The role of treatment delivery factors in exposure-based cognitive behavioral therapy for panic disorder with agoraphobia

Weck, Florian ; Grikscheit, Florian ; Höfling, Volkmar ; Kordt, Anne ; Hamm, Alfons O. ; Gerlach, Alexander L. ; Alpers, Georg W. ; Arolt, Volker ; Kircher, Tilo ; Pauli, Paul ; Rief, Winfried ; Lang, Thomas

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Document Type: Article
Year of publication: 2016
The title of a journal, publication series: Journal of Anxiety Disorders
Volume: 42
Page range: 10-18
Place of publication: Amsterdam [u.a.]
Publishing house: Elsevier
ISSN: 0887-6185 , 1873-7897
Publication language: English
Institution: School of Social Sciences > Klinische u. Biologische Psychologie u. Psychotherapie (Alpers 2010-)
Subject: 150 Psychology
Abstract: Treatment delivery factors (i.e., therapist adherence, therapist competence, and therapeutic alliance) are considered to be important for cognitive behavioral therapy (CBT) for panic disorder and agoraphobia (PD/AG). In the current study, four independent raters conducted process evaluations based on 168 two-hour videotapes of 84 patients with PD/AG treated with exposure-based CBT. Two raters evaluated patients' interpersonal behavior in Session 1. Two raters evaluated treatment delivery factors in Session 6, in which therapists provided the rationale for conducting exposure exercises. At the 6-month follow-up, therapists' adherence (r=0.54) and therapeutic alliance (r=0.31) were significant predictors of changes in agoraphobic avoidance behavior; therapist competence was not associated with treatment outcomes. Patients' interpersonal behavior in Session 1 was a significant predictor of the therapeutic alliance in Session 6 (r=0.17). The findings demonstrate that treatment delivery factors, particularly therapist adherence, are relevant to the long-term success of CBT for PD/AG.

Dieser Eintrag ist Teil der Universitätsbibliographie.

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