The role of therapist and patient in‐session behavior for treatment outcome in exposure‐based cognitive behavioral therapy for panic disorder with agoraphobia
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 investiga...
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| Veröffentlicht in: | Journal of clinical psychology 2019-04, Vol.75 (4), p.614-626 |
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| container_issue | 4 |
| container_start_page | 614 |
| container_title | Journal of clinical psychology |
| container_volume | 75 |
| creator | Maiwald, Lisa M. Junga, Yvonne M. Lang, Thomas Montini, Romina Witthöft, Michael Heider, Jens Schröder, Annette Weck, Florian |
| description | 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. |
| doi_str_mv | 10.1002/jclp.22738 |
| format | Article |
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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.</description><identifier>ISSN: 0021-9762</identifier><identifier>EISSN: 1097-4679</identifier><identifier>DOI: 10.1002/jclp.22738</identifier><identifier>PMID: 30597535</identifier><language>eng</language><publisher>United States: Wiley Periodicals Inc</publisher><subject>Agoraphobia ; Behavior modification ; Cognitive behavioral therapy ; Cognitive therapy ; Fear & phobias ; interpersonal behavior ; Panic attacks ; panic disorder with agoraphobia ; therapeutic alliance ; therapist competence ; Therapists ; treatment outcome</subject><ispartof>Journal of clinical psychology, 2019-04, Vol.75 (4), p.614-626</ispartof><rights>2018 Wiley Periodicals, Inc.</rights><rights>2019 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3578-e0db3ce23750beaa1c013ab0e38cdaf79e390b2688d9af25ec7f1fa965e1f5083</citedby><cites>FETCH-LOGICAL-c3578-e0db3ce23750beaa1c013ab0e38cdaf79e390b2688d9af25ec7f1fa965e1f5083</cites><orcidid>0000-0003-4535-1384</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjclp.22738$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjclp.22738$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30597535$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maiwald, Lisa M.</creatorcontrib><creatorcontrib>Junga, Yvonne M.</creatorcontrib><creatorcontrib>Lang, Thomas</creatorcontrib><creatorcontrib>Montini, Romina</creatorcontrib><creatorcontrib>Witthöft, Michael</creatorcontrib><creatorcontrib>Heider, Jens</creatorcontrib><creatorcontrib>Schröder, Annette</creatorcontrib><creatorcontrib>Weck, Florian</creatorcontrib><title>The role of therapist and patient in‐session behavior for treatment outcome in exposure‐based cognitive behavioral therapy for panic disorder with agoraphobia</title><title>Journal of clinical psychology</title><addtitle>J Clin Psychol</addtitle><description>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.</description><subject>Agoraphobia</subject><subject>Behavior modification</subject><subject>Cognitive behavioral therapy</subject><subject>Cognitive therapy</subject><subject>Fear & phobias</subject><subject>interpersonal behavior</subject><subject>Panic attacks</subject><subject>panic disorder with agoraphobia</subject><subject>therapeutic alliance</subject><subject>therapist competence</subject><subject>Therapists</subject><subject>treatment outcome</subject><issn>0021-9762</issn><issn>1097-4679</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp90ctu1DAUBmALgehQ2PAAyBIbhJTiyziOl2jEVSPBoqyjE-ek8SiJg-20nR2PwDPwaDwJns7QBQsWlhf-zu8j_YQ85-yCMybe7OwwXwihZfWArDgzuliX2jwkq_zIC6NLcUaexLhjjK0ZV4_JmWTKaCXVivy67JEGPyD1HU09BphdTBSmls6QHE6Juun3j58RY3R-og32cO18oF0-KSCk8WD8kqwfMVuKt7OPS8A81EDEllp_NbnkrvF-GIbTV_u7mBkmZ2nrog8tBnrjUk_hKrO5942Dp-RRB0PEZ6f7nHx7_-5y87HYfvnwafN2W1ipdFUgaxtpUUitWIMA3DIuoWEoK9tCpw1KwxpRVlVroBMKre54B6ZUyDvFKnlOXh1z5-C_LxhTPbpocRhgQr_EWvBSrI1Uqsz05T9055cw5e2yMoxpISuV1eujssHHGLCr5-BGCPuas_rQXH1orr5rLuMXp8ilGbG9p3-ryoAfwY0bcP-fqPrzZvv1GPoHGXupyw</recordid><startdate>201904</startdate><enddate>201904</enddate><creator>Maiwald, Lisa M.</creator><creator>Junga, Yvonne M.</creator><creator>Lang, Thomas</creator><creator>Montini, Romina</creator><creator>Witthöft, Michael</creator><creator>Heider, Jens</creator><creator>Schröder, Annette</creator><creator>Weck, Florian</creator><general>Wiley Periodicals Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4535-1384</orcidid></search><sort><creationdate>201904</creationdate><title>The role of therapist and patient in‐session behavior for treatment outcome in exposure‐based cognitive behavioral therapy for panic disorder with agoraphobia</title><author>Maiwald, Lisa M. ; Junga, Yvonne M. ; Lang, Thomas ; Montini, Romina ; Witthöft, Michael ; Heider, Jens ; Schröder, Annette ; Weck, Florian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3578-e0db3ce23750beaa1c013ab0e38cdaf79e390b2688d9af25ec7f1fa965e1f5083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Agoraphobia</topic><topic>Behavior modification</topic><topic>Cognitive behavioral therapy</topic><topic>Cognitive therapy</topic><topic>Fear & phobias</topic><topic>interpersonal behavior</topic><topic>Panic attacks</topic><topic>panic disorder with agoraphobia</topic><topic>therapeutic alliance</topic><topic>therapist competence</topic><topic>Therapists</topic><topic>treatment outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maiwald, Lisa M.</creatorcontrib><creatorcontrib>Junga, Yvonne M.</creatorcontrib><creatorcontrib>Lang, Thomas</creatorcontrib><creatorcontrib>Montini, Romina</creatorcontrib><creatorcontrib>Witthöft, Michael</creatorcontrib><creatorcontrib>Heider, Jens</creatorcontrib><creatorcontrib>Schröder, Annette</creatorcontrib><creatorcontrib>Weck, Florian</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maiwald, Lisa M.</au><au>Junga, Yvonne M.</au><au>Lang, Thomas</au><au>Montini, Romina</au><au>Witthöft, Michael</au><au>Heider, Jens</au><au>Schröder, Annette</au><au>Weck, Florian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of therapist and patient in‐session behavior for treatment outcome in exposure‐based cognitive behavioral therapy for panic disorder with agoraphobia</atitle><jtitle>Journal of clinical psychology</jtitle><addtitle>J Clin Psychol</addtitle><date>2019-04</date><risdate>2019</risdate><volume>75</volume><issue>4</issue><spage>614</spage><epage>626</epage><pages>614-626</pages><issn>0021-9762</issn><eissn>1097-4679</eissn><abstract>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.</abstract><cop>United States</cop><pub>Wiley Periodicals Inc</pub><pmid>30597535</pmid><doi>10.1002/jclp.22738</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-4535-1384</orcidid></addata></record> |
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| language | eng |
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| source | Wiley Online Library Journals Frontfile Complete; Education Source |
| subjects | Agoraphobia Behavior modification Cognitive behavioral therapy Cognitive therapy Fear & phobias interpersonal behavior Panic attacks panic disorder with agoraphobia therapeutic alliance therapist competence Therapists treatment outcome |
| title | The role of therapist and patient in‐session behavior for treatment outcome in exposure‐based cognitive behavioral therapy for panic disorder with agoraphobia |
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