Outcome Prediction of Cognitive Behaviour Therapy for Panic Disorder: Initial Symptom Severity is Predictive for Treatment Outcome, Comorbid Anxiety or Depressive Disorder, Cluster C Personality Disorders and Initial Motivation Are Not

Five variables were investigated with regard to their possible predictive value for cognitive behavioural treatment (CBT) outcome in a large sample of panic disorder (PD) patients. The variables were initial symptom severity, comorbid anxiety or depressive disorders, comorbid cluster C personality d...

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Bibliographic Details
Published in:Behavioural and cognitive psychotherapy 2008-01, Vol.36 (1), p.99-112
Main Authors: Kampman, Mirjam, Keijsers, Ger P. J., Hoogduin, Cees A. L., Hendriks, Gert-Jan
Format: Article
Language:English
Subjects:
Adult and adolescent clinical studies
Anxiety
Anxiety disorders. Neuroses
Behavior
Behavior therapy. Cognitive therapy
Biological and medical sciences
Medical sciences
Mental depression
Panic attacks
Panic disorder
Personality disorders
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Studies
Treatments
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Summary:Five variables were investigated with regard to their possible predictive value for cognitive behavioural treatment (CBT) outcome in a large sample of panic disorder (PD) patients. The variables were initial symptom severity, comorbid anxiety or depressive disorders, comorbid cluster C personality disorders, and initial motivation for treatment. A total number of 161 PD patients received a standardized CBT of 15 sessions. Assessments of predictive variables took place prior to treatment. Outcome measures were assessed at pre- and posttreatment. The patients had significantly improved after the treatment. None of the variables, separately or together, affected CBT outcome, save initial severity of panic disorder symptoms, which was positively associated with posttreatment symptom severity. Since research efforts failed to produce consistent predictors for CBT treatment outcome in panic disorder thus far, the usefulness of future outcome prediction research in panic disorder by pre-treatment demographic, disorder-related, psychological, or socio-psychological variables is put into question.
ISSN:1352-4658
1469-1833
DOI:10.1017/S1352465807004018