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.…
MetadatenAuthor details: | 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 |
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DOI: | https://doi.org/10.1016/j.janxdis.2016.05.007 |
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ISSN: | 0887-6185 |
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ISSN: | 1873-7897 |
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Pubmed ID: | https://pubmed.ncbi.nlm.nih.gov/27235836 |
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Title of parent work (English): | Journal of anxiety disorders |
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Publisher: | Elsevier |
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Place of publishing: | Oxford |
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Publication type: | Article |
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Language: | English |
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Year of first publication: | 2016 |
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Publication year: | 2016 |
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Release date: | 2020/03/22 |
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Tag: | Interpersonal behavior; Panic disorder with agoraphobia; Therapeutic alliance; Therapist adherence; Therapist competence |
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Volume: | 42 |
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Number of pages: | 9 |
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First page: | 10 |
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Last Page: | 18 |
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Funding institution: | German Research Foundation [WE 4654/4-2]; German Federal Ministry of Education and Research (BMBF) [01GV0614] |
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Peer review: | Referiert |
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Institution name at the time of the publication: | Humanwissenschaftliche Fakultät / Exzellenzbereich Kognitionswissenschaften |
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