Florian Weck, Florian Grikscheit, Volkmar Höfling, Anne Kordt, Alfons O. Hamm, Alexander L. Gerlach, Georg W. Alpers, Volker Arolt, Tilo Kircher, Paul Pauli, Winfried Rief, Thomas Lang
- 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, areTreatment 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.…
MetadatenVerfasserangaben: | Florian WeckORCiDGND, Florian Grikscheit, Volkmar Höfling, Anne Kordt, Alfons O. HammORCiDGND, Alexander L. Gerlach, Georg W. Alpers, Volker Arolt, Tilo Kircher, Paul Pauli, Winfried Rief, Thomas Lang |
---|
DOI: | https://doi.org/10.1016/j.janxdis.2016.05.007 |
---|
ISSN: | 0887-6185 |
---|
ISSN: | 1873-7897 |
---|
Pubmed ID: | https://pubmed.ncbi.nlm.nih.gov/27235836 |
---|
Titel des übergeordneten Werks (Englisch): | Journal of anxiety disorders |
---|
Verlag: | Elsevier |
---|
Verlagsort: | Oxford |
---|
Publikationstyp: | Wissenschaftlicher Artikel |
---|
Sprache: | Englisch |
---|
Jahr der Erstveröffentlichung: | 2016 |
---|
Erscheinungsjahr: | 2016 |
---|
Datum der Freischaltung: | 22.03.2020 |
---|
Freies Schlagwort / Tag: | Interpersonal behavior; Panic disorder with agoraphobia; Therapeutic alliance; Therapist adherence; Therapist competence |
---|
Band: | 42 |
---|
Seitenanzahl: | 9 |
---|
Erste Seite: | 10 |
---|
Letzte Seite: | 18 |
---|
Fördernde Institution: | German Research Foundation [WE 4654/4-2]; German Federal Ministry of Education and Research (BMBF) [01GV0614] |
---|
Peer Review: | Referiert |
---|
Name der Einrichtung zum Zeitpunkt der Publikation: | Humanwissenschaftliche Fakultät / Exzellenzbereich Kognitionswissenschaften |
---|