The DOI matches its Crossref record; 40 of the 43 references it cites were found in a registry or an index.
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
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]
Citations
Cites
Lifetime Prevalence of Specific Psychiatric Disorders in Three Sites
Robins, L. N. (1984) · Archives of General Psychiatry · doi:10.1001/archpsyc.1984.01790210031005 · Cited by 2,550
Clark, D. M. (1986) · Behaviour Research and Therapy · doi:10.1016/0005-7967(86)90011-2 · Cited by 2,422
Self-citationSix-Month Prevalence of Psychiatric Disorders in Three Communities
Myers, J. K. (1984) · Archives of General Psychiatry · doi:10.1001/archpsyc.1984.01790210041006 · Cited by 1,573
Prakash, R. (2003) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v64n0318d · Cited by 1,031
Behavioral treatment of panic disorder
Barlow, D. H., Craske, M. G., Cerny, J. A., & Klosko, J. S. (1989) · Behavior Therapy · doi:10.1016/s0005-7894(89)80073-5 · Cited by 627
Self-citationApplied relaxation: Description of a coping technique and review of controlled studies
Öst, L.-G. (1987) · Behaviour Research and Therapy · doi:10.1016/0005-7967(87)90017-9 · Cited by 605
Suicidal Ideation and Suicide Attempts in Panic Disorder and Attacks
Weissman, M. M., Klerman, G. L., Markowitz, J. S., & Ouellette, R. (1989) · New England Journal of Medicine · doi:10.1056/nejm198911023211801 · Cited by 602
Anxiety: New Research and Changing Concepts.
(1982) · Annals of Internal Medicine · doi:10.7326/0003-4819-96-3-407_5 · Cited by 556
Panic—Psychological perspectives
Lindsay, S. (1989) · Behaviour Research and Therapy · doi:10.1016/0005-7967(89)90021-1 · Cited by 477
(1989) · Medical Entomology and Zoology · Cited by 451
Self-citationRespiratory control as a treatment for panic attacks
Clark, D. M., Salkovskis, P. M., & Chalkley, A. J. (1985) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/0005-7916(85)90026-6 · Cited by 370
Self-citationPsychological approaches to panic disorder: a review.
McNally, R. (1990) · Psychological bulletin · doi:10.1037/0033-2909.108.3.403 · Cited by 316
Diagnostic and statistical manual of mental disorders, third edition, revised (DSM-III-R)
Berner, P., Gabriel, E., Katschnig, H., Kieffer, W., Koehler, K., & Lenz, G. (1992) · Cambridge University Press eBooks · doi:10.1017/cbo9780511663208.013 · Cited by 291
A cognitive model of panic attacks.
Clark, D. M. (1988) · Cited by 281
Self-citationBehavioral treatment of panic disorder: A two-year follow-up
Craske, M. G., Brown, T. A., & Barlow, D. H. (1991) · Behavior Therapy · doi:10.1016/s0005-7894(05)80367-3 · Cited by 258
Self-citationA comparison of alprazolam and behavior therapy in treatment of panic disorder.
Klosko, J. S., Barlow, D. H., Tassinari, R., & Cerny, J. A. (1990) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.58.1.77 · Cited by 244
Self-citationSalkovskis, P. M., Jones, D. R. O., & Clark, D. M. (1986) · British Journal of Psychiatry · doi:10.1192/bjp.148.5.526 · Cited by 228
Self-citationKlein, D. F. (1980) · Comprehensive Psychiatry · doi:10.1016/0010-440x(80)90043-7 · Cited by 220
Sodium lactate infusions and panic attacks: a review and critique.
Margraf, J., Ehlers, A., & Roth, W. T. (1986) · Psychosomatic Medicine · doi:10.1097/00006842-198601000-00002 · Cited by 178
Self-citationPanic and generalized anxiety disorders: Nature and treatment
Barlow, D. H., Cohen, A. S., Waddell, M. T., Vermilyea, B. B., Klosko, J. S., Blanchard, E. B., & Nardo, P. A. D. (1984) · Behavior Therapy · doi:10.1016/s0005-7894(84)80048-9 · Cited by 175
Self-citationApplied relaxation vs progressive relaxation in the treatment of panic disorder
Öst, L. (1988) · Behaviour Research and Therapy · doi:10.1016/0005-7967(88)90029-0 · Cited by 163
Use of mental health services for the treatment of panic disorder
Boyd, J. H. (1986) · American Journal of Psychiatry · doi:10.1176/ajp.143.12.1569 · Cited by 151
Angst, J., & Dobler-Mikola, A. (1985) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/bf00386060 · Cited by 135
Fresh perspectives on anxiety disorders
Emmelkamp, P. M. G., Everaerd, W. T. A. M., Kraaimaat, W., & van Son, M. J. M. (1989) · UvA-DARE (University of Amsterdam) · Cited by 123
Biological models of panic disorder and agoraphobia—A review
Margraf, J., Ehlers, A., & Roth, W. T. (1986) · Behaviour Research and Therapy · doi:10.1016/0005-7967(86)90036-7 · Cited by 119
Self-citationPsychological Treatment of Panic
Noyes, R. (1989) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198906000-00013 · Cited by 96
de Ruiter, C., Rijken, H., Kraaimaat, F., & Garssen, B. (1989) · Behaviour Research and Therapy · doi:10.1016/0005-7967(89)90148-4 · Cited by 81
Panic disorder: cognitive-behavioral treatment.
Michelson, L. K., Marchione, K., Greenwald, M., Glanz, L. M., Testa, S., & Marchione, N. (1990) · Behaviour Research and Therapy · doi:10.1016/0005-7967(90)90026-f · Cited by 79
Wïttchen, H. (1988) · Springer eBooks · doi:10.1007/978-3-642-73543-1_1 · Cited by 73
Panic disorder and primary unipolar depression
Coryell, W. H., Noyes, R., & Clancy, J. (1983) · Journal of Affective Disorders · doi:10.1016/0165-0327(83)90021-6 · Cited by 67
Phenomenology, assessment, and the cognitive model of panic.
Salkovskis, P. M. (1988) · Cited by 67
Cognitive Therapy of Panic Disorder
Sokol, L., Beck, A. T., Greenberg, R. L., Wright, F. D., & Berchick, R. J. (1989) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198912000-00001 · Cited by 66
Cognitive Therapy for Panic Attacks
Salkovskis, P. M., & Clark, D. M. (1991) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.5.3.215 · Cited by 61
Self-citationBehavior Therapy for Panic Disorder
Gitlin, B., Martin, J. K., Shear, M. K., FRANCES, A. J., Ball, G. G., & JOSEPHSON, S. (1985) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198512000-00006 · Cited by 49
The psychophysiological model of panic attacks
Ehlers, A., & Margraf, J. (1989) · doi:10.13140/2.1.3194.1928 · Cited by 45
Self-citationSchapira, K., Kerr, T. A., & Roth, M. (1970) · The British Journal of Psychiatry · doi:10.1192/s0007125000192128 · Cited by 43
Waddell, M. T., Barlow, D. H., & O’Brien, G. T. (1984) · Behaviour Research and Therapy · doi:10.1016/0005-7967(84)90082-2 · Cited by 33
Self-citationCognitive-Behavioral Therapy for Panic
Shear, M. K., Ball, G. G., Fitzpatrick, M. A., JOSEPHSON, S., Klosko, J. S., & FRANCES, A. J. (1991) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199108000-00003 · Cited by 22
The Epidemiological Study of Mental Disorders
Lin, T.-Y. (1969) · Journal of Psychosocial Nursing and Mental Health Services · doi:10.3928/0279-3695-19690101-07 · Cited by 16
A Psychological Model of Panic
Barlow, D. H. (1986) · Springer eBooks · doi:10.1007/978-1-4684-5254-9_6 · Cited by 15
Self-citation
Research works printed but not linked: 3
- Barlow, 1988, Panic disorder: Foreword, Vol. 7, 5
- Kopp, 1985, Agoraphobics ex panikneuroticus betegek legzesi kontroll keyelese, Ideggyogyaszati Szemle, 39, 185
- Margraf, 1990, Biological models of panic disorder and agoraphobia: Theory and evidence, Vol. 3
Cited by
Sorted by citations
Toward a unified treatment for emotional disorders
Barlow, D. H., Allen, L. B., & Choate, M. L. (2004) · Behavior Therapy · doi:10.1016/s0005-7894(04)80036-4 · Cited by 1,430
Self-citationBandelow, B., Zohar, J., Hollander, E., Kasper, S., Möller, H., & WFSBP Task Force on Treatment Guide (2008) · The World Journal of Biological Psychiatry · doi:10.1080/15622970802465807 · Cited by 884
“Cognitive-behavioural techniques were superior to waiting list control condition in a number of studies in panic disorder and/or agoraphobia (Barlow et al. 1989; Gould and Clum 1995; Klosko et al. 1990; Lidren et al. 1994; Margraf et al. 1993; Swinson et al. 1995; Telch et al. 1993, 1995; Williams and Falbo 1996), wit…”
MethodReliability and validity of the Beck anxiety inventory
Fydrich, T., Dowdall, D., & Chambless, D. L. (1992) · Journal of Anxiety Disorders · doi:10.1016/0887-6185(92)90026-4 · Cited by 776
Clark, D. M., Salkovskis, P. M., Hackmann, A., Middleton, H., Anastasiades, P., & Gelder, M. (1994) · British Journal of Psychiatry · doi:10.1192/bjp.164.6.759 · Cited by 673
Self-citationBehavioral treatment of panic disorder
Barlow, D. H., Craske, M. G., Cerny, J. A., & Klosko, J. S. (1989) · Behavior Therapy · doi:10.1016/s0005-7894(89)80073-5 · Cited by 627
Self-citation
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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review