The role of therapist and patient in-session behavior for treatment outcome in exposure-based cognitive behavioral therapy for panic disorder with agoraphobia.

6533b834fe1ef96bd129d5c7

RESEARCH PRODUCT

The role of therapist and patient in-session behavior for treatment outcome in exposure-based cognitive behavioral therapy for panic disorder with agoraphobia.

Annette Schröder Romina Montini Florian Weck Thomas Lang Michael Witthöft Lisa Marie Maiwald Jens Heider Yvonne M. Junga Yvonne M. Junga

subject

Department Psychologie Adult Male 050103 clinical psychology Panic Disorder with Agoraphobia Adolescent medicine.medical_treatment Treatment outcome Implosive Therapy behavioral disciplines and activities Interpersonal behavior 03 medical and health sciences Young Adult 0302 clinical medicine ddc:150 Arts and Humanities (miscellaneous)medicine Humans 0501 psychology and cognitive sciences Competence (human resources)Agoraphobia Cognitive Behavioral Therapy 05 social sciences Professional-Patient Relations Middle Aged 030227 psychiatry Cognitive behavioral therapy Clinical Psychology Outcome and Process Assessment Health Care Panic Disorder Female Psychology Clinical psychology

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.

year	journal	country	edition	language
2018-12-31	Journal of clinical psychology

10.1002/jclp.22738 https://pubmed.ncbi.nlm.nih.gov/30597535