TY  - JOUR
A1  - Maiwald, Lisa Marie
A1  - Junga, Yvonne Marie
A1  - Lang, Thomas
A1  - Montini, Romina
A1  - Witthöft, Michael
A1  - Heider, Jens
A1  - Schröder, Annette
A1  - Weck, Florian
T1  - The role of therapist and patient in-session behavior for treatment outcome in exposure-based cognitive behavioral therapy for panic disorder with agoraphobia
JF  - Journal of clinical psychology
N2  - Objective
There is a very limited amount of research on the relationship between therapist and patient in‐session behavior and treatment outcome in cognitive behavioral therapy (CBT) for panic disorder with agoraphobia (PD/AG). Additionally, the findings tend to be inconclusive. This study investigates the association between therapist competence, adherence, patient interpersonal behavior, and therapeutic alliance and outcome in a low‐control CBT setting by using comprehensive measures.

Methods
Twenty‐six patients with PD/AG received 12 sessions of exposure‐based CBT. With regard to the outcome, treatments were classified either as problematic or nonproblematic by means of distinct criteria. Two raters evaluated the in‐session behavior.

Results
Patient interpersonal behavior was significantly associated with outcome at follow‐up (r = 0.49). At posttreatment, the correlation did not reach significance ( r = 0.34). Competence, adherence, and alliance were not outcome associated.

Conclusion
The findings emphasize the need for therapists to pay particular attention to patients’ interpersonal behavior during treatment.
KW  - interpersonal behavior
KW  - panic disorder with agoraphobia
KW  - therapeutic alliance
KW  - therapist competence
KW  - treatment outcome
Y1  - 2018
U6  - https://doi.org/10.1002/jclp.22738
SN  - 0021-9762
SN  - 1097-4679
VL  - 75
IS  - 4
SP  - 614
EP  - 626
PB  - Wiley
CY  - Hoboken
ER  -