Effects of Group Experiential Cognitive Therapy for the Treatment of Panic Disorder with Agoraphobia
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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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).”
From Enhancing In Vivo Exposure in the Treatment of Panic Disorder and Agoraphobia Using Location-Based Technologies: A Case Study (2020) · cites this paper as Choi et al., 2005
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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
- Publisher
- SAGE Publications
- 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
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 ›
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