Psychological medicine
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Psychological medicine · Mar 2006
Randomized Controlled Trial Multicenter StudyIncremental cost-effectiveness of a collaborative care intervention for panic disorder.
Panic disorder is a prevalent, often disabling, disorder among primary-care patients, but there are large gaps in quality of treatment in primary care. This study describes the incremental cost-effectiveness of a combined cognitive behavioral therapy (CBT) and pharmacotherapy intervention for patients with panic disorder versus usual primary-care treatment. ⋯ The combined CBT and pharmacotherapy intervention was associated with a robust clinical improvement compared to usual care with a moderate increase in ambulatory costs.
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Psychological medicine · Mar 2006
Measuring spiritual belief: development and standardization of a Beliefs and Values Scale.
Higher levels of religious involvement are modestly associated with better health, after taking account of other influences, such as age, sex and social support. However, little account is taken of spiritual beliefs that are not tied to personal or public religious practice. Our objective was to develop a standardized measure of spirituality for use in clinical research. ⋯ A measure of spiritual belief that is not limited to religious thought, may contribute to research in psychiatry and medicine.