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RESEARCH PRODUCT

Predictors of the application of exposure in vivo in the treatment of agoraphobia in an outpatient clinic: An exploratory approach.

Wolfgang HillerFabian JasperTimo Klan

subject

AdultMale050103 clinical psychologyPsychotherapistPsychotherapeutic ProcessesImplosive TherapyLogistic regressionAmbulatory Care Facilities03 medical and health sciences0302 clinical medicineIn vivoMedicineOutpatient clinicHumans0501 psychology and cognitive sciencesRoutine careAgoraphobiabusiness.industryPanic disorder05 social sciencesProfessional-Patient Relationsmedicine.diseaseComorbidity030227 psychiatryClinical PsychologyOutcome and Process Assessment Health CareAnxietyPanic DisorderFemalemedicine.symptombusinessAgoraphobia

description

AbstractObjective: Although exposure in vivo is considered to be the most effective therapy component in the treatment of agoraphobia (AG), there is a remarkable lack of its application in psychotherapeutic routine care. We examined the severity of anxiety, psychological distress/comorbidity, therapeutic process/alliance, and sociodemographic status as potential predictors of in vivo exposure. Method: We applied correlational analyses and logistic regression analyses in a sample of N = 92 patients (main diagnosis AG) in an outpatient setting. Results: Logistic regression analyses did not yield any significant single predictors, whereas a combination of a subset of predictors significantly predicted the application of exposure in vivo in the completer sample (R2 = .24, p = .041). Conclusion: The application of in vivo exposure may be predicted by a complex pattern of patient characteristics.

10.1080/10503307.2015.1072284https://pubmed.ncbi.nlm.nih.gov/26308791