Sudden gains in exposure‐focused cognitive‐behavioral group therapy for panic disorder

Nogueira-Arjona, Raquel; Santacana, Martí; Montoro, María; Rosado, Silvia; Guillamat, Roser; Vallès, Vicenç; Fullana, Miquel À.

doi:10.1002/cpp.2093

Cited by 10 publications

(2 citation statements)

References 23 publications

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“…Nogueira-Arjona et al . (2017) also found sudden gains in patients receiving group CBT treatment for panic disorder and these were associated with lower levels of panic severity and functional impairment at the end of treatment and 6-month follow up.…”

Section: Introductionmentioning

confidence: 92%

Cognitive change before sudden gains in cognitive behavioural therapy for panic disorder

Lee,

McMillan,

Delgadillo

et al. 2023

Behav. Cogn. Psychother.

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Background: Sudden gains occur in a range of disorders and treatments and are of clinical and theoretical significance if they can shed light on therapeutic change processes. This study investigated the relationship between sudden gains in panic symptoms and preceding cognitive change during cognitive behavioural therapy (CBT) for panic disorder. Method: Participants with panic disorder completed in session measures of panic symptoms and catastrophic cognitions. Independent samples t-tests were used to compare the post-treatment score of those who met criteria for one or more sudden gain during treatment with those who did not, and to compare within-session cognitive change between pre-sudden gain sessions and the previous (control) session. Results: Twenty-two (42%) of 53 participants experienced a sudden gain during treatment. Participants demonstrating a sudden gain showed more improvement in panic symptoms from pre- to post-treatment than those without a sudden gain. The within-session cognitive change score in the pre-gain session was significantly greater than in the control session. Conclusions: Sudden gains occurred in individual CBT for panic disorder and within-session cognitive change was associated with sudden gains. This is consistent with the cognitive model of panic disorder and highlights how sudden gains can help to identify key change processes.

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Section: Introductionmentioning

confidence: 92%

Cognitive change before sudden gains in cognitive behavioural therapy for panic disorder

Lee,

McMillan,

Delgadillo

et al. 2023

Behav. Cogn. Psychother.

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“…Individuals with combat-related trauma who had positive outcome in exposure showed a reduction in trauma-related guilt (Trachik et al, 2018). In addition, a general reduction in panic-related cognitions was observed in individuals who showed sudden gains in exposure treatment (Nogueira-Arjona et al, 2017), and changes in panic-related cognitions led to changes in the severity of panic symptoms (Hofmann et al, 2007). Other research has demonstrated that cognitions related to physical consequences of anxiety changed in the successful treatment of both agoraphobia and social anxiety (Vögele et al, 2010).…”

Section: Mechanisms Of Change Datamentioning

confidence: 99%

Exposure therapy.

Garner¹,

Steinberg²,

McKay³

2021

Handbook of Cognitive Behavioral Therapy: Overview and Approaches (Vol. 1).

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E xposure therapy has been demonstrated as a highly efficacious intervention, used primarily in the treatment of anxiety and obsessive-compulsive disorders (McKay, 2016) and posttraumatic stress disorder (PTSD; Courtois et al., 2017). Its application has been evaluated as a stand-alone intervention and as a component of a broader program of cognitive behavioral therapy (CBT). This chapter has the following aims: first, to briefly review the history and underlying theory of exposure therapy; second, to provide a description of the primary procedures in exposure; third, to summarize the outcome data associated with the approach and highlight the mechanisms of change; and finally, to cover the application of exposure to diverse populations. 1 The chapter concludes with future directions in the applications of exposure therapy. HISTORYExposure as a method for reducing anxiety is predicted from the original experimental work of Pavlov (summarized in Pavlov, 1927). Specifically, with repeated presentation of a conditioned stimulus in the absence of the unconditioned stimulus, the conditioned response should weaken and ultimately result in habituation. Application of this procedure implies, however, that the individual will experience an adverse emotional state en route to experiencing relief. Accordingly, proper application requires gradual presentation of portions 1 Clinical examples are disguised to protect patient confidentiality.

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Sudden Gains and Ambivalence in the Unified Protocol for Transdiagnostic Treatment of Emotional Disorder

et al. 2021

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Sudden gains in exposure‐focused cognitive‐behavioral group therapy for panic disorder

Cited by 10 publications

References 23 publications

Cognitive change before sudden gains in cognitive behavioural therapy for panic disorder

Cognitive change before sudden gains in cognitive behavioural therapy for panic disorder

Exposure therapy.

Sudden Gains and Ambivalence in the Unified Protocol for Transdiagnostic Treatment of Emotional Disorder

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