Cited by 74Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesDigital Mental Health InterventionsPsychological Treatments and Assessments

Effects of Group Experiential Cognitive Therapy for the Treatment of Panic Disorder with Agoraphobia

Choi, Young-Hee, Vincelli, Francesco, Riva, Giuseppe, Wiederhold, Brenda K., Lee, Jung-Ho, Park, Kee-Hwan·2005·CyberPsychology & Behavior

Abstract

A treatment protocol, called experiential cognitive therapy (ExCT), was developed. It integrated traditional cognitive behavior therapy (CBT) with virtual reality exposure for the treatment of panic disorder with agoraphobia (PDA). The objective of this study was to test the efficacy of short-term (four sessions) ExCT compared with a traditional 12-session panic control program (PCP) for the treatment of PDA. Forty patients diagnosed as having PDA by the diagnostic criteria of DSM-IV were randomly assigned to ExCT and PCP groups of 20 patients each. The treatment effects were measured with self-report questionnaires, including the BDI, STAI, ASI, PBQ, ACQ, and BSQ. The authors also assessed high end-state functioning (HES), including the success rate of stopping or reducing medication at post-treatment and 6-month follow-up. In all ratings, both ExCT and PCP groups showed significant improvement post-treatment compared with pre-treatment scores. There were no significant differences between the two treatment groups in HES and medication discontinuation at post-treatment, but there was a significant difference in medication discontinuation at 6-month follow-up. These results suggested that although short-term effectiveness of ExCT might be comparable to the effectiveness of PCP, long-term effectiveness of ExCT might be relatively inferior to the effectiveness of PCP.

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Crossref · 10.1089/cpb.2005.8.387

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  • Virtual reality is an effective tool for applying in vivo exposure in the treatment of anxiety disorders, and more specifically PD/A.

    “The first promising technology was virtual reality (VR), which emerged as an effective tool for applying IVE, reporting efficacy in the treatment of anxiety disorders (Opriş et al., 2012), and more specifically, PD/A (Botella et al., 2007; Choi et al., 2005; Pérez-Ara et al., 2010).”

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Authors
Choi, Y.-H., Vincelli, F., Riva, G., Wiederhold, B. K., Lee, J.-H., & Park, K.-H.
Affiliations
  • Mettaa Institute of Cognitive Behavior Therapy, Seoul, South Korea.
  • Università Cattolica del Sacro Cuore (IT)
  • Virtual Reality Medical Center (US)
  • Inje University Sanggye Paik Hospital (KR)
  • Catholic University of Korea (KR)
Venue
CyberPsychology & Behavior
Published
2005-08
Volume
8
Issue
4
Pages
387-393
ISSN
  • 1094-9313 (ISSN-L)
  • 1557-8364
OpenAlex
W1978834524
Cited by
74
References
27
Citations by year
2026: 1 · 2025: 3 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 5 · 2020: 2 · 2019: 6 · 2018: 4 · 2017: 1 · 2016: 4 · 2015: 5 · 2014: 2 · 2013: 3 · 2012: 3
FWCI
3.90
Type
journal article
Language
en
Open access
closed
Locations
  • CyberPsychology & Behavior (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Keywords
panic disorder with agoraphobia, group therapy, virtual reality exposure, cognitive behavioral therapy, brief psychotherapy, drug discontinuation, long-term treatment efficacy
MeSH terms
Adult, Agoraphobia, Alprazolam, Anticonvulsants, Clonazepam, Demography, Female, Humans, Male, Psychotherapy, Brief, Psychotherapy, Group, Surveys and Questionnaires, Anti-Anxiety Agents, Cognitive Behavioral Therapy, Panic Disorder

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