The Bergen 4-day treatment for panic disorder: implementation in a rural clinical setting

Abstract Introduction The Bergen 4-Day Treatment (B4DT) is a concentrated treatment with individually tailored exposure exercises. The format has shown promising results in the treatment of panic disorder. Aim The aim of the current study was to investigate the effectiveness of the B4DT in a large s...

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Main Authors: Thorstein Olsen Eide, Kay Morten Hjelle, Ida Ueland Sætre, Stian Solem, Thorbjørn Olsen, Rolf Olof Sköld, Gerd Kvale, Bjarne Hansen, Kristen Hagen
Format: Article
Language:English
Published: BMC 2023-05-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-023-04812-x
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author Thorstein Olsen Eide
Kay Morten Hjelle
Ida Ueland Sætre
Stian Solem
Thorbjørn Olsen
Rolf Olof Sköld
Gerd Kvale
Bjarne Hansen
Kristen Hagen
author_facet Thorstein Olsen Eide
Kay Morten Hjelle
Ida Ueland Sætre
Stian Solem
Thorbjørn Olsen
Rolf Olof Sköld
Gerd Kvale
Bjarne Hansen
Kristen Hagen
author_sort Thorstein Olsen Eide
collection DOAJ
description Abstract Introduction The Bergen 4-Day Treatment (B4DT) is a concentrated treatment with individually tailored exposure exercises. The format has shown promising results in the treatment of panic disorder. Aim The aim of the current study was to investigate the effectiveness of the B4DT in a large sample in a rural clinical setting. Method Fifty-eight patients with panic disorder were consecutively included using an open trial design. The primary outcome measure was the Panic Disorder Severity Scale. The Generalized Anxiety Disorder-7 and the Patient Health Questionnaire-9 were used as secondary outcome measures. Assessments were conducted at pretreatment, posttreatment, and 3-month follow-up. Treatment satisfaction was measured at posttreatment using the Client Satisfaction Questionnaire-8. Results There was a significant reduction in symptoms of panic disorder from pre- to posttreatment (d = 3.36) and from pretreatment to follow-up (d = 3.63). At posttreatment and follow-up, 72.4% and 81.0% of patients, respectively, were classified as in remission. Patients reported high treatment satisfaction, and there were significant reductions in symptoms of generalized anxiety and depression. Conclusion The results from the current study replicated the findings from previous studies using a larger sample size. The findings indicate that the B4DT is a promising treatment format for panic disorder. The study also demonstrated that the treatment format can be successfully implemented in new rural clinics.
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spelling doaj.art-22c8e67396dc4e9cb610c02823ed516b2023-05-07T11:19:54ZengBMCBMC Psychiatry1471-244X2023-05-012311810.1186/s12888-023-04812-xThe Bergen 4-day treatment for panic disorder: implementation in a rural clinical settingThorstein Olsen Eide0Kay Morten Hjelle1Ida Ueland Sætre2Stian Solem3Thorbjørn Olsen4Rolf Olof Sköld5Gerd Kvale6Bjarne Hansen7Kristen Hagen8Molde Hospital, Møre og Romsdal Hospital TrustCenter for Crisis Psychology, Faculty of Psychology, University of BergenFørde Hospital, Førde Hospital TrustBergen Center for Brain Plasticity, Haukeland University HospitalFørde Hospital, Førde Hospital TrustFørde Hospital, Førde Hospital TrustBergen Center for Brain Plasticity, Haukeland University HospitalCenter for Crisis Psychology, Faculty of Psychology, University of BergenMolde Hospital, Møre og Romsdal Hospital TrustAbstract Introduction The Bergen 4-Day Treatment (B4DT) is a concentrated treatment with individually tailored exposure exercises. The format has shown promising results in the treatment of panic disorder. Aim The aim of the current study was to investigate the effectiveness of the B4DT in a large sample in a rural clinical setting. Method Fifty-eight patients with panic disorder were consecutively included using an open trial design. The primary outcome measure was the Panic Disorder Severity Scale. The Generalized Anxiety Disorder-7 and the Patient Health Questionnaire-9 were used as secondary outcome measures. Assessments were conducted at pretreatment, posttreatment, and 3-month follow-up. Treatment satisfaction was measured at posttreatment using the Client Satisfaction Questionnaire-8. Results There was a significant reduction in symptoms of panic disorder from pre- to posttreatment (d = 3.36) and from pretreatment to follow-up (d = 3.63). At posttreatment and follow-up, 72.4% and 81.0% of patients, respectively, were classified as in remission. Patients reported high treatment satisfaction, and there were significant reductions in symptoms of generalized anxiety and depression. Conclusion The results from the current study replicated the findings from previous studies using a larger sample size. The findings indicate that the B4DT is a promising treatment format for panic disorder. The study also demonstrated that the treatment format can be successfully implemented in new rural clinics.https://doi.org/10.1186/s12888-023-04812-xPanic disorderIntensive treatmentExposureB4DTCBT
spellingShingle Thorstein Olsen Eide
Kay Morten Hjelle
Ida Ueland Sætre
Stian Solem
Thorbjørn Olsen
Rolf Olof Sköld
Gerd Kvale
Bjarne Hansen
Kristen Hagen
The Bergen 4-day treatment for panic disorder: implementation in a rural clinical setting
BMC Psychiatry
Panic disorder
Intensive treatment
Exposure
B4DT
CBT
title The Bergen 4-day treatment for panic disorder: implementation in a rural clinical setting
title_full The Bergen 4-day treatment for panic disorder: implementation in a rural clinical setting
title_fullStr The Bergen 4-day treatment for panic disorder: implementation in a rural clinical setting
title_full_unstemmed The Bergen 4-day treatment for panic disorder: implementation in a rural clinical setting
title_short The Bergen 4-day treatment for panic disorder: implementation in a rural clinical setting
title_sort bergen 4 day treatment for panic disorder implementation in a rural clinical setting
topic Panic disorder
Intensive treatment
Exposure
B4DT
CBT
url https://doi.org/10.1186/s12888-023-04812-x
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