Cited by 203Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and ApplicationsPsychological Treatments and Assessments

The DOI matches its Crossref record; 57 of the 57 references it cites were found in a registry or an index.

Psychological treatment for panic disorder with agoraphobia: A randomized controlled trial to examine the role of therapist-guided exposure in situ in CBT.

Gloster, Andrew T., Wittchen, Hans-Ulrich, Einsle, Franziska, Lang, Thomas, Helbig-Lang, Sylvia, Fydrich, Thomas, Fehm, Lydia, Hamm, Alfons O., Richter, Jan, Alpers, Georg W., Gerlach, Alexander L., Ströhle, Andreas, Kircher, Tilo, Deckert, Jürgen, Zwanzger, Peter, Höfler, Michael, Arolt, Volker·2011·Journal of Consulting and Clinical Psychology

DOI 10.1037/a0023584

Open this paper in CoChat — free account

Abstract

OBJECTIVE: Cognitive-behavioral therapy (CBT) is a first-line treatment for panic disorder with agoraphobia (PD/AG). Nevertheless, an understanding of its mechanisms and particularly the role of therapist-guided exposure is lacking. This study was aimed to evaluate whether therapist-guided exposure in situ is associated with more pervasive and long-lasting effects than therapist-prescribed exposure in situ. METHOD: A multicenter randomized controlled trial, in which 369 PD/AG patients were treated and followed up for 6 months. Patients were randomized to 2 manual-based variants of CBT (T+/T-) or a wait-list control group (WL; n = 68) and were treated twice weekly for 12 sessions. CBT variants were identical in content, structure, and length, except for implementation of exposure in situ: In the T+ variant (n = 163), therapists planned and supervised exposure in situ exercises outside the therapy room; in the T- group (n = 138), therapists planned and discussed patients' in situ exposure exercises but did not accompany them. Primary outcome measures were (a) Hamilton Anxiety Scale, (b) Clinical Global Impression, (c) number of panic attacks, and (d) agoraphobic avoidance (Mobility Inventory). RESULTS: For T+ and T- compared with WL, all outcome measures improved significantly with large effect sizes from baseline to post (range = -0.5 to -2.5) and from post to follow-up (range = -0.02 to -1.0). T+ improved more than T- on the Clinical Global Impression and Mobility Inventory at post and follow-up and had greater reduction in panic attacks during the follow-up period. Reduction in agoraphobic avoidance accelerated after exposure was introduced. A dose-response relation was found for Time × Frequency of Exposure and reduction in agoraphobic avoidance. CONCLUSIONS: Therapist-guided exposure is more effective for agoraphobic avoidance, overall functioning, and panic attacks in the follow-up period than is CBT without therapist-guided exposure. Therapist-guided exposure promotes additional therapeutic improvement--possibly mediated by increased physical engagement in feared situations--beyond the effects of a CBT treatment in which exposure is simply instructed.

Integrity signals

Registry

Crossref · 10.1037/a0023584

Cites

57 of 57 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

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?

Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
Intraclass correlations: Uses in assessing rater reliability.
Shrout, P. E., & Fleiss, J. L. (1979) · Psychological Bulletin · doi:10.1037/0033-2909.86.2.420 · Cited by 24,532
Generalized Linear Models
(2005) · Springer eBooks · doi:10.1007/0-387-27255-0_9 · Cited by 20,333
Untitled work
(1976) · Medical Entomology and Zoology · Cited by 8,899
The Composite International Diagnostic Interview: An Epidemiologic Instrument Suitable for Use in Conjunction With Different Diagnostic Systems and in Different Cultures
Robins, L. N. (1988) · Archives of General Psychiatry · doi:10.1001/archpsyc.1988.01800360017003 · Cited by 2,909
Untitled work
(1985) · Cited by 2,882
A cognitive approach to panic
Clark, D. M. (1986) · Behaviour Research and Therapy · doi:10.1016/0005-7967(86)90011-2 · Cited by 2,422
Reliability and validity studies of the WHO-Composite International Diagnostic Interview (CIDI): A critical review
Wittchen, H.-U. (1994) · Journal of Psychiatric Research · doi:10.1016/0022-3956(94)90036-1 · Cited by 2,348
Extinction Learning in Humans
Phelps, E. A., Delgado, M. R., Nearing, K. I., & LeDoux, J. E. (2004) · Neuron · doi:10.1016/j.neuron.2004.08.042 · Cited by 1,753
Journal of Psychotherapy Practice and Research
Terrell, C. D. (1993) · JAMA · doi:10.1001/jama.1993.03510010107047 · Cited by 1,686

Show all 57 references

Sorted by citations

Quantity and quality of homework compliance: A meta-analysis of relations with outcome in cognitive behavior therapy
Kazantzis, N., Whittington, C., Zelencich, L., Kyrios, M., Norton, P. J., & Hofmann, S. G. (2016) · Behavior Therapy · doi:10.1016/j.beth.2016.05.002 · Cited by 280
Assessing therapist reservations about exposure therapy for anxiety disorders: the therapist beliefs about exposure scale
Deacon, B. J., Farrell, N. R., Kemp, J. J., Dixon, L. J., Sy, J. T., Zhang, A. R., & McGrath, P. B. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.04.006 · Cited by 248
Assessing Psychological Flexibility: What Does It Add Above and Beyond Existing Constructs?
Gloster, A. T., Klotsche, J., Chaker, S., Hummel, K. V., & Hoyer, J. (2011) · Psychological Assessment · doi:10.1037/a0024135 · Cited by 206
Self-citation
The Diagnosis and Treatment of Anxiety Disorders
Ströhle, A., Gensichen, J. S., & Domschke, K. (2018) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2018.0611 · Cited by 194
Self-citation
MAOA gene hypomethylation in panic disorder-reversibility of an epigenetic risk pattern by psychotherapy
Ziegler, C., Richter, J., Mahr, M., Gajewska, A., Schiele, M. A., Gehrmann, A., Schmidt, B., Lesch, K.-P., Lang, T., Helbig-Lang, S., et al. (2016) · Translational Psychiatry · doi:10.1038/tp.2016.41 · Cited by 183
Self-citation
Maximizing the efficacy of interoceptive exposure by optimizing inhibitory learning: A randomized controlled trial
Deacon, B., Kemp, J. J., Dixon, L. J., Sy, J. T., Farrell, N. R., & Zhang, A. R. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.06.006 · Cited by 176
Advancing psychotherapy and evidence‐based psychological interventions
Emmelkamp, P. M. G., David, D., Beckers, T., Muris, P., Cuijpers, P. J., Lutz, W., Andersson, G., Araya, R., Rivera, R. M. B., Barkham, M., et al. (2013) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.1411 · Cited by 184
Dissemination of Evidence-Based Practices for Anxiety Disorders in Wyoming
Hipol, L. J., & Deacon, B. (2013) · Behavior Modification · doi:10.1177/0145445512458794 · Cited by 169
The Struggle of Behavioral Therapists With Exposure: Self-Reported Practicability, Negative Beliefs, and Therapist Distress About Exposure-Based Interventions
Pittig, A., Kotter, R., & Hoyer, J. (2019) · Behavior Therapy · doi:10.1016/j.beth.2018.07.003 · Cited by 160
Effect of Cognitive-Behavioral Therapy on Neural Correlates of Fear Conditioning in Panic Disorder
Kircher, T. T. J., Arolt, V., Jansen, A., Pyka, M., Reinhardt, I., Kellermann, T., Konrad, C., Lueken, U., Gloster, A. T., Gerlach, A. L., et al. (2012) · Biological Psychiatry · doi:10.1016/j.biopsych.2012.07.026 · Cited by 158
Self-citation
Exposure therapy for eating disorders: A systematic review
Butler, R. M., & Heimberg, R. G. (2020) · Clinical Psychology Review · doi:10.1016/j.cpr.2020.101851 · Cited by 143
Psychological therapies for panic disorder with or without agoraphobia in adults: a network meta-analysis
Pompoli, A., Furukawa, T. A., Imai, H., Tajika, A., Efthimiou, O., & Salanti, G. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011004.pub2 · Cited by 142
Fear, anxiety, and their disorders from the perspective of psychophysiology
Hamm, A. O. (2019) · Psychophysiology · doi:10.1111/psyp.13474 · Cited by 148
Self-citation
A systematic review of the neural bases of psychotherapy for anxiety and related disorders
Brooks, S. J., & Stein, D. J. (2015) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2015.17.3/sbrooks · Cited by 134
Do negative beliefs about exposure therapy cause its suboptimal delivery? An experimental investigation
Farrell, N. R., Deacon, B. J., Kemp, J. J., Dixon, L. J., & Sy, J. T. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.03.007 · Cited by 133
Predicting Treatment Response to Cognitive Behavioral Therapy in Panic Disorder With Agoraphobia by Integrating Local Neural Information
Hahn, T., Kircher, T. T. J., Straube, B., Wïttchen, H., Konrad, C., Ströhle, A., Wittmann, A., Pfleiderer, B., Reif, A., Arolt, V., et al. (2014) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2014.1741 · Cited by 137
Self-citation
Neural Substrates of Treatment Response to Cognitive-Behavioral Therapy in Panic Disorder With Agoraphobia
Lueken, U., Straube, B., Konrad, C., Wïttchen, H., Ströhle, A., Wittmann, A., Pfleiderer, B., Uhlmann, C., Arolt, V., Jansen, A., et al. (2013) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2013.12111484 · Cited by 137
Self-citation
Randomized Controlled Trial of False Safety Behavior Elimination Therapy: A Unified Cognitive Behavioral Treatment for Anxiety Psychopathology
Schmidt, N. B., Buckner, J. D., Pusser, A., Woolaway-Bickel, K., Preston, J. L., & Norr, A. (2012) · Behavior Therapy · doi:10.1016/j.beth.2012.02.004 · Cited by 126
MAOA and mechanisms of panic disorder revisited: from bench to molecular psychotherapy
Reif, A., Richter, J., Straube, B., Höfler, M., Lueken, U., Gloster, A. T., Weber, H., Domschke, K., Fehm, L., Ströhle, A., et al. (2013) · Molecular Psychiatry · doi:10.1038/mp.2012.172 · Cited by 109
Self-citation
Change of Threat Expectancy as Mechanism of Exposure-Based Psychotherapy for Anxiety Disorders: Evidence From 8,484 Exposure Exercises of 605 Patients
Pittig, A., Heinig, I., Goerigk, S. A., Richter, J., Hollandt, M., Lueken, U., Pauli, P., Deckert, J., Kircher, T. T. J., Straube, B., et al. (2022) · Clinical Psychological Science · doi:10.1177/21677026221101379 · Cited by 105
Self-citation
Therapist perceptions and delivery of interoceptive exposure for panic disorder
Deacon, B. J., Lickel, J. J., Farrell, N. R., Kemp, J. J., & Hipol, L. J. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.02.004 · Cited by 101
The Diagnosis of and Treatment Recommendations for Anxiety Disorders
Bandelow, B., Lichte, T., Rudolf, S., Wiltink, J., & Beutel, M. E. (2014) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2014.0473 · Cited by 105
Medial prefrontal cortex stimulation accelerates therapy response of exposure therapy in acrophobia
Herrmann, M. J., Katzorke, A., Busch, Y., Gromer, D., Polak, T. T., Pauli, P., & Deckert, J. (2016) · Brain stimulation · doi:10.1016/j.brs.2016.11.007 · Cited by 95
Self-citation
Panic Disorder and Agoraphobia
Craske, M. G., & Simos, G. (2013) · Wiley eBooks · doi:10.1002/9781118330043.ch1 · Cited by 95
The German guidelines for the treatment of anxiety disorders
Bandelow, B., Lichte, T., Rudolf, S., Wiltink, J., & Beutel, M. E. (2014) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-014-0563-z · Cited by 97
Treating Treatment-Resistant Patients with Panic Disorder and Agoraphobia Using Psychotherapy: A Randomized Controlled Switching Trial.
Gloster, A. T., Sonntag, R., Hoyer, J., Meyer, A. H., Heinze, S., Ströhle, A., Eifert, G., & Wittchen, H.-U. (2015) · Psychotherapy and Psychosomatics · doi:10.1159/000370162 · Cited by 88
Self-citation
Dynamics of Defensive Reactivity in Patients with Panic Disorder and Agoraphobia: Implications for the Etiology of Panic Disorder
Richter, J., Hamm, A. O., Pané‐Farré, C. A., Gerlach, A. L., Gloster, A. T., Wïttchen, H., Lang�, T., Alpers, G. W., Helbig‐Lang, S., Deckert, J., et al. (2012) · Biological Psychiatry · doi:10.1016/j.biopsych.2012.03.035 · Cited by 81
Self-citation
AEROBIC EXERCISE TRAINING FACILITATES THE EFFECTIVENESS OF COGNITIVE BEHAVIORAL THERAPY IN PANIC DISORDER
Gaudlitz, K., Plag, J., Dimeo, F., & Ströhle, A. (2014) · Depression and Anxiety · doi:10.1002/da.22337 · Cited by 81
Self-citation
Fear one, fear them all: A systematic review and meta-analysis of fear generalization in pathological anxiety
Fraunfelter, L.-A., Gerdes, A. B. M., & Alpers, G. W. (2022) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2022.104707 · Cited by 77
Self-citation
Theory-based training strategies for modifying practitioner concerns about exposure therapy.
Farrell, N., Deacon, B., Dixon, L., & Lickel, J. J. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.09.003 · Cited by 74
Panic disorder with agoraphobia from a behavioral neuroscience perspective: Applying the research principles formulated by the Research Domain Criteria (RDoC) initiative
Hamm, A. O., Richter, J., Pané‐Farré, C. A., Westphal, D., Wïttchen, H., Voßbeck-Elsebusch, A. N., Gerlach, A. L., Gloster, A. T., Ströhle, A., Lang�, T., et al. (2016) · Psychophysiology · doi:10.1111/psyp.12553 · Cited by 72
Self-citation
Virtual Reality Exposure Therapy Does Not Provide Any Additional Value in Agoraphobic Patients: A Randomized Controlled Trial
Meyerbroeker, K., Morina, N., Kerkhof, G. A., & Emmelkamp, P. M. G. (2013) · Psychotherapy and Psychosomatics · doi:10.1159/000342715 · Cited by 70
Are exposure-based cognitive behavioral therapies safe during pregnancy?
Arch, J. J., Dimidjian, S., & Chessick, C. (2012) · Archives of Women's Mental Health · doi:10.1007/s00737-012-0308-9 · Cited by 71
A Study of Asynchronous Mobile-Enabled SMS Text Psychotherapy
Hull, T. D., & Mahan, K. (2016) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2016.0114 · Cited by 70
Homework in Cognitive Behavioral Therapy
Kazantzis, N., Brownfield, N. R., Mosely, L., Usatoff, A. S., & Flighty, A. J. (2017) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2017.08.001 · Cited by 66
Efficacy of temporally intensified exposure for anxiety disorders: A multicenter randomized clinical trial
Pittig, A., Heinig, I., Goerigk, S., Thiel, F., Hummel, K., Scholl, L., Deckert, J., Pauli, P., Domschke, K., Lueken, U., et al. (2021) · Depression and Anxiety · doi:10.1002/da.23204 · Cited by 60
Self-citation
The functional −1019C/G HTR1A polymorphism and mechanisms of fear
Straube, B., Reif, A., Richter, J. H., Lueken, U., Weber, H., Arolt, V., Jansen, A. M., Zwanzger, P., Domschke, K., Pauli, P., et al. (2014) · Translational Psychiatry · doi:10.1038/tp.2014.130 · Cited by 56
Self-citation
Help-Seeking Behavior and Treatment Barriers in Anxiety Disorders: Results from a Representative German Community Survey
Heinig, I., Wittchen, H.-U., & Knappe, S. (2021) · Community Mental Health Journal · doi:10.1007/s10597-020-00767-5 · Cited by 54
Comparative efficacy and acceptability of psychotherapies for panic disorder with or without agoraphobia: systematic review and network meta-analysis of randomised controlled trials
Papola, D., Ostuzzi, G., Tedeschi, F., Gastaldon, C., Purgato, M., Giovane, C. D., Pompoli, A., Pauley, D., Karyotaki, E., Sijbrandij, M., et al. (2021) · The British Journal of Psychiatry · doi:10.1192/bjp.2021.148 · Cited by 63
Psychologische Flexibilität messen: Der Fragebogen zu Akzeptanz und Handeln II
Hoyer, J., & Gloster, A. T. (2013) · Verhaltenstherapie · doi:10.1159/000347040 · Cited by 53
Self-citation
Treating treatment non-responders: A meta-analysis of randomized controlled psychotherapy trials
Gloster, A. T., Rinner, M. T. B., Ioannou, M., Villanueva, J., Block, V. J., Ferrari, G., Benoy, C., Bader, K., & Karekla, M. (2020) · Clinical Psychology Review · doi:10.1016/j.cpr.2019.101810 · Cited by 53
Self-citation
Long-term stability of cognitive behavioral therapy effects for panic disorder with agoraphobia: a two-year follow-up study.
Gloster, A., Hauke, C., Höfler, M., Einsle, F., Fydrich, T., Hamm, A., Sthröhle, A., & Wittchen, H. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.09.009 · Cited by 52
Self-citation
A genome-wide association meta-analysis of prognostic outcomes following cognitive behavioural therapy in individuals with anxiety and depressive disorders
Rayner, C., Coleman, J. R. I., Purves, K. L., Hodsoll, J. P., Goldsmith, K., Alpers, G. W., Andersson, E., Arolt, V., Boberg, J., Bögels, S. M., et al. (2019) · Translational Psychiatry · doi:10.1038/s41398-019-0481-y · Cited by 57
Self-citation
Separating depressive comorbidity from panic disorder: A combined functional magnetic resonance imaging and machine learning approach
Lueken, U., Straube, B., Yang, Y., Hahn, T., Beesdo‐Baum, K., Wïttchen, H., Konrad, C., Ströhle, A., Wittmann, A., Gerlach, A. L., et al. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.05.052 · Cited by 52
Self-citation
Functional neuroimaging of psychotherapeutic processes in anxiety and depression
Lueken, U., & Hahn, T. (2015) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000218 · Cited by 52
Specificity of Homework Compliance Effects on Treatment Outcome in CBT: Evidence from a Controlled Trial on Panic Disorder and Agoraphobia: Homework Effects in CBT for Panic Disorder
Cammin-Nowak, S., Helbig-Lang, S., Lang, T., Gloster, A. T., Fehm, L., Gerlach, A. L., Ströhle, A., Deckert, J., Kircher, T., Hamm, A. O., et al. (2013) · Journal of Clinical Psychology · doi:10.1002/jclp.21975 · Cited by 50
Self-citation
The DNA methylome in panic disorder: A case-control and longitudinal psychotherapy-epigenetic study
Ziegler, C., Grundner-Culemann, F., Schiele, M. A., Schlosser, P., Kollert, L., Mahr, M., Gajewska, A., Lesch, K.-P., Deckert, J., Köttgen, A., et al. (2019) · Translational Psychiatry · doi:10.1038/s41398-019-0648-6 · Cited by 47
Changes of valued behaviors and functioning during an Acceptance and Commitment Therapy Intervention
Wersebe, H., Lieb, R., Meyer, A. H., Hoyer, J., Wittchen, H.-U., & Gloster, A. T. (2017) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2016.11.005 · Cited by 43
Self-citation
The role of safety behaviors in exposure-based treatment for panic disorder and agoraphobia: Associations to symptom severity, treatment course, and outcome
Helbig‐Lang, S., Richter, J., Lang�, T., Gerlach, A. L., Fehm, L., Alpers, G. W., Ströhle, A., Kircher, T. T. J., Deckert, J., Gloster, A. T., et al. (2014) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2014.09.010 · Cited by 44
Self-citation
Assessing psychological flexibility: Validation of the Open and Engaged State Questionnaire
Benoy, C., Knitter, B., Knellwolf, L., Doering, S., Klotsche, J., & Gloster, A. T. (2019) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2018.08.005 · Cited by 48
Self-citation
Use of a Brief Fear Memory Reactivation Procedure for Enhancing Exposure Therapy
Telch, M. J., York, J., Lancaster, C. L., & Monfils, M. H. (2017) · Clinical Psychological Science · doi:10.1177/2167702617690151 · Cited by 40
Zur Lage der Psychologie
Margraf, J. (2015) · Psychologische Rundschau · doi:10.1026/0033-3042/a000247 · Cited by 38
Depression Does Not Affect the Treatment Outcome of CBT for Panic and Agoraphobia: Results from a Multicenter Randomized Trial
Emmrich, A., Beesdo‐Baum, K., Gloster, A. T., Knappe, S., Höfler, M., Arolt, V., Deckert, J., Gerlach, A. L., Hamm, A. O., Kircher, T. T. J., et al. (2012) · Psychotherapy and Psychosomatics · doi:10.1159/000335246 · Cited by 38
Self-citation
Untitled work
(2012) · MADOC (University of Mannheim) · Cited by 37
Self-citation
Neural Correlates of Procedural Variants in Cognitive-Behavioral Therapy: A Randomized, Controlled Multicenter fMRI Study
Straube, B., Lueken, U., Jansen, A., Konrad, C., Gloster, A. T., Gerlach, A. L., Ströhle, A., Wittmann, A., Pfleiderer, B., Gauggel, S., et al. (2014) · Psychotherapy and Psychosomatics · doi:10.1159/000359955 · Cited by 40
Self-citation
Running for extinction? Aerobic exercise as an augmentation of exposure therapy in panic disorder with agoraphobia
Bischoff, S., Wieder, G., Einsle, F., Petzold, M. B., Janßen, C., Mumm, J. L. M., Wittchen, H.-U., Fydrich, T., Plag, J., & Ströhle, A. (2018) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2018.03.001 · Cited by 36
Self-citation
Mechanisms of Change in Exposure Therapy for Anxiety and Related Disorders: A Research Agenda
Benito, K., Pittig, A., Abramowitz, J. S., Arch, J. J., Chavira, D. A., de Kleine, R. A., Nadai, A. S. D., Hermans, D., Hofmann, S. G., Hoyer, J., et al. (2024) · Clinical Psychological Science · doi:10.1177/21677026241240727 · Cited by 37
Anticipating agoraphobic situations: the neural correlates of panic disorder with agoraphobia
Wittmann, A., Schlagenhauf, F., Guhn, A., Lueken, U., Gaehlsdorf, C., Stoy, M., Bermpohl, F., Fydrich, T., Pfleiderer, B., Bruhn, H., et al. (2014) · Psychological Medicine · doi:10.1017/s0033291713003085 · Cited by 38
Self-citation
Who is stressed? A pilot study of salivary cortisol and alpha-amylase concentrations in agoraphobic patients and their novice therapists undergoing in vivo exposure
Schumacher, S., Gaudlitz, K., Plag, J., Miller, R. E., Kirschbaum, C., Fehm, L., Fydrich, T., & Ströhle, A. (2014) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2014.07.016 · Cited by 37
Self-citation
Changes in risk-taking over the course of an internet-delivered cognitive behavioral therapy treatment for generalized anxiety disorder
Lorian, C. N., Titov, N., & Grisham, J. R. (2011) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2011.10.003 · Cited by 37
Therapygenetics: anterior cingulate cortex–amygdala coupling is associated with 5-HTTLPR and treatment response in panic disorder with agoraphobia
Lueken, U., Straube, B., Wïttchen, H., Konrad, C., Ströhle, A., Wittmann, A., Pfleiderer, B., Arolt, V., Kircher, T. T. J., Deckert, J., et al. (2014) · Journal of Neural Transmission · doi:10.1007/s00702-014-1311-2 · Cited by 35
Self-citation
Methodenpapier zur Koordination der Datenerhebung und -auswertung an Hochschul- und Ausbildungsambulanzen für Psychotherapie (KODAP)
Velten, J., Margraf, J., Benecke, C., Berking, M., In‐Albon, T., Lincoln, T. M., Lutz, W., Schlarb, A. A., Schöttke, H., Willutzki, U., et al. (2017) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026/1616-3443/a000431 · Cited by 34
Efficacy of group psychotherapy for panic disorder: Meta-analysis of randomized, controlled trials.
Schwartze, D., Barkowski, S., Strauss, B. M., Burlingame, G. M., Barth, J., & Rosendahl, J. (2017) · Group Dynamics Theory Research and Practice · doi:10.1037/gdn0000064 · Cited by 35
Theranostic markers for personalized therapy of spider phobia: Methods of a bicentric external cross‐validation machine learning approach
Schwarzmeier, H., Leehr, E. J., Böhnlein, J., Seeger, F. R., Roesmann, K., Gathmann, B., Herrmann, M. J., Siminski, N., Junghöfer, M., Straube, T., et al. (2019) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.1812 · Cited by 32
Bridging the Gaps Between Basic Science and Cognitive-Behavioral Treatments for Anxiety Disorders in Routine Care
Richter, J., Pittig, A., Hollandt, M., & Lueken, U. (2017) · Zeitschrift für Psychologie · doi:10.1027/2151-2604/a000309 · Cited by 37
Self-citation
The neural correlates of cognitive behavioral therapy: Recent progress in the investigation of patients with panic disorder
Yang, Y., Kircher, T. T. J., & Straube, B. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.07.011 · Cited by 32
Self-citation
Orexin in the anxiety spectrum: association of a HCRTR1 polymorphism with panic disorder/agoraphobia, CBT treatment response and fear-related intermediate phenotypes
Gottschalk, M. G., Richter, J., Ziegler, C., Schiele, M. A., Mann, J., Geiger, M. J., Schartner, C., Homola, G. A., Alpers, G. W., Büchel, C., et al. (2019) · Translational Psychiatry · doi:10.1038/s41398-019-0415-8 · Cited by 34
Self-citation
Pretreatment Cardiac Vagal Tone Predicts Dropout from and Residual Symptoms after Exposure Therapy in Patients with Panic Disorder and Agoraphobia
Wendt, J., Hamm, A. O., Pané‐Farré, C. A., Thayer, J. F., Gerlach, A. L., Gloster, A. T., Lang�, T., Helbig‐Lang, S., Pauli, P., Fydrich, T., et al. (2018) · Psychotherapy and Psychosomatics · doi:10.1159/000487599 · Cited by 32
Self-citation
5HTT is associated with the phenotype psychological flexibility: results from a randomized clinical trial
Gloster, A. T., Gerlach, A. L., Hamm, A., Höfler, M., Alpers, G. W., Kircher, T., Ströhle, A., Lang, T., Wittchen, H.-U., Deckert, J., et al. (2015) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-015-0575-3 · Cited by 28
Self-citation
Effect of combined cognitive-behavioural therapy and endurance training on cortisol and salivary alpha-amylase in panic disorder
Plag, J., Gaudlitz, K., Schumacher, S., Dimeo, F., Bobbert, T., Kirschbaum, C., & Ströhle, A. (2014) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2014.07.008 · Cited by 30
Self-citation
Effect of CBT on Biased Semantic Network in Panic Disorder: A Multicenter fMRI Study Using Semantic Priming
Yang, Y., Lueken, U., Richter, J., Hamm, A. O., Wittmann, A., Konrad, C., Ströhle, A., Pfleiderer, B., Herrmann, M. J., Lang�, T., et al. (2019) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2019.19020202 · Cited by 31
Self-citation
Patient perspectives on the effectiveness and tolerability of group-based exposure therapy for posttraumatic stress disorder: Preliminary self-report findings from 20 veterans.
Mott, J. M., Sutherland, R. J., Williams, W., Lanier, S. H., Ready, D. J., & Teng, E. J. (2012) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/a0029386 · Cited by 28
Improvement in adult anxious and avoidant attachment during cognitive behavioral therapy for panic disorder
Zalaznik, D., Weiss, M., & Huppert, J. D. (2017) · Psychotherapy Research · doi:10.1080/10503307.2017.1365183 · Cited by 31
Dysfunctional cognition and self-efficacy as mediators of symptom change in exposure therapy for agoraphobia – Systematic review and meta-analysis
Breuninger, C., Tuschen‐Caffier, B., & Svaldi, J. (2019) · Behaviour Research and Therapy · doi:10.1016/j.brat.2019.103443 · Cited by 27
All’s Bad That Ends Bad: There Is a Peak-End Memory Bias in Anxiety
Müller, U. W. D., Witteman, C. L. M., Spijker, J., & Alpers, G. W. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.01272 · Cited by 29
Self-citation
Cognitive-behavioral therapy effects on alerting network activity and effective connectivity in panic disorder
Neufang, S., Geiger, M. J., Homola, G. A., Mahr, M., Schiele, M. A., Gehrmann, A., Schmidt, B., Gajewska, A., Nowak, J., Meisenzahl‐Lechner, E., et al. (2018) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-018-0945-8 · Cited by 26
Koordination der Forschung an Hochschulambulanzen für Psychotherapie
Hoyer, J., Velten, J., Benecke, C., Berking, M., Heinrichs, N., In‐Albon, T., Lincoln, T. M., Lutz, W., Schlarb, A. A., Schöttke, H., et al. (2015) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026/1616-3443/a000308 · Cited by 24
Therapists' and patients' stress responses during graduated versus flooding in vivo exposure in the treatment of specific phobia: A preliminary observational study.
Schumacher, S., Miller, R., Fehm, L., Kirschbaum, C., Fydrich, T., & Ströhle, A. (2015) · Psychiatry Research · doi:10.1016/j.psychres.2015.10.020 · Cited by 25
Self-citation
Efficacy of a hybrid online training for panic symptoms and agoraphobia: study protocol for a randomized controlled trial.
Ebenfeld, L., Kleine Stegemann, S., Lehr, D., Ebert, D. D., Jazaieri, H., van Ballegooijen, W., Funk, B., Riper, H., & Berking, M. (2014) · Trials · doi:10.1186/1745-6215-15-427 · Cited by 20
“In contrast, clients often carry their smartphones with them in almost any situation, and they might support clients in successfully completing the intended exposure exercise [19-21].”
Background
The cooperative revolution reaches clinical psychology and psychotherapy: An example from Germany
Margraf, J., Hoyer, J., Fydrich, T., In‐Albon, T., Lincoln, T. M., Lutz, W., Schlarb, A. A., Schöttke, H., Willutzki, U., & Velten, J. (2021) · Clinical Psychology in Europe · doi:10.32872/cpe.4459 · Cited by 24
Self-citation
Dissemination of Exposure Therapy in Clinical Practice: How to Handle the Barriers?
Neudeck, P., & Einsle, F. (2012) · Exposure Therapy · doi:10.1007/978-1-4614-3342-2_3 · Cited by 24
Self-citation
Facing the fear – clinical and neural effects of cognitive behavioural and pharmacotherapy in panic disorder with agoraphobia
Liebscher, C., Wittmann, A., Gechter, J., Schlagenhauf, F., Lueken, U., Plag, J., Straube, B., Pfleiderer, B., Fehm, L., Gerlach, A. L., et al. (2016) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2016.01.004 · Cited by 21
Self-citation
The role of treatment delivery factors in exposure-based cognitive behavioral therapy for panic disorder with agoraphobia
Weck, F., Grikscheit, F., Höfling, V., Kordt, A., Hamm, A. O., Gerlach, A. L., Alpers, G. W., Arolt, V., Kircher, T. T. J., Pauli, P., et al. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.05.007 · Cited by 23
Self-citation
Dimensional structure of bodily panic attack symptoms and their specific connections to panic cognitions, anxiety sensitivity and claustrophobic fears
Drenckhan, I., Glöckner-Rist, A., Rist, F., Richter, J., Gloster, A. T., Fehm, L., Lang�, T., Alpers, G. W., Hamm, A. O., Fydrich, T., et al. (2014) · Psychological Medicine · doi:10.1017/s0033291714002803 · Cited by 19
Self-citation
Dissemination of exposure in the treatment of anxiety disorders and post‐traumatic stress disorder among German cognitive behavioural therapists
Schumacher, S., Weiss, D., & Knaevelsrud, C. (2018) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2320 · Cited by 19
A functional genetic variation of SLC6A2 repressor hsa-miR-579-3p upregulates sympathetic noradrenergic processes of fear and anxiety
Hommers, L. G., Richter, J., Yang, Y., Raab, A., Baumann, C. R., Lang, K., Schiele, M. A., Weber, H., Wittmann, A., Wolf, C., et al. (2018) · Translational Psychiatry · doi:10.1038/s41398-018-0278-4 · Cited by 20
Self-citation
A Comparison of Psychoanalytic Therapy and Cognitive Behavioral Therapy for Anxiety (Panic/Agoraphobia) and Personality Disorders (APD Study): Presentation of the RCT Study Design
Benecke, C., Huber, D., Staats, H., Zimmermann, J., Henkel, M., Deserno, H., Wiegand‐Grefe, S., & Schauenburg, H. (2016) · Zeitschrift für psychosomatische Medizin und Psychotherapie · doi:10.13109/zptm.2016.62.3.252 · Cited by 18
Repeated Interoceptive Exposure in Individuals With High and Low Anxiety Sensitivity
Holtz, K., Hamm, A. O., & Pané‐Farré, C. A. (2018) · Behavior Modification · doi:10.1177/0145445518772269 · Cited by 18
Self-citation
Vagally mediated heart rate variability and safety learning: Effects of instructions and number of extinction trials
Wendt, J., König, J., Hufenbach, M. C., Koenig, J., Thayer, J. F., & Hamm, A. O. (2019) · Psychophysiology · doi:10.1111/psyp.13404 · Cited by 18
Self-citation
GENDER-SPECIFIC ASSOCIATION OF VARIANTS IN THEAKR1C1GENE WITH DIMENSIONAL ANXIETY IN PATIENTS WITH PANIC DISORDER: ADDITIONAL EVIDENCE FOR THE IMPORTANCE OF NEUROSTEROIDS IN ANXIETY?
Quast, C., Reif, A., Brückl, T. M., Pfister, H., Weber, H., Mattheisen, M., Cichon, S., Lang�, T., Hamm, A. O., Fehm, L., et al. (2014) · Depression and Anxiety · doi:10.1002/da.22229 · Cited by 17
Self-citation
Evaluation of a practice team-supported exposure training for patients with panic disorder with or without agoraphobia in primary care - study protocol of a cluster randomised controlled superiority trial
Gensichen, J. S., Hiller, T. S., Breitbart, J., Teismann, T., Brettschneider, C., Schumacher, U., Piwtorak, A., König, H., Hoyer, H., Schneider, N., et al. (2014) · Trials · doi:10.1186/1745-6215-15-112 · Cited by 17
The impact of depressive comorbidity on neural plasticity following cognitive-behavioral therapy in panic disorder with agoraphobia
Kunas, S. L., Yang, Y., Straube, B., Kircher, T. T. J., Gerlach, A. L., Pfleiderer, B., Arolt, V., Wittmann, A., Ströhle, A., Wïttchen, H., et al. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.11.026 · Cited by 17
Self-citation
Effekte therapeutenbegleiteter versus patientengeleiteter Exposition bei Panikstörung mit Agoraphobie
Lang, T., Helbig-Lang, S., Gloster, A. T., Richter, J., Hamm, A. O., Fehm, L., Fydrich, T., Gerlach, A. L., Ströhle, A., Alpers, G. W., et al. (2012) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026/1616-3443/a000139 · Cited by 15
Self-citation
Does the theoretical perspective of exposure framing matter? Acceptance, fear reduction/cognitive reappraisal, and values-framing of exposure for social anxiety
Bluett, E. J., Landy, L. L., Twohig, M. P., & Arch, J. J. (2016) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.30.2.77 · Cited by 13
Thought Field Therapy Compared to Cognitive Behavioral Therapy and Wait-List for Agoraphobia: A Randomized, Controlled Study with a 12-Month Follow-up
Irgens, A. C., Hoffart, A., Nysæter, T. E., Haaland, V. Ø., Borge, F., Pripp, A. H., Martinsen, E. W., & Dammen, T. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.01027 · Cited by 15
Therapist beliefs about exposure therapy implementation
Meyer, J. M., Kelly, P. J., & Deacon, B. J. (2020) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x20000112 · Cited by 15
Vagal control of the heart decreases during increasing imminence of interoceptive threat in patients with panic disorder and agoraphobia
Richter, J., Pietzner, A., Koenig, J., Thayer, J. F., Pané‐Farré, C. A., Gerlach, A. L., Gloster, A. T., Wïttchen, H., Lang�, T., Alpers, G. W., et al. (2021) · Scientific Reports · doi:10.1038/s41598-021-86867-y · Cited by 16
Self-citation
Developing a European research network to address unmet needs in anxiety disorders
Baldwin, D. S., Pallanti, S., & Zwanzger, P. (2013) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2013.01.009 · Cited by 14
Self-citation
High-Intensity Interval Training in Panic Disorder Patients
Plag, J., Ergec, D.-L., Fydrich, T., & Ströhle, A. (2019) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000944 · Cited by 14
Self-citation
Exposure Therapy
Telch, M. J., Cobb, A. R., & Lancaster, C. L. (2014) · Wiley eBooks · doi:10.1002/9781118775349.ch35 · Cited by 14

Authors: Gloster, A. T., Wittchen, H.-U., Einsle, F., Lang, T., Helbig-Lang, S., Fydrich, T., Fehm, L., Hamm, A. O., Richter, J., Alpers, G. W., Gerlach, A. L., Ströhle, A., Kircher, T., Deckert, J., Zwanzger, P., Höfler, M., & Arolt, V.
Affiliations: Technische Universität Dresden (DE)
Humboldt-Universität zu Berlin (DE)
Universität Greifswald (DE)
University of Würzburg (DE)
University of Münster (DE)
Charité – Universitätsmedizin Berlin (DE)
Philipps University of Marburg (DE)
ORCID: Gloster, Andrew T.
Wittchen, Hans-Ulrich
Fydrich, Thomas
Fehm, Lydia
Hamm, Alfons O.
Richter, Jan
Alpers, Georg W.
Gerlach, Alexander L.
Ströhle, Andreas
Kircher, Tilo
Zwanzger, Peter
Höfler, Michael
Arolt, Volker
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 2011
Volume: 79
Issue: 3
Pages: 406-420
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/a0023584
OpenAlex: W1965222801
Cited by: 203
References: 57
Citations by year: 2026: 6 · 2025: 4 · 2024: 8 · 2023: 3 · 2022: 4 · 2021: 14 · 2020: 7 · 2019: 23 · 2018: 19 · 2017: 18 · 2016: 17 · 2015: 16 · 2014: 23 · 2013: 23 · 2012: 13
FWCI: 26.04
Type: journal article
Language: en
Update notices: correction (2011-09-26)
Open access: closed
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
MADOC (University of Mannheim) (submittedVersion)
Funders: German Federal Ministry for Education and Research (01GV0615)
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 with agoraphobia, cognitive behavioral therapy, in situ exposure, agoraphobic avoidance, panic attacks, therapeutic mechanisms, dose-response relationship
MeSH terms: Adult, Agoraphobia, Female, Humans, Implosive Therapy, Male, Middle Aged, Professional-Patient Relations, Cognitive Behavioral Therapy, Panic Disorder, Treatment Outcome

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

Psychological treatment for panic disorder with agoraphobia: A randomized controlled trial to examine the role of therapist-guided exposure in situ in CBT.

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cites

Cited by

Related

Metadata

Record

About these checks