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Family Practice Advance Access first published online on February 14, 2005
This version published online on March 18, 2005
Family Practice, doi:10.1093/fampra/cmh708
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© The Author (2005). Published by Oxford University Press. All rights reserved. For Permissions, Please email: journals.permissions@oupjournals.org
Received February 3, 2004
Accepted March 17, 2004

Article

Efficacy of self-help manuals for anxiety disorders in primary care: a systematic review

Christine A. van Boeijen 1, Anton J. L. M. van Balkom 1*, Patricia van Oppen 1, Nettie Blankenstein 1, Ammani Cherpanath 1, and Richard van Dyck 1

1 Department of Psychiatry and Institute for Extramural Medicine, Vrije Universiteit, Amsterdam, The Netherlands

* To whom correspondence should be addressed.
Anton J. L. M. van Balkom, E-mail: vanbalkom{at}ggzba.nl


  Abstract

Objective. The purpose of this study was to review effectiveness studies of self-help manuals for anxiety disorders in primary care.

Methods. A systematic review of six identified randomized controlled trials was carried out. In addition to outcome, the articles were coded on quality variables.

Results. The studies included differed with respect to the methodological quality, measurements used and size of the study population. Despite these differences, global results suggest that a self-help manual is an effective treatment possibility for primary care patients with anxiety disorders. The more time that was spent on guidance on the use of the self-help manual the greater was its effectiveness.

Conclusion. Treatment with a self-help manual for anxiety disorders may be effective in primary care. Data are lacking on the feasibility and cost-effectiveness of these manuals.

Keywords: Anxiety disorders; primary care; self-help manual; systematic review.
Please note that the title of this article has changed to indicate that it is a systematic review.
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