Specificity of Treatment Effects: Cognitive Therapy and Relaxation for Generalized Anxiety and Panic Disorders
The aim of this study was to address claims that among bona fide treatments no one is more efficacious than another by comparing the relative efficacy of cognitive therapy (CT) and relaxation therapy (RT) in the treatment of generalized anxiety disorder (GAD) and panic disorder without agoraphobia (...
Gespeichert in:
| Veröffentlicht in: | Journal of consulting and clinical psychology 2007-08, Vol.75 (4), p.513-522 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 522 |
|---|---|
| container_issue | 4 |
| container_start_page | 513 |
| container_title | Journal of consulting and clinical psychology |
| container_volume | 75 |
| creator | Siev, Jedidiah Chambless, Dianne L |
| description | The aim of this study was to address claims that among bona fide treatments no one is more efficacious than another by comparing the relative efficacy of cognitive therapy (CT) and relaxation therapy (RT) in the treatment of generalized anxiety disorder (GAD) and panic disorder without agoraphobia (PD). Two fixed-effects meta-analyses were conducted, for GAD and PD separately, to review the treatment outcome literature directly comparing CT with RT in the treatment of those disorders. For GAD, CT and RT were equivalent. For PD, CT, which included interoceptive exposure, outperformed RT on all panic-related measures, as well as on indices of clinically significant change. There is ample evidence that both CT and RT qualify as bona fide treatments for GAD and PD, for which they are efficacious and intended to be so. Therefore, the finding that CT and RT do not differ in the treatment of GAD, but do for PD, is evidence for the specificity of treatment to disorder, even for 2 treatments within a CBT class, and 2 disorders within an anxiety class. |
| doi_str_mv | 10.1037/0022-006X.75.4.513 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68108322</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ericid>EJ771995</ericid><sourcerecordid>57105256</sourcerecordid><originalsourceid>FETCH-LOGICAL-a466t-7fd903083795625e400667ead8d48c684a7e6990417a3b140820b08ab302f4ab3</originalsourceid><addsrcrecordid>eNqFkU1LI0EQhhtZ0fjxB0SWsLjeJlb1R_X0cZHsriJ4UMFb0-l0w8gkM3ZPDvn3dkgwsAf3VIf3qbeq3mLsAmGCIPQNAOcVAL1OtJrIiUJxwEZohKk4ov7GRp_AMTvJ-Q0AkEAdsWPURIKARmz81AffxMY3w3rcxfFzCm5YhOUwnsYY_JDP2GF0bQ7nu3rKXn5Pn2__Vg-Pf-5ufz1UThINlY5zAwJqoY0iroIsY0kHN6_nsvZUS6cDGQMStRMzlFBzmEHtZgJ4lKWcsuutb5-691XIg1002Ye2dcvQrbKlGos75_8FlUZQXFEBf_wDvnWrtCxHWEIpDUrNv4I4AknOCQrEt5BPXc4pRNunZuHS2iLYzSvsJmm7SdpqZaUtryhN33fOq9kizPctu-wL8HMHuOxdG5Nb-ibvudqQELhZ8XLLhdT4T3l6rzUao4p8tZVd72yf196lofFtyNb7fr_OB2uUoaE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>614491472</pqid></control><display><type>article</type><title>Specificity of Treatment Effects: Cognitive Therapy and Relaxation for Generalized Anxiety and Panic Disorders</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>MEDLINE</source><source>EBSCOhost APA PsycARTICLES</source><creator>Siev, Jedidiah ; Chambless, Dianne L</creator><creatorcontrib>Siev, Jedidiah ; Chambless, Dianne L</creatorcontrib><description>The aim of this study was to address claims that among bona fide treatments no one is more efficacious than another by comparing the relative efficacy of cognitive therapy (CT) and relaxation therapy (RT) in the treatment of generalized anxiety disorder (GAD) and panic disorder without agoraphobia (PD). Two fixed-effects meta-analyses were conducted, for GAD and PD separately, to review the treatment outcome literature directly comparing CT with RT in the treatment of those disorders. For GAD, CT and RT were equivalent. For PD, CT, which included interoceptive exposure, outperformed RT on all panic-related measures, as well as on indices of clinically significant change. There is ample evidence that both CT and RT qualify as bona fide treatments for GAD and PD, for which they are efficacious and intended to be so. Therefore, the finding that CT and RT do not differ in the treatment of GAD, but do for PD, is evidence for the specificity of treatment to disorder, even for 2 treatments within a CBT class, and 2 disorders within an anxiety class.</description><identifier>ISSN: 0022-006X</identifier><identifier>EISSN: 1939-2117</identifier><identifier>DOI: 10.1037/0022-006X.75.4.513</identifier><identifier>PMID: 17663606</identifier><identifier>CODEN: JCLPBC</identifier><language>eng</language><publisher>Washington, DC: American Psychological Association</publisher><subject>Adult and adolescent clinical studies ; Anxiety ; Anxiety Disorders - diagnosis ; Anxiety Disorders - psychology ; Anxiety Disorders - therapy ; Anxiety disorders. Neuroses ; Behavior Modification ; Behavior therapy. Cognitive therapy ; Biological and medical sciences ; Cognitive Restructuring ; Cognitive Therapy ; Comparative studies ; Counseling Effectiveness ; Counseling Techniques ; Fear & phobias ; Generalized Anxiety Disorder ; Generalized anxiety disorders ; Human ; Humans ; Medical sciences ; Medical treatment ; Meta Analysis ; Miscellaneous ; Outcomes of Treatment ; Panic attacks ; Panic Disorder ; Panic Disorder - diagnosis ; Panic Disorder - psychology ; Panic Disorder - therapy ; Panic disorders ; Psychological Patterns ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Relaxation Therapy ; Relaxation Training ; Relaxation. Biofeedback. Hypnosis. Selfregulation. Meditation ; Sensitivity and Specificity ; Severity of Illness Index ; Stress Management ; Therapy ; Treatment ; Treatment Outcome ; Treatments</subject><ispartof>Journal of consulting and clinical psychology, 2007-08, Vol.75 (4), p.513-522</ispartof><rights>2007 American Psychological Association</rights><rights>2007 INIST-CNRS</rights><rights>Copyright American Psychological Association Aug 2007</rights><rights>2007, American Psychological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a466t-7fd903083795625e400667ead8d48c684a7e6990417a3b140820b08ab302f4ab3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904,30978,30979</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ771995$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18963312$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17663606$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Siev, Jedidiah</creatorcontrib><creatorcontrib>Chambless, Dianne L</creatorcontrib><title>Specificity of Treatment Effects: Cognitive Therapy and Relaxation for Generalized Anxiety and Panic Disorders</title><title>Journal of consulting and clinical psychology</title><addtitle>J Consult Clin Psychol</addtitle><description>The aim of this study was to address claims that among bona fide treatments no one is more efficacious than another by comparing the relative efficacy of cognitive therapy (CT) and relaxation therapy (RT) in the treatment of generalized anxiety disorder (GAD) and panic disorder without agoraphobia (PD). Two fixed-effects meta-analyses were conducted, for GAD and PD separately, to review the treatment outcome literature directly comparing CT with RT in the treatment of those disorders. For GAD, CT and RT were equivalent. For PD, CT, which included interoceptive exposure, outperformed RT on all panic-related measures, as well as on indices of clinically significant change. There is ample evidence that both CT and RT qualify as bona fide treatments for GAD and PD, for which they are efficacious and intended to be so. Therefore, the finding that CT and RT do not differ in the treatment of GAD, but do for PD, is evidence for the specificity of treatment to disorder, even for 2 treatments within a CBT class, and 2 disorders within an anxiety class.</description><subject>Adult and adolescent clinical studies</subject><subject>Anxiety</subject><subject>Anxiety Disorders - diagnosis</subject><subject>Anxiety Disorders - psychology</subject><subject>Anxiety Disorders - therapy</subject><subject>Anxiety disorders. Neuroses</subject><subject>Behavior Modification</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Biological and medical sciences</subject><subject>Cognitive Restructuring</subject><subject>Cognitive Therapy</subject><subject>Comparative studies</subject><subject>Counseling Effectiveness</subject><subject>Counseling Techniques</subject><subject>Fear & phobias</subject><subject>Generalized Anxiety Disorder</subject><subject>Generalized anxiety disorders</subject><subject>Human</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Medical treatment</subject><subject>Meta Analysis</subject><subject>Miscellaneous</subject><subject>Outcomes of Treatment</subject><subject>Panic attacks</subject><subject>Panic Disorder</subject><subject>Panic Disorder - diagnosis</subject><subject>Panic Disorder - psychology</subject><subject>Panic Disorder - therapy</subject><subject>Panic disorders</subject><subject>Psychological Patterns</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Relaxation Therapy</subject><subject>Relaxation Training</subject><subject>Relaxation. Biofeedback. Hypnosis. Selfregulation. Meditation</subject><subject>Sensitivity and Specificity</subject><subject>Severity of Illness Index</subject><subject>Stress Management</subject><subject>Therapy</subject><subject>Treatment</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><issn>0022-006X</issn><issn>1939-2117</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkU1LI0EQhhtZ0fjxB0SWsLjeJlb1R_X0cZHsriJ4UMFb0-l0w8gkM3ZPDvn3dkgwsAf3VIf3qbeq3mLsAmGCIPQNAOcVAL1OtJrIiUJxwEZohKk4ov7GRp_AMTvJ-Q0AkEAdsWPURIKARmz81AffxMY3w3rcxfFzCm5YhOUwnsYY_JDP2GF0bQ7nu3rKXn5Pn2__Vg-Pf-5ufz1UThINlY5zAwJqoY0iroIsY0kHN6_nsvZUS6cDGQMStRMzlFBzmEHtZgJ4lKWcsuutb5-691XIg1002Ye2dcvQrbKlGos75_8FlUZQXFEBf_wDvnWrtCxHWEIpDUrNv4I4AknOCQrEt5BPXc4pRNunZuHS2iLYzSvsJmm7SdpqZaUtryhN33fOq9kizPctu-wL8HMHuOxdG5Nb-ibvudqQELhZ8XLLhdT4T3l6rzUao4p8tZVd72yf196lofFtyNb7fr_OB2uUoaE</recordid><startdate>20070801</startdate><enddate>20070801</enddate><creator>Siev, Jedidiah</creator><creator>Chambless, Dianne L</creator><general>American Psychological Association</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7X8</scope></search><sort><creationdate>20070801</creationdate><title>Specificity of Treatment Effects</title><author>Siev, Jedidiah ; Chambless, Dianne L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a466t-7fd903083795625e400667ead8d48c684a7e6990417a3b140820b08ab302f4ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult and adolescent clinical studies</topic><topic>Anxiety</topic><topic>Anxiety Disorders - diagnosis</topic><topic>Anxiety Disorders - psychology</topic><topic>Anxiety Disorders - therapy</topic><topic>Anxiety disorders. Neuroses</topic><topic>Behavior Modification</topic><topic>Behavior therapy. Cognitive therapy</topic><topic>Biological and medical sciences</topic><topic>Cognitive Restructuring</topic><topic>Cognitive Therapy</topic><topic>Comparative studies</topic><topic>Counseling Effectiveness</topic><topic>Counseling Techniques</topic><topic>Fear & phobias</topic><topic>Generalized Anxiety Disorder</topic><topic>Generalized anxiety disorders</topic><topic>Human</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Medical treatment</topic><topic>Meta Analysis</topic><topic>Miscellaneous</topic><topic>Outcomes of Treatment</topic><topic>Panic attacks</topic><topic>Panic Disorder</topic><topic>Panic Disorder - diagnosis</topic><topic>Panic Disorder - psychology</topic><topic>Panic Disorder - therapy</topic><topic>Panic disorders</topic><topic>Psychological Patterns</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Relaxation Therapy</topic><topic>Relaxation Training</topic><topic>Relaxation. Biofeedback. Hypnosis. Selfregulation. Meditation</topic><topic>Sensitivity and Specificity</topic><topic>Severity of Illness Index</topic><topic>Stress Management</topic><topic>Therapy</topic><topic>Treatment</topic><topic>Treatment Outcome</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Siev, Jedidiah</creatorcontrib><creatorcontrib>Chambless, Dianne L</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>PsycArticles (via ProQuest)</collection><collection>ProQuest One Psychology</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of consulting and clinical psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Siev, Jedidiah</au><au>Chambless, Dianne L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ771995</ericid><atitle>Specificity of Treatment Effects: Cognitive Therapy and Relaxation for Generalized Anxiety and Panic Disorders</atitle><jtitle>Journal of consulting and clinical psychology</jtitle><addtitle>J Consult Clin Psychol</addtitle><date>2007-08-01</date><risdate>2007</risdate><volume>75</volume><issue>4</issue><spage>513</spage><epage>522</epage><pages>513-522</pages><issn>0022-006X</issn><eissn>1939-2117</eissn><coden>JCLPBC</coden><abstract>The aim of this study was to address claims that among bona fide treatments no one is more efficacious than another by comparing the relative efficacy of cognitive therapy (CT) and relaxation therapy (RT) in the treatment of generalized anxiety disorder (GAD) and panic disorder without agoraphobia (PD). Two fixed-effects meta-analyses were conducted, for GAD and PD separately, to review the treatment outcome literature directly comparing CT with RT in the treatment of those disorders. For GAD, CT and RT were equivalent. For PD, CT, which included interoceptive exposure, outperformed RT on all panic-related measures, as well as on indices of clinically significant change. There is ample evidence that both CT and RT qualify as bona fide treatments for GAD and PD, for which they are efficacious and intended to be so. Therefore, the finding that CT and RT do not differ in the treatment of GAD, but do for PD, is evidence for the specificity of treatment to disorder, even for 2 treatments within a CBT class, and 2 disorders within an anxiety class.</abstract><cop>Washington, DC</cop><pub>American Psychological Association</pub><pmid>17663606</pmid><doi>10.1037/0022-006X.75.4.513</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-006X |
| ispartof | Journal of consulting and clinical psychology, 2007-08, Vol.75 (4), p.513-522 |
| issn | 0022-006X 1939-2117 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68108322 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; EBSCOhost APA PsycARTICLES |
| subjects | Adult and adolescent clinical studies Anxiety Anxiety Disorders - diagnosis Anxiety Disorders - psychology Anxiety Disorders - therapy Anxiety disorders. Neuroses Behavior Modification Behavior therapy. Cognitive therapy Biological and medical sciences Cognitive Restructuring Cognitive Therapy Comparative studies Counseling Effectiveness Counseling Techniques Fear & phobias Generalized Anxiety Disorder Generalized anxiety disorders Human Humans Medical sciences Medical treatment Meta Analysis Miscellaneous Outcomes of Treatment Panic attacks Panic Disorder Panic Disorder - diagnosis Panic Disorder - psychology Panic Disorder - therapy Panic disorders Psychological Patterns Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Relaxation Therapy Relaxation Training Relaxation. Biofeedback. Hypnosis. Selfregulation. Meditation Sensitivity and Specificity Severity of Illness Index Stress Management Therapy Treatment Treatment Outcome Treatments |
| title | Specificity of Treatment Effects: Cognitive Therapy and Relaxation for Generalized Anxiety and Panic Disorders |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-24T16%3A29%3A24IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Specificity%20of%20Treatment%20Effects:%20Cognitive%20Therapy%20and%20Relaxation%20for%20Generalized%20Anxiety%20and%20Panic%20Disorders&rft.jtitle=Journal%20of%20consulting%20and%20clinical%20psychology&rft.au=Siev,%20Jedidiah&rft.date=2007-08-01&rft.volume=75&rft.issue=4&rft.spage=513&rft.epage=522&rft.pages=513-522&rft.issn=0022-006X&rft.eissn=1939-2117&rft.coden=JCLPBC&rft_id=info:doi/10.1037/0022-006X.75.4.513&rft_dat=%3Cproquest_cross%3E57105256%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=614491472&rft_id=info:pmid/17663606&rft_ericid=EJ771995&rfr_iscdi=true |