Patterns of Change During Cognitive Behavioral Treatment for Panic Disorder
The present investigation examined patterns of change in basic features of panic and anxiety during cognitive behavioral treatment for panic disorder. Data were collected in the context of a study comparing the efficacy of cognitive therapy (CT) and relaxation training, both administered without exp...
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| Veröffentlicht in: | The journal of nervous and mental disease 1996-09, Vol.184 (9), p.567-572 |
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| container_issue | 9 |
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| container_title | The journal of nervous and mental disease |
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| creator | STANLEY, MELINDA A BECK, J GAYLE AVERILL, PATRICIA M BALDWIN, LAURIE E DEAGLE, EDWIN A STADLER, JENNY G |
| description | The present investigation examined patterns of change in basic features of panic and anxiety during cognitive behavioral treatment for panic disorder. Data were collected in the context of a study comparing the efficacy of cognitive therapy (CT) and relaxation training, both administered without exposure-based treatments of any kind. Thirty-six panic disorder patients completed 10 weeks of either CT or relaxation training. Weekly measures of panic frequency, state and trait anxiety, and associated fears were obtained. Data were examined using both multivariate techniques (which conceptualize change as incremental) and analysis of response slopes (wherein change is conceptualized as continuous). Results indicated that during the first half of treatment, relaxation training led to greater reductions in state and trait anxiety and agoraphobic fear, whereas CT demonstrated a slight advantage on change in panic frequency. During the second half of treatment, CT produced faster reductions in state anxiety and agoraphobic fears. Over the entire treatment course, CT conferred an advantage in rate of change in social fears. The data provide support for the utility of a more process-oriented approach to the examination of treatment effects. |
| doi_str_mv | 10.1097/00005053-199609000-00009 |
| format | Article |
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Data were collected in the context of a study comparing the efficacy of cognitive therapy (CT) and relaxation training, both administered without exposure-based treatments of any kind. Thirty-six panic disorder patients completed 10 weeks of either CT or relaxation training. Weekly measures of panic frequency, state and trait anxiety, and associated fears were obtained. Data were examined using both multivariate techniques (which conceptualize change as incremental) and analysis of response slopes (wherein change is conceptualized as continuous). Results indicated that during the first half of treatment, relaxation training led to greater reductions in state and trait anxiety and agoraphobic fear, whereas CT demonstrated a slight advantage on change in panic frequency. During the second half of treatment, CT produced faster reductions in state anxiety and agoraphobic fears. Over the entire treatment course, CT conferred an advantage in rate of change in social fears. The data provide support for the utility of a more process-oriented approach to the examination of treatment effects.</description><identifier>ISSN: 0022-3018</identifier><identifier>EISSN: 1539-736X</identifier><identifier>DOI: 10.1097/00005053-199609000-00009</identifier><identifier>PMID: 8831648</identifier><identifier>CODEN: JNMDAN</identifier><language>eng</language><publisher>Hagerstown, MD: Williams & Wilkins</publisher><subject>Adult ; Agoraphobia - diagnosis ; Anxiety Disorders - diagnosis ; Behavior therapy. Cognitive therapy ; Biological and medical sciences ; Cognitive Behavioral Therapy ; Female ; Humans ; Male ; Medical sciences ; Multivariate Analysis ; Panic Disorder - psychology ; Panic Disorder - therapy ; Personality Inventory - statistics & numerical data ; Phobic Disorders - diagnosis ; Process Assessment (Health Care) ; Psychiatric Status Rating Scales ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. 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All Rights Reserved.</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3849-25f5a77261854b4ddb9e946f8e9d2074c9055665af53d53831d18987224365f23</citedby><cites>FETCH-LOGICAL-c3849-25f5a77261854b4ddb9e946f8e9d2074c9055665af53d53831d18987224365f23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3215957$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8831648$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>STANLEY, MELINDA A</creatorcontrib><creatorcontrib>BECK, J GAYLE</creatorcontrib><creatorcontrib>AVERILL, PATRICIA M</creatorcontrib><creatorcontrib>BALDWIN, LAURIE E</creatorcontrib><creatorcontrib>DEAGLE, EDWIN A</creatorcontrib><creatorcontrib>STADLER, JENNY G</creatorcontrib><title>Patterns of Change During Cognitive Behavioral Treatment for Panic Disorder</title><title>The journal of nervous and mental disease</title><addtitle>J Nerv Ment Dis</addtitle><description>The present investigation examined patterns of change in basic features of panic and anxiety during cognitive behavioral treatment for panic disorder. Data were collected in the context of a study comparing the efficacy of cognitive therapy (CT) and relaxation training, both administered without exposure-based treatments of any kind. Thirty-six panic disorder patients completed 10 weeks of either CT or relaxation training. Weekly measures of panic frequency, state and trait anxiety, and associated fears were obtained. Data were examined using both multivariate techniques (which conceptualize change as incremental) and analysis of response slopes (wherein change is conceptualized as continuous). Results indicated that during the first half of treatment, relaxation training led to greater reductions in state and trait anxiety and agoraphobic fear, whereas CT demonstrated a slight advantage on change in panic frequency. During the second half of treatment, CT produced faster reductions in state anxiety and agoraphobic fears. Over the entire treatment course, CT conferred an advantage in rate of change in social fears. The data provide support for the utility of a more process-oriented approach to the examination of treatment effects.</description><subject>Adult</subject><subject>Agoraphobia - diagnosis</subject><subject>Anxiety Disorders - diagnosis</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Biological and medical sciences</subject><subject>Cognitive Behavioral Therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Multivariate Analysis</subject><subject>Panic Disorder - psychology</subject><subject>Panic Disorder - therapy</subject><subject>Personality Inventory - statistics & numerical data</subject><subject>Phobic Disorders - diagnosis</subject><subject>Process Assessment (Health Care)</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Relaxation Therapy</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><issn>0022-3018</issn><issn>1539-736X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUtPGzEQgC1URFPgJ1TyoeptW78fxzY8BRIcQOJmObvjxO1mTe1dEP8eQ9Lc8GXkmW_G1jcIYUp-UGL1T1KPJJI31FpFbL01bym7h2ZUcttorh4-oRkhjDWcUPMZfSnlDyFUc0EO0IExnCphZujq1o8j5KHgFPB85Ycl4JMpx2GJ52k5xDE-Af4NK_8UU_Y9vsvgxzUMIw4p41s_xBafxJJyB_kI7QffFzjexkN0f3Z6N79orm_OL-e_rpuWG2EbJoP0WjNFjRQL0XULC1aoYMB2jGjRWiKlUtIHyTvJ6087aqzRjAmuZGD8EH3fzH3M6d8EZXTrWFroez9AmorThqtqxVTQbMA2p1IyBPeY49rnF0eJe_Po_nt0O4_vKVtbv27fmBZr6HaNW3G1_m1b96X1fch-aGPZYZxRaaWumNhgz6mvmsvffnqG7Fbg-3HlPtoifwWg0IgA</recordid><startdate>199609</startdate><enddate>199609</enddate><creator>STANLEY, MELINDA A</creator><creator>BECK, J GAYLE</creator><creator>AVERILL, PATRICIA M</creator><creator>BALDWIN, LAURIE E</creator><creator>DEAGLE, EDWIN A</creator><creator>STADLER, JENNY G</creator><general>Williams & Wilkins</general><general>Lippincott Williams & Wilkins</general><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>7X8</scope></search><sort><creationdate>199609</creationdate><title>Patterns of Change During Cognitive Behavioral Treatment for Panic Disorder</title><author>STANLEY, MELINDA A ; BECK, J GAYLE ; AVERILL, PATRICIA M ; BALDWIN, LAURIE E ; DEAGLE, EDWIN A ; STADLER, JENNY G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3849-25f5a77261854b4ddb9e946f8e9d2074c9055665af53d53831d18987224365f23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Agoraphobia - diagnosis</topic><topic>Anxiety Disorders - diagnosis</topic><topic>Behavior therapy. Cognitive therapy</topic><topic>Biological and medical sciences</topic><topic>Cognitive Behavioral Therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Multivariate Analysis</topic><topic>Panic Disorder - psychology</topic><topic>Panic Disorder - therapy</topic><topic>Personality Inventory - statistics & numerical data</topic><topic>Phobic Disorders - diagnosis</topic><topic>Process Assessment (Health Care)</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Relaxation Therapy</topic><topic>Treatment Outcome</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>STANLEY, MELINDA A</creatorcontrib><creatorcontrib>BECK, J GAYLE</creatorcontrib><creatorcontrib>AVERILL, PATRICIA M</creatorcontrib><creatorcontrib>BALDWIN, LAURIE E</creatorcontrib><creatorcontrib>DEAGLE, EDWIN A</creatorcontrib><creatorcontrib>STADLER, JENNY G</creatorcontrib><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>MEDLINE - Academic</collection><jtitle>The journal of nervous and mental disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>STANLEY, MELINDA A</au><au>BECK, J GAYLE</au><au>AVERILL, PATRICIA M</au><au>BALDWIN, LAURIE E</au><au>DEAGLE, EDWIN A</au><au>STADLER, JENNY G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patterns of Change During Cognitive Behavioral Treatment for Panic Disorder</atitle><jtitle>The journal of nervous and mental disease</jtitle><addtitle>J Nerv Ment Dis</addtitle><date>1996-09</date><risdate>1996</risdate><volume>184</volume><issue>9</issue><spage>567</spage><epage>572</epage><pages>567-572</pages><issn>0022-3018</issn><eissn>1539-736X</eissn><coden>JNMDAN</coden><abstract>The present investigation examined patterns of change in basic features of panic and anxiety during cognitive behavioral treatment for panic disorder. Data were collected in the context of a study comparing the efficacy of cognitive therapy (CT) and relaxation training, both administered without exposure-based treatments of any kind. Thirty-six panic disorder patients completed 10 weeks of either CT or relaxation training. Weekly measures of panic frequency, state and trait anxiety, and associated fears were obtained. Data were examined using both multivariate techniques (which conceptualize change as incremental) and analysis of response slopes (wherein change is conceptualized as continuous). Results indicated that during the first half of treatment, relaxation training led to greater reductions in state and trait anxiety and agoraphobic fear, whereas CT demonstrated a slight advantage on change in panic frequency. During the second half of treatment, CT produced faster reductions in state anxiety and agoraphobic fears. Over the entire treatment course, CT conferred an advantage in rate of change in social fears. 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| subjects | Adult Agoraphobia - diagnosis Anxiety Disorders - diagnosis Behavior therapy. Cognitive therapy Biological and medical sciences Cognitive Behavioral Therapy Female Humans Male Medical sciences Multivariate Analysis Panic Disorder - psychology Panic Disorder - therapy Personality Inventory - statistics & numerical data Phobic Disorders - diagnosis Process Assessment (Health Care) Psychiatric Status Rating Scales Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Relaxation Therapy Treatment Outcome Treatments |
| title | Patterns of Change During Cognitive Behavioral Treatment for Panic Disorder |
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