Cognitive behavioral therapy (CBT) is an established treatment for panic disorder (PD). Remote CBT (RCBT) is becoming increasingly popular and has the potential to enhance access to this treatment. The aim of this study was to examine the efficacy of RCBT for PD using a meta-analytic approach. An electronic database search was used to identify relevant articles and the references of previously completed reviews. Twenty-one studies (n = 1,604; mean age range: 31.9–43.9; mean female representation = 71 %) were included in the meta-analysis. 14/21 (67 %; n = 817 of the included studies were randomised controlled trials and 7/21 (33 %; n = 787) were open trials or non-randomised controlled trials. Pooled within-group effect sizes across all remote treatments for PD symptoms were large from pre-treatment to post-treatment (Hedges’ g = 1.18; 95 % CI: 0.99–1.36) and pre-treatment to follow-up (Hedges’ g = 1.51; 95 % CI: 1.22–1.79). Pooled between-group findings indicate that remote CBT treatments are more effective than passive control (Hedges’ g = 1.17; 95 % CI: 0.85–1.50), but are similar to other active treatments on measures of PD symptoms (e.g., face-to-face CBT) (Hedges’ g = 0.02; 95 % CI: −0.43 to 0.48). Internet-delivered CBT (Hedges’ g = 1.10, 95 % CI: 0.91–1.30), videoconferencing-delivered CBT (Hedges’ g = 1.40, 95 % CI: 0.85–1.95) and bibliotherapy-delivered CBT (Hedges’ g = 1.51, 95 % CI: 0.95–2.06) each produce large effect sizes on measures of PD symptoms. The results have important implications for the dissemination of entirely remote stepped-care treatments for PD.

认知行为疗法（CBT）是针对恐慌症（PD）的既定疗法。远程CBT（RCBT）变得越来越流行，并且有可能增强对这种治疗方法的访问。这项研究的目的是使用荟萃分析方法检查RCBT对PD的疗效。使用电子数据库搜索来识别相关文章和先前完成的评论的参考。二十一研究（ñ = 1,604; 平均年龄范围：31.9–43.9；荟萃分析中包括平均女性代表= 71％）。14/21（67％； n = 817）属于随机对照试验，而7/21（33％； n = 787）是开放试验或非随机对照试验。对于PD症状是大从预处理以后处理（树篱克 = 1.18; 95％CI：0.99-1.36）和预处理的后续（树篱克 = 1.51; 95％CI：1.22-1.79 ）汇集结果的组间指示远程CBT疗法比被动控制（树篱更加有效。克 = 1.17; 95％CI：0.85-1.50），但类似于关于PD症状措施其它活性治疗（例如，面-to-面CBT）（套期克 = 0.02; 95％CI：-0.43至0.48）。互联网提供的CBT（对冲g  = 1.10，95％CI：0.91-1.30），视频会议提供的CBT（对冲g  = 1.40，95％CI：0.85–1.95）和参考书目提供的CBT（对冲g  = 1.51） ，95％CI：0.95-2.06）各自对PD症状的测量产生较大的影响。该结果对PD的完全远程阶梯式护理治疗的传播具有重要意义。