Predicting behavioral treatment outcome for agoraphobia and obsessive compulsive disorder

Steketee, Gail; Shapiro, Leslie J.

doi:10.1016/0272-7358(95)00017-j

Cited by 97 publications

(62 citation statements)

References 94 publications

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“…We found no effect, whatsoever, from cluster C personality disorder, which could be expected from several studies (Chambless et al, 1992;Hoffart & Martinsen, 1993;Steketee & Shapiro, 1995). It should, however, be remembered that the detrimental effects of a simultaneous diagnosis of avoidant personality disorder is far from evident and the results are inconclusive (Dressen & Arntz, 1998;Chambless et al, 2000).…”

Section: Prediction Of Outcomecontrasting

confidence: 44%

“…And, most notably, the estimates by the therapist and the independent assessor of the quality, relative to the quantity of the work, were better predictors. Steketee and Shapiro (1995) noted that treatment motivation, as a predictor in exposure treatments, was not largely studied. In an early study of behavioral treatment of agoraphobia (Mathews et al, 1976), the factors to predict outcome were emotional stability and expectancy of performance (r = .34).…”

Section: Process-related Determinants Of Change Compliance and Homeworkmentioning

confidence: 99%

“…But, in the area of behavioral treatments for PDA, few predictors consistently turn up. The basic dimension of severity of avoidance seems to be an exception (Basoglu et al, 1994;Keisers et al, 1994;Sharp & Power, 1999;Steketee & Shapiro, 1995). However, the ability to predict outcome itself bears no necessary implications of clinical relevance for designing treatment.…”

Section: Prediction Of Outcomementioning

confidence: 99%

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

Ramnerö¹

2005

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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: Prediction Of Outcomecontrasting

confidence: 44%

Section: Process-related Determinants Of Change Compliance and Homeworkmentioning

confidence: 99%

Section: Prediction Of Outcomementioning

confidence: 99%

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

Ramnerö¹

2005

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“…In practice, it involves ex-!e posing the person to a situation that provokes the ritual and, at the same time, preventing the person from performing thẽ ritual. The success ofthese behavioural treatments in signifi-"cantly reducing the symptoms as reported in the literature is .20% to 60% (13,14). Relapse is reported in about 30% of :,cases (15).…”

Section: Pharmacological Treatmentmentioning

confidence: 98%

Cognitive-Behaviour Therapy and Medication in the Treatment of Obsessive-Compulsive Disorder: A Controlled Study

et al. 1999

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“…25 Only a handful have examined family factors (marital satisfaction, family communication) as potential predictors of outcome, in contrast to the extensive literature on this topic in schizophrenia, mainly on expressed emotion (see below). Studies of family functioning in children with OCD indicate that one or both parents are often rated high on expressed emotion (EE), and EE levels have been associated with parental psychopathology.…”

Section: Familial Predictors Of Outcome/relapse For Ocdmentioning

confidence: 99%

Family Approaches to Treatment for Obsessive Compulsive Disorder

Steketee

Noppen

2004

Journal of Family Psychotherapy

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Predicting behavioral treatment outcome for agoraphobia and obsessive compulsive disorder

Cited by 97 publications

References 94 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-Behaviour Therapy and Medication in the Treatment of Obsessive-Compulsive Disorder: A Controlled Study

Family Approaches to Treatment for Obsessive Compulsive Disorder

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