Predictors of etiological beliefs about panic disorder and impact of beliefs on treatment outcomes

Amiri, Sawsane El; Koszycki, Diana; Taljaard, Monica; Segal, Zindel V.; Bradwejn, Jacques

doi:10.1016/j.psychres.2018.04.003

Cited by 6 publications

(6 citation statements)

References 42 publications

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“…The relative importance, or effect size, of illness representations to outcomes may also differ based on the conditions. For example, illness representations may be particularly critical for the management of medically unexplained symptoms (McAndrew, Crede, et al, 2018) and panic disorder (e.g., El Amiri et al, 2018; Hofmann et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

“…Cognitive behavioural therapy for panic disorder is another example of the utility of illness representations in psychotherapy. Patients with panic disorder often believe the cause and consequences of their panic attacks to be deadly, and these beliefs contribute to unhelpful coping and poor outcomes (El Amiri et al, 2018; Wenzel et al, 2006). Treatment of panic disorder often includes explicit discussion of the patient's mental illness representations to help the patient create a perspective of their panic attacks that promotes self‐management through grounding and breathing for relaxation, promoting less severe panic attacks and better outcomes (Barlow & Craske, 2007; Hofmann et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The common‐sense model and mental illness outcomes: A meta‐analysis

Cannon

Credé

Kimber

et al. 2022

Clin Psychology and Psychoth

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Psychotherapists can improve their patients' outcomes during and after therapy by improving patients' self‐management. Patients who do not effectively manage their mental illness generally have worse outcomes. Leventhal's Common‐Sense Model of Self‐Regulation theorizes that patients' perceptions of their illness (illness representations) guide their self‐management, influencing health outcomes. The present study quantified the relations between illness representations, self‐management and outcomes for mental illnesses. We conducted a meta‐analysis and included articles if they reported (1) on adults with mental illnesses and (2) the correlation between mental illness representations and mental illness outcomes. Twenty‐five articles were included which represented 28 independent samples. The pattern of correlations among illness representations (identity, consequences, timeline, control, coherence and emotional representations), self‐management strategies (attendance, engagement and adherence to treatment) and mental illness outcomes (symptom severity and quality of life) was consistent with analyses from previous studies of mental and physical illnesses. The results found threat‐related illness representations mostly had a large relationship with worse mental illness outcomes and self‐management. Protective illness representations had a small‐to‐large relationship with better mental illness outcomes and self‐management. The results suggest patients' perceptions of their mental illness may be a critical indicator of their mental illness outcomes, including symptom severity and quality of life. This theory‐driven meta‐analysis supports calls for the inclusion of illness representations in psychotherapy for mental illness.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The common‐sense model and mental illness outcomes: A meta‐analysis

Cannon

Credé

Kimber

et al. 2022

Clin Psychology and Psychoth

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“…Therefore, when discussing treatment of pregnant women with PD, it is important to take into consideration some aspects when selecting the treatment approach, for example, previous response to treatment, treatment cost and availability, patient-clinician relationship, presence of comorbid psychological disorders, patient beliefs and preferences [ 36 ], and above all mother and fetus possible complications.…”

Section: Discussionmentioning

confidence: 99%

Panic disorder during pregnancy: A scoping review

Al-Awabdeh,

Abu Shaikha,

Salameh

et al. 2024

Heliyon

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“…Most research has focused on patient preference for medication versus psychotherapy, with findings consistently supporting a stronger preference for psychological therapies among patients seeking treatment for anxiety and depression (Deacon & Abramowitz, 2005; Dorow et al, 2018; McHugh et al, 2013). Patient preference for medication or psychotherapy may be shaped by a number of factors including demographics such as age, gender, ethnicity and education attainment (Dorow et al, 2018; Dunlop et al, 2017; Hazlett‐Stevens et al, 2002; McHugh et al, 2013), previous experience with treatment (Churchill et al, 2000) and etiological beliefs about illness (El Amiri et al, 2018). For example, patients who endorse biological causal attributions of illness tend to prefer pharmacotherapy (Steidtmann et al, 2012), whereas those who endorse psychosocial attributions prefer psychotherapy (Houle et al, 2013; Waikar et al, 1995).…”

Section: Introductionmentioning

confidence: 99%

Does treatment preference affect outcome in a randomized trial of a mindfulness intervention versus cognitive behaviour therapy for social anxiety disorder?

Koszycki

Ilton

Dowell

et al. 2021

Clin Psychology and Psychoth

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Research suggests that treatment preference may affect outcome of randomized clinical trials, but few studies have assessed treatment preference in trials comparing different types of psychosocial interventions. This study used secondary data analysis to evaluate the impact of treatment preference in a randomized trial of a mindfulness-based intervention adapted for social anxiety disorder (MBI-SAD) versus cognitive behaviour group therapy (CBGT). Ninety-seven participants who met DSM-5 criteria for SAD were randomized. Prior to randomization, twice as many participants expressed a preference for the MBI-SAD over CBGT. However, being allocated or not to one's preferred treatment had no impact on treatment response.Additionally, with the exception of perception of treatment credibility, treatment matching had no impact on treatment-related variables, including treatment initiation, session attendance, homework compliance, satisfaction with treatment and perception that treatment met expectations. In sum, despite the greater preference for the mindfulness intervention in this sample of participants with SAD, we found little evidence of preference effects on our study outcomes. Findings should be viewed as preliminary and require replication.

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Predictors of etiological beliefs about panic disorder and impact of beliefs on treatment outcomes

Cited by 6 publications

References 42 publications

The common‐sense model and mental illness outcomes: A meta‐analysis

The common‐sense model and mental illness outcomes: A meta‐analysis

Panic disorder during pregnancy: A scoping review

Does treatment preference affect outcome in a randomized trial of a mindfulness intervention versus cognitive behaviour therapy for social anxiety disorder?

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