TY  - JOUR
A1  - Weck, Florian
A1  - Grikscheit, Florian
A1  - Höfling, Volkmar
A1  - Kordt, Anne
A1  - Hamm, Alfons O.
A1  - Gerlach, Alexander L.
A1  - Alpers, Georg W.
A1  - Arolt, Volker
A1  - Kircher, Tilo
A1  - Pauli, Paul
A1  - Rief, Winfried
A1  - Lang, Thomas
T1  - The role of treatment delivery factors in exposure-based cognitive behavioral therapy for panic disorder with agoraphobia
JF  - Journal of anxiety disorders
N2  - Treatment delivery factors (i.e., therapist adherence, therapist competence, and therapeutic alliance) are considered to be important for cognitive behavioral therapy (CBT) for panic disorder and agoraphobia (PD/AG). In the current study, four independent raters conducted process evaluations based on 168 two-hour videotapes of 84 patients with PD/AG treated with exposure-based CBT. Two raters evaluated patients’ interpersonal behavior in Session 1. Two raters evaluated treatment delivery factors in Session 6, in which therapists provided the rationale for conducting exposure exercises. At the 6-month follow-up, therapists’ adherence (r = 0.54) and therapeutic alliance (r = 0.31) were significant predictors of changes in agoraphobic avoidance behavior; therapist competence was not associated with treatment outcomes. Patients’ interpersonal behavior in Session 1 was a significant predictor of the therapeutic alliance in Session 6 (r = 0.17). The findings demonstrate that treatment delivery factors, particularly therapist adherence, are relevant to the long-term success of CBT for PD/AG.
KW  - Interpersonal behavior
KW  - Panic disorder with agoraphobia
KW  - Therapeutic alliance
KW  - Therapist adherence
KW  - Therapist competence
Y1  - 2016
U6  - https://doi.org/10.1016/j.janxdis.2016.05.007
SN  - 0887-6185
SN  - 1873-7897
VL  - 42
SP  - 10
EP  - 18
PB  - Elsevier
CY  - Oxford
ER  -