Exposure versus cognitive restructuring in the treatment of panic disorder with agoraphobia

Bouchard, Stéphane; Gauthier, Janel; Laberge, Benoît; French, Douglas J.; Pelletier, Marie-Hélène; Godbout, C

doi:10.1016/0005-7967(95)00077-1

Cited by 96 publications

(75 citation statements)

References 33 publications

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“…Our results do fall in line with previous research, which generally has failed to support the hypothesis that adding cognitive techniques aimed at panic attacks should prove to add substantial treatment effects, more than that achieved by exposure only (Bouchard et al, 1995;Burke et al, 1997). Only one study has found more substantial beneficial effects (Michelson et al, 1996), and one study (Williams & Falbo, 1996) showed inferior results in the cognitive condition.…”

Section: Treatment Efficacysupporting

confidence: 80%

“…Clear improvement in this outcome variable was noted in both conditions. Bouchard et al (1995) compared cognitive therapy to exposure in vivo plus interoceptive exposure. Treatment was provided in small groups for 15 sessions, and had an interesting feature in that the cognitive variety contained explicit recommendations as opposed to the repetition or prolongation of any exposure exercises.…”

Section: Cognitive Therapymentioning

confidence: 99%

“…Therapists were reported to favor the active approach in EMDR, so allegiance should not be considered a serious threat to this conclusion. The study of Bouchard et al (1995) is noteworthy because the cognitive therapy condition contained instructions that explicitly told the patients that the essential components of exposure were unnecessary and of no use in the treatment of PDA. If researchers' allegiance should be considered here, an indication is given when the authors' main conclusion was that treatments were equivalent, even though exposure was significantly superior on one measure and a substantial difference, in percentage of subjects reaching high end-state, was noted in favor of exposure at post-test.…”

Section: Treatment Efficacymentioning

confidence: 99%

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Behavioral Treatments of Panic Disorder with Agoraphobia: Treatment Process and Determinants of Change

Ramnerö¹

2005

PsycEXTRA Dataset

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The present dissertation comprises four empirical studies within the area of behavioral treatment of panic disorder with agoraphobia. The focus is on studying issues pertaining to outcome, treatment process and determinants of change. The first study is a randomized controlled treatment study of 73 patients undergoing 16 sessions of either exposure in vivo (E), or cognitive behavior therapy (CBT). Both treatments showed clear improvements at post-treatment that were well maintained at 1-year follow up, and there were no significant differences between the treatments. The second study concerned prediction of outcome in the same sample. From a variety of pre-treatment characteristics severity of avoidance was the one most related to outcome. Most predictors were found unrelated. Two approaches of prediction were also compared: treating outcome as a categorical vs. continuous variable. The different approaches yielded a somewhat dissimilar picture of the impact of pre-treatment severity of avoidance. The third study examined different aspects of the therapeutic relationship, and their relation to outcome. Clients' perceptions of therapists and their ratings of the working alliance were generally not related to outcome at any point. On the other hand, therapists' perceptions of patients as showing goal-direction and active participation were related to outcome from early on in therapy. The fourth study examined different aspects of change. It was found that change in indices of the frequency of panic attacks was not closely related to change in agoraphobic avoidance at post-treatment. Change in avoidance was also more related to other aspects of outcome. At one-year follow-up, a more unitary picture, regarding the different aspects of change was observed.

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Section: Treatment Efficacysupporting

confidence: 80%

Section: Cognitive Therapymentioning

confidence: 99%

Section: Treatment Efficacymentioning

confidence: 99%

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Behavioral Treatments of Panic Disorder with Agoraphobia: Treatment Process and Determinants of Change

Ramnerö¹

2005

PsycEXTRA Dataset

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“…In studies of panic disorder, CR alone can lead to a significant reduction in panic symptoms (Bouchard et al, 1996;Margraf & Schneider, 1991;see Gould, Otto, & Pollack, 1995), although exposure alone appears to be as effective as exposure plus CR (Bouchard et al, 1996;Öst, Thulin, & Ramnerö, 2004;van den Hout, Arntz, & Hoekstra, 1994). However for social anxiety, CR may play a more critical therapeutic role.…”

Section: Component Analysismentioning

confidence: 99%

Cognitive Restructuring

Clark¹

2013

The Wiley Handbook of Cognitive Behavioral Therapy

119

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Cognitive restructuring is the core therapeutic ingredient of cognitive therapy that was first introduced to the psychotherapy community by A. T. Beck and colleagues. This chapter provides a detailed breakdown and elaboration of cognitive restructuring and how it is implemented to effect symptom change. The nature of cognitive restructuring and its multifaceted therapeutic components are discussed. A critical review of the empirical research on its treatment efficacy is presented, as well as the evidence for cognitive mediation from component and mediation process research. It is concluded that cognitive restructuring is an effective treatment strategy for psychological disorders, especially anxiety and depression. However, superiority to other “less cognitive” interventions has not been demonstrated, even though the effectiveness of cognitive restructuring does occur by inducing cognitive change. Various research issues are raised that would advance a greater understanding of the mechanisms of change associated with cognitive restructuring. With greater knowledge of the change processes that characterize cognitive restructuring, clinicians will be better equipped to employ this powerful therapeutic intervention.

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“…Contudo, a realização desta psicoterapia de forma inapropriada ou insuficiente pode gerar sintomas residuais. Um tratamento efetivo para TP deve perpassar por uma mudança cognitiva (Öst & Westling, 1994;Bouchard et al, 1996). Assim, quando se vincula o tratamento cognitivo a outra modalidade, há aumento no efeito dos resultados (Murphy et al, 1998).…”

Section: Transtorno De Pânicounclassified

Efetividade da Terapia Cognitivo-Comportamental para os Transtornos do Humor e Ansiedade: Uma Revisão de Revisões Sistemáticas

Dewes¹,

Oliveira²,

Andretta³

et al. 2010

Revista de Psicologia da IMED

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RESUMOIntervenções em Terapia Cognitivo-Comportamental (TCC) têm sido muito estudadas nos últimos anos, tendo em vista evidências da sua efetividade para diversos transtornos da saúde. Este estudo apresenta uma revisão de revisões sistemáticas sobre a efetividade da TCC para transtornos de ansiedade e do humor, publicados entre 2005 e 2010. Treze revisões foram recuperadas e resumidas incluindo efeitos similares da associação entre TCC e recuperação clínica. Os resultados sugerem que a TCC combinada com a abordagem medicamentosa denotou eficácia para os transtornos de humor bipolar, obsessivo compulsivo, depressivo e o de estresse pós-traumático. Benefícios em longo prazo foram verificados na qualidade de vida de indivíduos com transtorno do pânico e fobia social, após sessões de TCC. A TCC foi mais eficaz do que terapia medicamentosa para o tratamento de transtorno de ansiedade generalizada. Em fobia específica, a TCC foi menos eficaz que exposição in vivo. Os estudos recuperados sugerem benefícios potenciais da TCC e estudos ainda são necessários para realçar possíveis melhoras nessa modalidade de tratamento. Palavras-chave: Terapia cognitivo-comportamental; efetividade; disfunções mentais ou comportamentais; transtornos do humor e ansiedade; revisão. THE EFFECTIVENESS OF COGNITIVE-BEHAVIOURAL THERAPY TO TREAT MOOD AND ANXIETY DISORDERS: A SYSTEMATIC REVIEW OF SYSTEMATIC REVIEWS ABSTRACTCognitive behavioral therapy (CBT) interventions have been widely studied, since there is evidence of their effectiveness for different pathologies. The present study is a review of systematic reviews on anxiety and mood disorders, published between 2005 and 2010. Thirteen reviews were retrieved and summarized, including mean effects of association between CBT

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Exposure versus cognitive restructuring in the treatment of panic disorder with agoraphobia

Cited by 96 publications

References 33 publications

Behavioral Treatments of Panic Disorder with Agoraphobia: Treatment Process and Determinants of Change

Behavioral Treatments of Panic Disorder with Agoraphobia: Treatment Process and Determinants of Change

Cognitive Restructuring

Efetividade da Terapia Cognitivo-Comportamental para os Transtornos do Humor e Ansiedade: Uma Revisão de Revisões Sistemáticas

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