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Psychological treatment of panic: Work in progress on outcome, active ingredients, and follow-up
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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In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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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Livanou, M., BAOŞĞLU, M., Marks, I. M., SILVA, P. D., Noshirvani, H., Lovell, K., & Thrasher, S. (2002) · Psychological Medicine · doi:10.1017/s0033291701004767 · Cited by 52
“Others suggested that reducing maladaptive beliefs mediated general improvement (Margraf et al. 1993; Heimberg et al. 1990).”
BackgroundInternet-delivered indicated prevention for anxiety disorders: Six-month follow-up
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Metadata
- 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
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 1993-01
- Volume
- 31
- Issue
- 1
- Pages
- 1-8
- ISSN
- 0005-7967 (ISSN-L)
- 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
- 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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