A crossover study of focused cognitive therapy for panic disorder

Beck, Aaron T.; Sokol, Leslie; Clark, David A.; Berchick, Robert J.; Wright, Fred

doi:10.1176/ajp.149.6.778

Cited by 154 publications

(4 citation statements)

References 15 publications

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“…In any case, the long-term therapeutic advantage of integrated therapy over pharmacological treatment was quite large, and it was independent from known prognostic factors. Our results, together with those of other studies [10, 12, 13, 46], cast some doubt on the view that long-term drug treatment is the most appropriate therapy for patients with panic disorder.…”

Section: Discussionsupporting

confidence: 55%

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Increased Probability of Remaining in Remission from Panic Disorder with Agoraphobia after Drug Treatment in Patients Who Received Concurrent Cognitive-Behavioural Therapy: A Follow-Up Study

Biondi

Picardi²

2002

Psychother Psychosom

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Background: Many short-term trials suggested that the combination of psychotherapy with medication might be more effective than either treatment alone. However, only few studies examined the long-term effectiveness of this combination. Methods: A private practice sample of consecutive patients with DSM-III-R panic disorder with agoraphobia who achieved remission after drug treatment with or without concurrent cognitive-behavioural psychotherapy were followed up. Patients were assessed before treatment, after treatment and at each follow-up contact with the Marks-Sheehan Phobia Scale, the Hamilton Anxiety Rating Scale, and the Hamilton Depression Rating Scale. Kaplan-Meier survival analysis was performed on the time to panic disorder relapse. Cox regression analysis was used to control for the possible confounding effect of factors other than treatment. Results: Of patients who received medication alone (n = 32), 25 (78.1%) relapsed, prevalently (65.6%) during the first year. The estimated mean survival time was 12 months (95% CI 7–17). Of patients who received integrated treatment (n = 21), only 3 (14.3%) relapsed. The estimated mean survival time was 65 months (95% CI 44–86). Treatment was the only variable associated with the occurrence of relapse, with a hazard ratio of 12.6 (95% CI 2.5–63.3) for patients who received only medication. Conclusions: Some methodological limitations, such as treatment allocation by preference, suggest caution in the interpretation of our results. However, the long-term therapeutic advantage of integrated treatment over medication alone was large and independent from known prognostic factors. The long-term effectiveness of integrated treatment should be tested with a randomised controlled trial.

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Section: Discussionsupporting

confidence: 55%

“…However, studies examining the long-term outcome of treatments are not abundant. Psychotherapy has been found to have lasting effects, with the majority of patients maintaining treatment gains for 1 year or more [10, 11, 12, 13]. There is also evidence that long-term drug treatment of panic disorder is effective [14].…”

Section: Introductionmentioning

confidence: 99%

Increased Probability of Remaining in Remission from Panic Disorder with Agoraphobia after Drug Treatment in Patients Who Received Concurrent Cognitive-Behavioural Therapy: A Follow-Up Study

Biondi

Picardi²

2002

Psychother Psychosom

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“…In CT, exposures serve to elicit cognitive change through the modification of erroneous assumptions. Randomized controlled trials have shown the efficacy of CT over supportive therapy (Beck et al, 1992), applied relaxation, and imipramine (Clark et al, 1994). Moreover, Clark et al (1999) found that a brief five sessions of CT was as efficacious for PD as receiving the full course of CT.…”

Section: Treatment and Efficacymentioning

confidence: 99%

Cognitive behavioral therapy for anxiety disorders.

White¹,

Cheung²

2021

Handbook of Cognitive Behavioral Therapy: Applications (Vol. 2).

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“…Beweise und Demonstrationen der generellen Wirksamkeit von Psychotherapie (Glass, 1976;1978;Glass, McGaw & Smith, 1991) Vom narrativen Review unterscheidet sich die Metaanalyse (Glass, 1976;1978;Glass, McGaw & Smith, 1981) (Beck, Sokol, Clark, Berchick & Wright, 199;Borkovec & Costello, 199;Barrowclough et al 001;Markowitz et al 1998). Bei weiteren Studien präsentierte sich das SC verglichen mit der CBT nach temporären Schwächen in den Post-Treatment-Werten als überlegen in den Follow-up-Effekten (Kolko, Brent, Baugher, Bridge & Birmaher, 000;Tarrier, et al 1998;Tarrier et al 000) Die Praktiken und die methodische Vorgangsweise, mit der "supportive counseling" beschrieben wird, weisen eher darauf hin, dass eine Addition und Kombination von verschiedenen Skills und Techniken vorgenommen werden, die sich mit den "core conditions" bzw.…”

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Forschung in der Klienten- bzw. Personzentrierten und Experienziellen Psychotherapie 1991–2008. Ein narrativer Review

File,

Hutterer,

Keil

et al. 2008

person

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Dieser Beitrag gibt einen Überblick über die zwischen 1991 und 2008 veröffentlichten Primärstudien der Forschung zur Person-/Klientenzentrierten und Experienziellen Psychotherapie. In Form eines narrativen Reviews aufbereitet, liegt der Schwerpunkt des Beitrags auf einer umfassenden Einschätzung der Wirksamkeit des Ansatzes in verschiedenen Anwendungsfeldern. Die Studien werden nach Themenfeldern aufgeschlüsselt dargestellt und unter Berücksichtigung der aktuellen Diskussion und vorhandener metaanalytischer Befunde interpretiert. Die Ergebnisse weisen insgesamt auf eine gute Effektivität der Person-/Klientenzentrierten und Experienziellen Psychotherapie bei unterschiedlichen Klientengruppen und bei settingspezifischen Anwendungen hin. Der Artikel soll eine Grundlage für die Qualitätsdiskussion von psychotherapeutischen Verfahren liefern.

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A crossover study of focused cognitive therapy for panic disorder

Abstract: Focused cognitive therapy offers a promising nonpharmacological alternative for the treatment of panic disorder.

Cited by 154 publications

References 15 publications

Increased Probability of Remaining in Remission from Panic Disorder with Agoraphobia after Drug Treatment in Patients Who Received Concurrent Cognitive-Behavioural Therapy: A Follow-Up Study

Increased Probability of Remaining in Remission from Panic Disorder with Agoraphobia after Drug Treatment in Patients Who Received Concurrent Cognitive-Behavioural Therapy: A Follow-Up Study

Cognitive behavioral therapy for anxiety disorders.

Forschung in der Klienten- bzw. Personzentrierten und Experienziellen Psychotherapie 1991–2008. Ein narrativer Review

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