A Meta-Analysis of Treatments for Panic Disorder
In a meta-analysis, the authors compared the effectiveness of psychological and pharmacological treatments for panic disorder. Percentage of agoraphobic subjects in the sample and duration of the illness were unrelated to effect size (ES). Type of dependent variable was generally unrelated to treatm...
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| Veröffentlicht in: | Journal of consulting and clinical psychology 1993-04, Vol.61 (2), p.317-326 |
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| container_title | Journal of consulting and clinical psychology |
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| creator | Clum, George A Clum, Gretchen A Surls, Rebecca |
| description | In a meta-analysis, the authors compared the effectiveness of psychological and pharmacological treatments for panic disorder. Percentage of agoraphobic subjects in the sample and duration of the illness were unrelated to effect size (ES). Type of dependent variable was generally unrelated to treatment outcome, although behavioral measures yielded significantly smaller ESs. Dependent measures of general anxiety, avoidance, and panic attacks yielded larger ESs than did depression measures. Choice of control was related to ES, with comparisons with placebo controls greater than comparisons with exposure-only or "other treatment" controls. Psychological coping strategies involving relaxation training, cognitive restructuring, and exposure yielded the most consistent ESs; flooding and combination treatments (psychological and pharmacological) yielded the next most consistent ESs. Antidepressants were the most effective pharmacological intervention. |
| doi_str_mv | 10.1037/0022-006X.61.2.317 |
| format | Article |
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Percentage of agoraphobic subjects in the sample and duration of the illness were unrelated to effect size (ES). Type of dependent variable was generally unrelated to treatment outcome, although behavioral measures yielded significantly smaller ESs. Dependent measures of general anxiety, avoidance, and panic attacks yielded larger ESs than did depression measures. Choice of control was related to ES, with comparisons with placebo controls greater than comparisons with exposure-only or "other treatment" controls. Psychological coping strategies involving relaxation training, cognitive restructuring, and exposure yielded the most consistent ESs; flooding and combination treatments (psychological and pharmacological) yielded the next most consistent ESs. 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Psychiatry ; Psychotherapy ; Psychotherapy - methods ; Relaxation Training ; Social research ; Systematic review ; Therapy ; Treatment ; Treatments</subject><ispartof>Journal of consulting and clinical psychology, 1993-04, Vol.61 (2), p.317-326</ispartof><rights>1993 American Psychological Association</rights><rights>1993 INIST-CNRS</rights><rights>Copyright American Psychological Association Apr 1993</rights><rights>1993, American Psychological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a407t-8682ebe34f35deba409627617af52cc24ed0e4bcc0ff614977c105687b6faddf3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27846,27901,27902,30976,30977</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ460837$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4729763$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8097212$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Clum, George A</creatorcontrib><creatorcontrib>Clum, Gretchen A</creatorcontrib><creatorcontrib>Surls, Rebecca</creatorcontrib><title>A Meta-Analysis of Treatments for Panic Disorder</title><title>Journal of consulting and clinical psychology</title><addtitle>J Consult Clin Psychol</addtitle><description>In a meta-analysis, the authors compared the effectiveness of psychological and pharmacological treatments for panic disorder. Percentage of agoraphobic subjects in the sample and duration of the illness were unrelated to effect size (ES). Type of dependent variable was generally unrelated to treatment outcome, although behavioral measures yielded significantly smaller ESs. Dependent measures of general anxiety, avoidance, and panic attacks yielded larger ESs than did depression measures. Choice of control was related to ES, with comparisons with placebo controls greater than comparisons with exposure-only or "other treatment" controls. Psychological coping strategies involving relaxation training, cognitive restructuring, and exposure yielded the most consistent ESs; flooding and combination treatments (psychological and pharmacological) yielded the next most consistent ESs. Antidepressants were the most effective pharmacological intervention.</description><subject>Agoraphobia - psychology</subject><subject>Agoraphobia - therapy</subject><subject>Anti-Anxiety Agents - therapeutic use</subject><subject>Antidepressive Agents - therapeutic use</subject><subject>Anxiety</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Benzodiazepines</subject><subject>Biological and medical sciences</subject><subject>Cognitive Restructuring</subject><subject>Counseling</subject><subject>Counseling Effectiveness</subject><subject>Counseling Techniques</subject><subject>Drug Therapy</subject><subject>Fear & phobias</subject><subject>Human</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Meta Analysis</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>Panic Disorder</subject><subject>Panic Disorder - psychology</subject><subject>Panic Disorder - therapy</subject><subject>Panic disorders</subject><subject>Psychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapy</subject><subject>Psychotherapy - methods</subject><subject>Relaxation Training</subject><subject>Social research</subject><subject>Systematic review</subject><subject>Therapy</subject><subject>Treatment</subject><subject>Treatments</subject><issn>0022-006X</issn><issn>1939-2117</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkU-L1EAQxRtR1nH1C4hCUPGWsaq6050ch3X9x4oeVvDWdDrVkCWTxO7MYb69PcwwC4J6Kqj3q8crnhDPEdYI0rwDICoB9M-1xjWtJZoHYoWNbEpCNA_F6gw8Fk9SugMA1FBdiIsaGkNIKwGb4isvrtyMbtinPhVTKG4ju2XL45KKMMXiuxt7X7zv0xQ7jk_Fo-CGxM9O81L8-HB9e_WpvPn28fPV5qZ0CsxS1romblmqIKuO27xsNBmNxoWKvCfFHbBqvYcQNKrGGI9Q6dq0OriuC_JSvD36znH6teO02G2fPA-DG3naJWsqrfOX-F-wMgqhIcrgqz_Au2kX89_J5gSSDMl_QoSgUeekGXr9NwipAYWa6EDRkfJxSilysHPsty7uLYI99GcP9dhDPTmAJZv7y0cvT9a7dsvd-eRUWNbfnHSXvBtCdKPv0xlThhqjZcZeHDGOvT-r11-Uhlqaexc3OzunvXdx6f3AyXo_34f5DT-rs6A</recordid><startdate>199304</startdate><enddate>199304</enddate><creator>Clum, George A</creator><creator>Clum, Gretchen A</creator><creator>Surls, Rebecca</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>EOLOZ</scope><scope>FKUCP</scope><scope>IOIBA</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</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>199304</creationdate><title>A Meta-Analysis of Treatments for Panic Disorder</title><author>Clum, George A ; Clum, Gretchen A ; Surls, Rebecca</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a407t-8682ebe34f35deba409627617af52cc24ed0e4bcc0ff614977c105687b6faddf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Agoraphobia - psychology</topic><topic>Agoraphobia - therapy</topic><topic>Anti-Anxiety Agents - therapeutic use</topic><topic>Antidepressive Agents - therapeutic use</topic><topic>Anxiety</topic><topic>Behavior therapy. 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Academic</collection><jtitle>Journal of consulting and clinical psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Clum, George A</au><au>Clum, Gretchen A</au><au>Surls, Rebecca</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ460837</ericid><atitle>A Meta-Analysis of Treatments for Panic Disorder</atitle><jtitle>Journal of consulting and clinical psychology</jtitle><addtitle>J Consult Clin Psychol</addtitle><date>1993-04</date><risdate>1993</risdate><volume>61</volume><issue>2</issue><spage>317</spage><epage>326</epage><pages>317-326</pages><issn>0022-006X</issn><eissn>1939-2117</eissn><coden>JCLPBC</coden><abstract>In a meta-analysis, the authors compared the effectiveness of psychological and pharmacological treatments for panic disorder. Percentage of agoraphobic subjects in the sample and duration of the illness were unrelated to effect size (ES). Type of dependent variable was generally unrelated to treatment outcome, although behavioral measures yielded significantly smaller ESs. Dependent measures of general anxiety, avoidance, and panic attacks yielded larger ESs than did depression measures. Choice of control was related to ES, with comparisons with placebo controls greater than comparisons with exposure-only or "other treatment" controls. Psychological coping strategies involving relaxation training, cognitive restructuring, and exposure yielded the most consistent ESs; flooding and combination treatments (psychological and pharmacological) yielded the next most consistent ESs. Antidepressants were the most effective pharmacological intervention.</abstract><cop>Washington, DC</cop><pub>American Psychological Association</pub><pmid>8097212</pmid><doi>10.1037/0022-006X.61.2.317</doi><tpages>10</tpages></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; EBSCOhost APA PsycARTICLES; Periodicals Index Online |
| subjects | Agoraphobia - psychology Agoraphobia - therapy Anti-Anxiety Agents - therapeutic use Antidepressive Agents - therapeutic use Anxiety Behavior therapy. Cognitive therapy Benzodiazepines Biological and medical sciences Cognitive Restructuring Counseling Counseling Effectiveness Counseling Techniques Drug Therapy Fear & phobias Human Humans Medical sciences Meta Analysis Outcome and Process Assessment (Health Care) Panic Disorder Panic Disorder - psychology Panic Disorder - therapy Panic disorders Psychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapy Psychotherapy - methods Relaxation Training Social research Systematic review Therapy Treatment Treatments |
| title | A Meta-Analysis of Treatments for Panic Disorder |
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