Weck, Florian, Grikscheit, Florian, Hoefling, Volkmar, Kordt, Anne, Hamm, Alfons O., Gerlach, Alexander L. ORCID: 0000-0001-6794-5349, Alpers, Georg W., Arolt, Volker, Kircher, Tilo ORCID: 0000-0002-2514-2625, Pauli, Paul ORCID: 0000-0003-0692-6720, Rief, Winfried and Lang, Thomas (2016). The role of treatment delivery factors in exposure-based cognitive behavioral therapy for panic disorder with agoraphobia. J. Anxiety Disord., 42. S. 10 - 19. OXFORD: PERGAMON-ELSEVIER SCIENCE LTD. ISSN 1873-7897

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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. (C) 2016 Elsevier Ltd. All rights reserved.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Weck, FlorianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Grikscheit, FlorianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hoefling, VolkmarUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kordt, AnneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hamm, Alfons O.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gerlach, Alexander L.UNSPECIFIEDorcid.org/0000-0001-6794-5349UNSPECIFIED
Alpers, Georg W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Arolt, VolkerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kircher, TiloUNSPECIFIEDorcid.org/0000-0002-2514-2625UNSPECIFIED
Pauli, PaulUNSPECIFIEDorcid.org/0000-0003-0692-6720UNSPECIFIED
Rief, WinfriedUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lang, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-268879
DOI: 10.1016/j.janxdis.2016.05.007
Journal or Publication Title: J. Anxiety Disord.
Volume: 42
Page Range: S. 10 - 19
Date: 2016
Publisher: PERGAMON-ELSEVIER SCIENCE LTD
Place of Publication: OXFORD
ISSN: 1873-7897
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
TREATMENT INTEGRITY; WORKING ALLIANCE; COMPETENCE; ADHERENCE; PSYCHOTHERAPY; VALIDATION; ANXIETY; TRIAL; CBTMultiple languages
Psychology, Clinical; PsychiatryMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/26887

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