBTs had a significant impact on reducing insomnia symptoms (η2 = 0.58). However, among people with insomnia at pretest (67%), 33% still had an insomnia diagnosis, and the majority (63%) had clinically significant residual insomnia following treatment. In conclusion, the CBTs had a positive effect on the reduction of insomnia, but a significant proportion of participants still had insomnia problems following treatment. Clinicians should address insomnia during CBT for PDA and GAD. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.},

note = {Publisher: Lippincott Williams and Wilkins},

keywords = {adult, agoraphobia, antidepressant agent, Anxiety Disorders, anxiolytic agent, article, clinical trial, cognitive therapy, cohort analysis, Cohort Studies, Combined Modality Therapy, comorbidity, comparative study, controlled study, Depression, disease severity, female, generalized anxiety disorder, human, Humans, hypnotic agent, insomnia, major clinical study, male, Middle Aged, multicenter study, multimodality cancer therapy, nocturnal panic attack, panic, Panic Disorder, panic disorder with agoraphobia, patient worry, procedures, psychoeducation, psychology, psychotropic agent, Psychotropic Drugs, quasi experimental study, Quebec, randomized controlled trial, Sleep Initiation and Maintenance Disorders, statistical significance, treatment outcome, wakefulness, Young Adult},

pubstate = {published},

tppubtype = {article}

}

@article{grenier_using_2015,

title = {Using virtual reality to improve the efficacy of cognitive-behavioral therapy (CBT) in the treatment of late-life anxiety: Preliminary recommendations for future research},

author = {S. Grenier and H. Forget and S. Bouchard and S. Isere and S. Belleville and O. Potvin and M. -È. Rioux and M. Talbot and N. A. Pachana and R. C. Oude Voshaar},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84931830085&doi=10.1017%2fS1041610214002300&partnerID=40&md5=6a937a7a7f13fca31c84fc7859b365d0},

doi = {10.1017/S1041610214002300},

issn = {10416102},

year  = {2015},

date = {2015-01-01},

journal = {International Psychogeriatrics},

volume = {27},

number = {7},

pages = {1217–1225},

abstract = {Cognitive-behavioral therapy (CBT) using traditional exposure techniques (i.e. imaginal and in vivo) seems less effective to treat anxiety in older adults than in younger ones. This is particularly true when imaginal exposure is used to confront the older patient to inaccessible (e.g. fear of flying) or less tangible/controllable anxiety triggers (e.g. fear of illness). Indeed, imaginal exposure may become less effective as the person gets older since normal aging is characterized by the decline in cognitive functions involved in the creation of vivid/detailed mental images. One way to circumvent this difficulty is to expose the older patient to a virtual environment that does not require the ability to imagine the frightening situation. In virtuo exposure has proven to be efficient to treat anxiety in working-age people. In virtuo exposure could be employed to improve the efficacy of CBT with exposure sessions in the treatment of late-life anxiety? The current paper explores this question and suggests new research avenues. Copyright © International Psychogeriatric Association 2014.},

note = {Publisher: Cambridge University Press},

keywords = {adult, aged, aging, Anxiety, Anxiety disorder, Anxiety Disorders, clinical effectiveness, cognition, cognitive defect, cognitive therapy, Depression, disease association, exposure, Fear, generalized anxiety disorder, gerontopsychiatry, human, Humans, late life anxiety disorder, panic, patient counseling, posttraumatic stress disorder, procedures, psychology, randomized controlled trial (topic), relaxation training, Research, review, Social Support, treatment outcome, trends, virtual reality, virtual reality exposure therapy},

pubstate = {published},

tppubtype = {article}

}

@article{katzman_canadian_2014,

title = {Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders},

author = {M. A. Katzman and P. Bleau and P. Blier and P. Chokka and K. Kjernisted and M. Van Ameringen and M. M. Antony and S. Bouchard and A. Brunet and M. Flament and K. Rabheru and S. Grigoriadis and P. M. A. Richter and S. Mendlowitz and K. O'Connor and M. Robichaud and J. R. Walker and G. Asmundson and L. R. Klassen and R. W. Lam and R. S. McIntyre and I. Szpindel},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84903778611&doi=10.1186%2f1471-244X-14-S1-S1&partnerID=40&md5=4787fc6f97c204c1428770a5e4a57a00},

doi = {10.1186/1471-244X-14-S1-S1},

issn = {1471244X (ISSN)},

year  = {2014},

date = {2014-01-01},

journal = {BMC Psychiatry},

volume = {14},

number = {SUPPL.1},

abstract = {Background: Anxiety and related disorders are among the most common mental disorders, with lifetime prevalence reportedly as high as 31%. Unfortunately, anxiety disorders are under-diagnosed and under-treated.Methods: These guidelines were developed by Canadian experts in anxiety and related disorders through a consensus process. Data on the epidemiology, diagnosis, and treatment (psychological and pharmacological) were obtained through MEDLINE, PsycINFO, and manual searches (1980-2012). Treatment strategies were rated on strength of evidence, and a clinical recommendation for each intervention was made, based on global impression of efficacy, effectiveness, and side effects, using a modified version of the periodic health examination guidelines.Results: These guidelines are presented in 10 sections, including an introduction, principles of diagnosis and management, six sections (Sections 3 through 8) on the specific anxiety-related disorders (panic disorder, agoraphobia, specific phobia, social anxiety disorder, generalized anxiety disorder, obsessive-compulsive disorder, and posttraumatic stress disorder), and two additional sections on special populations (children/adolescents, pregnant/lactating women, and the elderly) and clinical issues in patients with comorbid conditions.Conclusions: Anxiety and related disorders are very common in clinical practice, and frequently comorbid with other psychiatric and medical conditions. Optimal management requires a good understanding of the efficacy and side effect profiles of pharmacological and psychological treatments. © 2014 Katzman et al.},

note = {Publisher: BioMed Central Ltd.},

keywords = {agoraphobia, Anxiety disorder, Anxiety Disorders, benzodiazepine derivative, buspirone, Canada, clinical trial, clomipramine, comorbidity, duloxetine, escitalopram, fluoxetine, fluvoxamine, fluvoxamine maleate, GAD, generalized anxiety disorder, guidelines, human, Humans, obsessive compulsive disorder, Obsessive-Compulsive Disorder, OCD, panic, Panic Disorder, paroxetine, periodic medical examination, pharmacotherapy, Post-Traumatic, posttraumatic stress disorder, practice guideline, Practice Guidelines as Topic, psychotherapy, PTSD, recommendations, review, sertraline, social anxiety disorder, social phobia, special populations, Specific phobia, Stress Disorders, venlafaxine},

pubstate = {published},

tppubtype = {article}

}

@article{yuen_acceptance_2013,

title = {Acceptance based behavior therapy for social anxiety disorder through videoconferencing},

author = {E. K. Yuen and J. D. Herbert and E. M. Forman and E. M. Goetter and A. S. Juarascio and S. Rabin and C. Goodwin and S. Bouchard},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84879799248&doi=10.1016%2fj.janxdis.2013.03.002&partnerID=40&md5=a280b967176db691df32f37d15cb52a1},

doi = {10.1016/j.janxdis.2013.03.002},

issn = {18737897 (ISSN)},

year  = {2013},

date = {2013-01-01},

journal = {Journal of Anxiety Disorders},

volume = {27},

number = {4},

pages = {389–397},

abstract = {Most individuals with social anxiety disorder (SAD) do not receive any type of treatment. Reasons include logistical barriers (e.g., geographic location, travel time), fear of stigmatization, and fear of the social interactions associated with seeking treatment. Videoconferencing technology holds great promise in the widespread delivery of evidence-based treatments to those who would otherwise not receive treatment. This pilot study assessed the feasibility, acceptability, and initial efficacy of an acceptance-based behavioral intervention using Skype videoconferencing to treat adults with generalized SAD. Twenty-four participants received 12 sessions of weekly therapy and were assessed at pre-treatment, mid-treatment, post-treatment, and 3-month follow-up. Participants and therapists rated the intervention as acceptable and feasible. Analyses revealed significant pre-treatment to follow-up improvements in social anxiety, depression, disability, quality of life, and experiential avoidance, with effect sizes comparable to or larger than previously published results of studies delivering in-person CBT for SAD. Implications and future directions are discussed. © 2013 Elsevier Ltd.},

keywords = {acceptance based behavior therapy, adult, agoraphobia, alcoholism, article, avoidance behavior, Beck Depression Inventory, behavior therapy, Behavioral Assessment Test, Brief Version of the Fear of Negative Evaluation Scale, clinical article, clinical trial, comorbidity, disability, effect size, Feasibility Studies, feasibility study, female, follow up, Follow-Up Studies, generalized anxiety disorder, human, Humans, interview, Liebowitz Social Anxiety Scale, major depression, male, named inventories, panic, patient attitude, Patient Satisfaction, phobia, Phobic Disorders, Pilot Projects, pilot study, procedures, Psychiatric Status Rating Scales, psychologic test, Psychological, psychological rating scale, psychotherapist attitude, quality of life, questionnaires and rating scales, Skype, social anxiety, social phobia, Social Phobia and Anxiety Inventory, Structured Clinical Interview for DSM Disorders, telehealth, Telemedicine, Telemental health, Telepsychology, treatment outcome, videoconferencing},

pubstate = {published},

tppubtype = {article}

}

@article{perreault_panic_2009,

title = {Panic with agoraphobia and social anxiety disorder: Resort to peer helping and access to treatment [Trouble panique avec agoraphobie et trouble d'anxiété sociale: Recours aux pairs-aidants et accès au traitement]},

author = {M. Perreault and M. Chartier-Otis and C. Bélanger and A. Marchand and C. Zacchia and S. Bouchard},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-67649784309&doi=10.7202%2f029767ar&partnerID=40&md5=6a154fdae05cf2bff0cfbeae2c79d87e},

doi = {10.7202/029767ar},

issn = {03836320},

year  = {2009},

date = {2009-01-01},

journal = {Sante Mentale au Quebec},

volume = {34},

number = {1},

pages = {187–198},

note = {Publisher: Revue Sante Mentale au Quebec SMQ},

keywords = {agoraphobia, Anxiety disorder, Anxiety Disorders, article, Canada, health care delivery, Health Services Accessibility, human, Humans, panic, Panic Disorder, Quebec, Social Behavior Disorders, sociopathy, United States},

pubstate = {published},

tppubtype = {article}

}

@article{bouchard_temporal_2007,

title = {Temporal relationship between dysfunctional beliefs, self-efficacy and panic apprehension in the treatment of panic disorder with agoraphobia},

author = {S. Bouchard and J. Gauthier and A. Nouwen and H. Ivers and A. Vallières and S. Simard and T. Fournier},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-34447561574&doi=10.1016%2fj.jbtep.2006.08.002&partnerID=40&md5=8f563e24b9c604c9a3b1361da1f84bf4},

doi = {10.1016/j.jbtep.2006.08.002},

issn = {00057916},

year  = {2007},

date = {2007-01-01},

journal = {Journal of Behavior Therapy and Experimental Psychiatry},

volume = {38},

number = {3},

pages = {275–292},

abstract = {The aim of this study is to assess if changes in dysfunctional beliefs and self-efficacy precede changes in panic apprehension in the treatment of panic disorder with agoraphobia. Subjects participated in a larger study comparing the effectiveness of cognitive restructuring and exposure. Four variables were measured: (a) the strength of each subject's main belief toward the consequence of a panic attack; (b) perceived self-efficacy to control a panic attack in the presence of panicogenic body sensations; (c) perceived self-efficacy to control a panic attack in the presence of panicogenic thoughts; and (d) the level of panic apprehension of a panic attack. Variables were recorded daily on a "0" to "100" scale using category partitioning. Multivariate time series analysis and "causality testing" showed that, for all participants, cognitive changes preceded changes in the level of panic apprehension. Important individual differences were observed in the contribution of each variable to the prediction of change in panic apprehension. Changes in apprehension were preceded by changes in belief in three cases, by changes in self-efficacy in six cases, and by changes in both belief and self-efficacy in the remaining three cases. This pattern was observed in participants in the exposure condition as well as those in the cognitive restructuring condition. These results provide more empirical support to the hypothesis that cognitive changes precede improvement. They also underlie the importance of individual differences in the process of change. Finally, this study does not support the hypothesis that exposure and cognitive restructuring operate through different mechanisms, namely a behavioral one and a cognitive one. © 2006 Elsevier Ltd. All rights reserved.},

keywords = {adult, agoraphobia, article, Aversive Therapy, behavior therapy, Circadian Rhythm, clinical article, cognition, Cognition Disorders, cognitive therapy, controlled study, Diagnostic and Statistical Manual of Mental Disorders, female, Health Status, human, Humans, Individuality, male, Medical Records, Models, panic, Panic Disorder, Psychiatric Status Rating Scales, Psychological, Self Concept, Self Efficacy, Sensation, Time Factors, treatment outcome},

pubstate = {published},

tppubtype = {article}

}

@article{bouchard_delivering_2004,

title = {Delivering Cognitive-Behavior Therapy for Panic Disorder with Agoraphobia in Videoconference},

author = {S. Bouchard and B. Paquin and R. Payeur and M. Allard and V. Rivard and T. Fournier and P. Renaud and J. Lapierre},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-1842783565&doi=10.1089%2f153056204773644535&partnerID=40&md5=b16d49e06152cafecd086aa08c3326b7},

doi = {10.1089/153056204773644535},

issn = {15305627 (ISSN)},

year  = {2004},

date = {2004-01-01},

journal = {Telemedicine and e-Health},

volume = {10},

number = {1},

pages = {13–25},

abstract = {Delivering psychotherapy by videoconference could significantly increase the accessibility of empirically validated treatments. The aim of this study was to compare the effectiveness of cognitive-behavior therapy (CBT) for panic disorder with agoraphobia (PDA) when the therapy is delivered either face-to-face or by videoconference. A sample of 21 participants was treated either face-to-face or by videoconference. Results showed that CBT delivered by videoconference was as effective as CBT delivered face-to-face. There was a statistically significant reduction in all measures, and the number of panic-free participants among those receiving CBT by videoconference was 81% at post-treatment and 91% at the 6-month follow-up. None of the comparisons with face-to-face psychotherapy suggested that CBT delivered by videoconference was less effective. These results were confirmed by analyses of effect size. The participants reported the development of an excellent therapeutic alliance in videoconference as early as the first therapy session. The importance of these results for treatment accessibility is discussed. Hypotheses are proposed to explain the rapid creation of strong therapeutic alliances in videoconferencing.},

note = {Publisher: Mary Ann Liebert Inc.},

keywords = {adult, agoraphobia, article, behavior therapy, clinical article, Cognitive systems, Cognitive-behavior therapy (CBT), female, Health care, health care delivery, human, male, Medical problems, panic, Patient monitoring, priority journal, psychotherapy, telecommunication, Telemedicine, Therapeutic alliances, validation process, Video conferencing, videorecording},

pubstate = {published},

tppubtype = {article}

}

@article{vincelli_experiential_2003,

title = {Experiential cognitive therapy in the treatment of panic disorders with agoraphobia: A controlled study},

author = {F. Vincelli and L. Anolli and S. Bouchard and B. K. Wiederhold and V. Zurloni and G. Riva},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-0038644720&doi=10.1089%2f109493103322011632&partnerID=40&md5=e32ca8fdb013d3ff9a88844a28b21acd},

doi = {10.1089/109493103322011632},

issn = {10949313 (ISSN)},

year  = {2003},

date = {2003-01-01},

journal = {Cyberpsychology and Behavior},

volume = {6},

number = {3},

pages = {321–328},

abstract = {The use of a multicomponent cognitive-behavioral treatment strategy for panic disorder with agoraphobia is actually one of the preferred therapeutic approaches for this disturbance. This method involves a mixture of cognitive and behavioral techniques that are intended to help patients identify and modify their dysfunctional anxiety-related thoughts, beliefs and behavior. The paper presents a new treatment protocol for Panic Disorder and Agoraphobia, named Experiential-Cognitive Therapy (ECT) that integrates the use of virtual reality (VR) in a multicomponent cognitive-behavioral treatment strategy. The VR software used for the trial is freely downloadable: www.cyberpsychology.info/try.htm. Moreover, the paper presents the result of a controlled study involving 12 consecutive patients aged 35-53. The selected subjects were randomly divided in three groups: ECT group, that experienced the Cognitive Behavioral Therapy-Virtual Reality assisted treatment (eight sessions), a CBT group that experienced the traditional Cognitive Behavioral approach (12 sessions) and a waiting list control group. The data showed that both CBT and ECT could significantly reduce the number of panic attacks, the level of depression and both state and trait anxiety. However, ECT procured these results using 33% fewer sessions than CBT. This datum suggests that ECT could be better than CBT in relation to the "cost of administration," justifying the added use of VR equipment in the treatment of panic disorders.},

keywords = {adult, agoraphobia, Anxiety disorder, behavior therapy, clinical article, cognitive therapy, computer program, conference paper, controlled study, experiential cognitive therapy, human, mental disease, panic, phobia, treatment outcome, virtual reality},

pubstate = {published},

tppubtype = {article}

}

@article{vincelli_virtual_2002,

title = {Virtual reality assisted cognitive behavioral therapy for the treatment of panic disorders with agoraphobia},

author = {F. Vincelli and H. Choi and E. Molinari and B. K. Wiederhold and S. Bouchard and G. Riva},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-6944229623&doi=10.3233%2f978-1-60750-929-5-552&partnerID=40&md5=607d14f3f5aad82e9c92e73845639d83},

doi = {10.3233/978-1-60750-929-5-552},

issn = {09269630},

year  = {2002},

date = {2002-01-01},

journal = {Studies in Health Technology and Informatics},

volume = {85},

pages = {552–559},

abstract = {The chapter describes the characteristics of the Experiential-Cognitive Therapy (ECT) protocol for Panic Disorder and Agoraphobia. The goal of ECT is to decondition fear reactions, to modify misinterpretational cognition related to panic symptoms and to reduce anxiety symptoms. This is possible in an average of eight sessions of treatment plus an assessment phase and booster sessions, through the integration of Virtual Experience and traditional cognitive-behavioral techniques. We decided to employ the techniques included in the cognitive-behavioral approach because they showed high levels of efficacy. Through virtual environments we can gradually expose the patient to feared situation: virtual reality consent to re-create in our clinical office a real experiential world. The patient faces the feared stimuli in a context that is nearer to reality than imagination. For ECT we developed the Virtual Environments for Panic Disorders-VEPD-virtual reality system. VEPD is a 4-zone virtual environment developed using the Superscape VRT 5.6 toolkit. The four zones reproduce different potentially fearful situations - an elevator, a supermarket, a subway ride, and large square. In each zone the characteristics of the anxiety-related experience are defined by the therapist through a setup menu. © 2002, The authors.},

note = {ISBN: 1586032038; 9781586032036 

Place: Newport Beach, CA 

Publisher: IOS Press},

keywords = {agoraphobia, article, Assessment phase, behavior therapy, Behavioral approaches, cognitive therapy, Cognitive-behavioral therapies, computer assisted therapy, computer interface, Computer-Assisted, Desensitization, Fear, human, Humans, Large squares, outcome assessment, Outcome Assessment (Health Care), panic, Panic Disorder, problem based learning, Problem-Based Learning, Psychologic, Social Environment, Therapy, User-Computer Interface, virtual reality, Virtual reality system},

pubstate = {published},

tppubtype = {article}

}