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Cited by 379Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and ApplicationsPsychological Treatments and Assessments

Psychological treatment of panic: Work in progress on outcome, active ingredients, and follow-up

Margraf, Jürgen, Barlow, David H., Clark, David M., Telch, Michael J.·1993·Behaviour Research and Therapy
DOI 10.1016/0005-7967(93)90036-t
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Abstract

Initial interest in the causes and treatment of panic disorder was triggered by biological theories and investigators. More recently, however, research on newly developed psychological approaches for panic has advanced our understanding of the disorder and has led to the development of specific treatment programs. Typically, these programs consist of a range of treatment components that more or less directly target panic attacks and the fears and behaviors associated with them. The paper reviews four studies evaluating these programs that have recently been completed or are close to completion in different centers in the United States (Albany, New York; Austin, Texas) and Europe (Oxford, England; Marburg, Germany). Conforming to strict methodological standards, these studies report consistently high success rates and temporal stability of the treatment gains. About 80% or more of the patients receiving combined cognitive-behavioral treatments achieved panic free status as well as strong and clinically significant improvement in general anxiety, panic-related cognitions, depression, and phobic avoidance. Furthermore, these gains were maintained at follow-ups of up to 2 years. The success of these psychological treatments compares favorably with the outcome for the established pharmacological treatments. In addition, the studies provide new insights into the active ingredients that may operate in cognitive-behavioral treatments for panic disorder and show the feasibility of group treatments. Together, these studies underscore the fact that cognitive-behavioral treatments rest on firm experimental evidence that justifies their application in everyday practice as well as continued research into their mechanisms of action.

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Crossref · 10.1016/0005-7967(93)90036-t

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40 of 40 references verified0 citation errors · 0 not checkable

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  • These findings are in agreement with previous findings on prevention and early intervention in panic disorder.

    “These findings are in agreement with previous findings on prevention and early intervention in panic disorder. 6,7”

    From Early intervention in panic: Pragmatic randomised controlled trial (2010) · cites this paper as [7]

  • Only a few studies have been conducted in early intervention for panic symptoms in adults.

    “Only a few studies have been conducted in early intervention for panic symptoms in adults. 6,7”

    From Early intervention in panic: Pragmatic randomised controlled trial (2010) · cites this paper as [7]

  • The results of these studies suggest that early intervention is a promising option.

    “The results of these studies suggest that early intervention is a promising option.”

    From Early intervention in panic: Pragmatic randomised controlled trial (2010) · cites this paper as [7]

  • The research on early intervention for panic symptoms lacks generalisability because it used limited samples (college students and people with panic attacks seen in an emergency room).

    “However, the research lacks generalisability, given the use of a limited sample (i.e. college students and people with panic attacks seen in an emergency room).”

    From Early intervention in panic: Pragmatic randomised controlled trial (2010) · cites this paper as [7]

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Authors
Margraf, J., Barlow, D. H., Clark, D. M., & Telch, M. J.
Affiliations
  • Freie Universität Berlin (DE)
  • State University of New York (US)
  • University of Oxford (GB)
  • The University of Texas at Austin (US)
Corresponding author
Margraf, Jürgen
ORCID
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
1993-01
Volume
31
Issue
1
Pages
1-8
ISSN
0005-7967 (ISSN-L)
DOI
10.1016/0005-7967(93)90036-t
OpenAlex
W2023124281
Cited by
377
References
43
Citations by year
2024: 2 · 2023: 3 · 2021: 1 · 2020: 1 · 2019: 5 · 2018: 5 · 2017: 3 · 2016: 5 · 2015: 3 · 2014: 4 · 2013: 8 · 2012: 7
FWCI
42.47
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Behaviour Research and Therapy (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Keywords
panic disorder, psychological intervention, cognitive behavioral therapy, treatment outcomes, maintenance therapy, active ingredients, group therapy, phobic avoidance, depression, general anxiety, pharmacological treatment comparison, mechanism of action
MeSH terms
Arousal, Behavior Therapy, Desensitization, Psychologic, Follow-Up Studies, Humans, Outcome and Process Assessment, Health Care, Personality Assessment, Personality Inventory, Panic Disorder

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