Computerized Cognitive Behavior Therapy for Managing Panic Disorder in Bangladesh

Abstract

Technological advancement has created an opportunity to demonstrate psychological service into another level of innovation to meet the need for accessibility. The objective of the present study was to assess the suitability of computerized cognitive behavior therapy (CCBT) for managing symptoms of panic disorder in Bangladesh. An exploratory sequential mixed method design was applied to achieve the objectives. In the first phase, a qualitative study was done to understand the most effective techniques and the nature of panic disorder in Bangladesh. The second phase was focused on developing the website with the integration of relevant experts. In the third phase, suitability was checked based on the findings of the quantitative study. The total number of enrollments in the first session was 64. Among them, 30 (51.56%) participants completed the entire session. They used the website fosr three to four months. Three standardized measurements were used to see the suitability. Those were the severity measure of panic disorder- adults, panic disorder severity scale, and anxiety scale. Besides, the satisfaction with the treatment scale was translated, and a checklist of subjective ratings for panic symptoms was developed from the finding of the desk review. CCBT significantly reduced the severity of the panic disorder, panic symptoms, and associated anxiety symptoms. The severity of panic symptoms changed significantly post-intervention (t=, p<.001). A significant change in post-intervention was also shown in the severity of panic disorder ((t=, p<.001). Besides these changes, the severity of anxiety level is also significantly changed ((t=, p<.001) in post intervention. Self-reported rating of symptoms also showed changes in cognitive symptoms, physiological reactions, emotions, and safety behaviors in the post-intervention phase. In the treatment satisfaction scale, Participants rated the CCBT package as credible and satisfactory regarding presentability, effective strategies, personal development, and program evaluation. Participants also criticized CCBT for the therapist's absence. This research also suggested areas of improvement, factors to maintain the program, and barriers to the availability of the service. An effective study, including follow-up sessions, is required to ensure further development of the CCBT package.