TY - JOUR
T1 - Do patterns of change during treatment for panic disorder predict future panic symptoms?
AU - Steinman, Shari A.
AU - Hunter, Michael D.
AU - Teachman, Bethany A.
N1 - Funding Information:
The authors would like to thank Professor John Nesselroade and the members of the Teachman Program for Anxiety Cognition and Treatment (PACT) Lab for their insightful comments and suggestions. The authors would also like to thank the research assistants, clinical evaluators, and therapists that assisted with this study. This research was supported by NIMH R03PA03039 and NIA R01AG033033 grants to Bethany Teachman.
PY - 2013
Y1 - 2013
N2 - Background and objectives: Cognitive-behavioral therapies are currently the gold standard for panic disorder treatment, with well-documented treatment response. However, following interventions, some individuals continue to improve, while others experience a return of symptoms. The field lacks reliable ways to predict follow-up symptomatology. In the current study, a cluster analysis with a repeated measures design was conducted to examine change patterns over 12 weeks of cognitive behavioral group therapy for panic disorder. The central aim of the study was to evaluate if change patterns predict level of panic symptom severity at a six month follow-up in this sample. Methods: Individuals with panic disorder (N = 36) completed a measure of panic symptoms (Panic Disorder Severity Scale) at the outset of every therapy session and at a six month follow-up. Results: Results revealed three patterns of change in this specific trial, which significantly predicted level of panic symptoms six months post-treatment, beyond initial or final level of panic symptoms, and beyond total symptom change. Limitations: Given the relatively small, lab-based sample, replications in other settings and samples will be important. Conclusions: Overall, results provide initial evidence that change patterns are meaningful predictors of panic symptom severity well after the final session of treatment.
AB - Background and objectives: Cognitive-behavioral therapies are currently the gold standard for panic disorder treatment, with well-documented treatment response. However, following interventions, some individuals continue to improve, while others experience a return of symptoms. The field lacks reliable ways to predict follow-up symptomatology. In the current study, a cluster analysis with a repeated measures design was conducted to examine change patterns over 12 weeks of cognitive behavioral group therapy for panic disorder. The central aim of the study was to evaluate if change patterns predict level of panic symptom severity at a six month follow-up in this sample. Methods: Individuals with panic disorder (N = 36) completed a measure of panic symptoms (Panic Disorder Severity Scale) at the outset of every therapy session and at a six month follow-up. Results: Results revealed three patterns of change in this specific trial, which significantly predicted level of panic symptoms six months post-treatment, beyond initial or final level of panic symptoms, and beyond total symptom change. Limitations: Given the relatively small, lab-based sample, replications in other settings and samples will be important. Conclusions: Overall, results provide initial evidence that change patterns are meaningful predictors of panic symptom severity well after the final session of treatment.
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U2 - 10.1016/j.jbtep.2012.09.003
DO - 10.1016/j.jbtep.2012.09.003
M3 - Article
C2 - 23187115
AN - SCOPUS:84869872952
SN - 0005-7916
VL - 44
SP - 150
EP - 157
JO - Journal of Behavior Therapy and Experimental Psychiatry
JF - Journal of Behavior Therapy and Experimental Psychiatry
IS - 2
ER -