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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Porter, Eliora Chambless, Dianne L. |
| Description | Author Affiliation: Porter E ( Department of Psychology, University of Pennsylvania, 3720 Walnut Street, Philadelphia, PA 19104, United States. Electronic address: eliora@psych.upenn.edu.); Chambless DL ( Department of Psychology, University of Pennsylvania, 3720 Walnut Street, Philadelphia, PA 19104, United States.) |
| Abstract | BACKGROUND: Despite the considerable efficacy of cognitive-behavioral therapy (CBT) for panic disorder (PD) and agoraphobia, a substantial minority of patients fail to improve for reasons that are poorly understood. OBJECTIVE: The aim of this study was to identify consistent predictors and moderators of improvement in CBT for PD and agoraphobia. DATA SOURCES: A systematic review and meta-analysis of articles was conducted using PsycInfo and PubMed. Search terms included panic, agoraphobi*, cognitive behavio*, CBT, cognitive therapy, behavio* therapy, CT, BT, exposure, and cognitive restructuring. STUDY SELECTION: Studies were limited to those employing semi-structured diagnostic interviews and examining change on panic- or agoraphobia-specific measures. DATA EXTRACTION: The first author extracted data on study characteristics, prediction analyses, effect sizes, and indicators of study quality. Interrater reliability was confirmed. SYNTHESIS: 52 papers met inclusion criteria. Agoraphobic avoidance was the most consistent predictor of decreased improvement, followed by low expectancy for change, high levels of functional impairment, and Cluster C personality pathology. Other variables were consistently unrelated to improvement in CBT, understudied, or inconsistently related to improvement. LIMITATIONS: Many studies were underpowered and failed to report effect sizes. Tests of moderation were rare. CONCLUSIONS: Apart from agoraphobic avoidance, few variables consistently predict improvement in CBT for PD and/or agoraphobia across studies. |
| File Format | HTM / HTML |
| ISSN | 02727358 |
| Journal | Clinical Psychology Review |
| Volume Number | 42 |
| e-ISSN | 18737811 |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2015-12-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Psychology Agoraphobia Therapy Cognitive Therapy Methods Outcome Assessment (health Care) Panic Disorder Humans Journal Article Review |
| Content Type | Text |
| Resource Type | Article |
| Subject | Clinical Psychology Psychiatry and Mental Health |
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