Psychotherapies for Panic Disorder

Milrod, Barbara; Chambless, Dianne L.; Gallop, Robert; Busch, Fred; Schwalberg, Michael D.; McCarthy, Kevin S.; Gross, Charles G.; Sharpless, Brian A.; Leon, Andrew C.; Barber, Jacques P.

doi:10.4088/jcp.14m09507

Cited by 72 publications

(73 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…More complete details on procedures are available in the paper on the parent trial (Milrod et al, 2015). Here we focus on procedures pertinent to the current research questions.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Perceived criticism predicts outcome of psychotherapy for panic disorder: Replication and extension.

Chambless¹,

Allred²,

Chen³

et al. 2017

Journal of Consulting and Clinical Psychology

Self Cite

View full text Add to dashboard Cite

Objective We tested the relation of perceived criticism from a parent or spouse/romantic partner to outcome of psychotherapy for panic disorder. Method Participants were 130 patients with panic disorder (79% with agoraphobia) who received 24 twice weekly sessions of Panic-Focused Psychodynamic Psychotherapy, Cognitive-Behavioral Therapy, or Applied Relaxation Therapy. Patients were predominantly White (75%), female (64%), and non-Hispanic (85%). At baseline, Week 5 of treatment, termination, and at 6- and 12-month follow-up, patients rated perceived criticism from the relative with whom they lived. Independent evaluators assessed the severity of panic disorder at baseline, Weeks 1, 5, and 9 of treatment, termination, and the two follow-up points. Data were analyzed with piecewise (treatment phase, follow-up phase) latent growth curve modeling. Results The latent intercept for perceived criticism at baseline predicted the latent slope for panic severity in the follow-up (p = .04) but not the active treatment phase (p = .50). In contrast, the latent intercept for panic disorder severity at baseline did not predict the latent slope on perceived criticism in either phase (ps ≥ .29). Nor did the slopes of perceived criticism and panic disorder severity covary across treatment (p = .31) or follow-up (p =.13). Indeed, perceived criticism did not change significantly across treatment (p =.45), showing the stability of this perception regardless of significant change in severity of patients’ panic disorder (p < .001). Conclusions Because perceived criticism predicts worse long-term treatment outcome for panic disorder, study findings argue for interventions to address perceived criticism in treatment.

show abstract

“…More complete details on procedures are available in the paper on the parent trial (Milrod et al, 2015). Here we focus on procedures pertinent to the current research questions.…”

Section: Methodsmentioning

confidence: 99%

“…Of the 200 patients participating in the parent study (Milrod et al, 2015), 130 were living with a spouse/partner or parent and are included in the present study. See Table 1 for descriptive data.…”

Section: Methodsmentioning

confidence: 99%

Perceived criticism predicts outcome of psychotherapy for panic disorder: Replication and extension.

Chambless¹,

Allred²,

Chen³

et al. 2017

Journal of Consulting and Clinical Psychology

Self Cite

View full text Add to dashboard Cite

show abstract

“…We sought to examine predictors and moderators of response to psychotherapy in the context of the Cornell-Penn Psychotherapies for Panic Disorder Study, a multisite RCT in which the benefits of CBT and PFPP for patients with a primary diagnosis of DSM-IV panic disorder with or without agoraphobia were compared (Milrod et al, 2016). …”

Section: The Present Studymentioning

confidence: 99%

“…In the present study, we use data from the Milrod et al (2016) trial to examine predictors and moderators of response to CBT and PFPP. Although both treatments are symptom-focused, they represent two very different approaches to treatment in theory and in execution.…”

mentioning

confidence: 99%

Prediction and moderation of improvement in cognitive-behavioral and psychodynamic psychotherapy for panic disorder.

Chambless

Milrod

Porter

et al. 2017

Journal of Consulting and Clinical Psychology

Self Cite

View full text Add to dashboard Cite

Objective To identify variables predicting psychotherapy outcome for panic disorder or indicating which of two very different forms of psychotherapy - Panic-Focused Psychodynamic Psychotherapy (PFPP) or Cognitive-Behavioral Therapy (CBT) - would be more effective for particular patients. Method Data were from 161 adults participating in a randomized controlled trial including these psychotherapies. Patients included 104 women; 118 patients were White, 33 were Black, and 10 were of other races; 24 were Latino(a). Predictors/moderators measured at baseline or by Session 2 of treatment were used to predict change on the Panic Disorder Severity Scale. Results Higher expectancy for treatment gains (Credibility/Expectancy Questionnaire d= -1.05, CI95% [-1.50, -0.60]), and later age of onset (d= -0.65, CI95% [-0.98, -0.32]) were predictive of greater change. Both variables were also significant moderators: Patients with low expectancy of improvement improved significantly less in PFPP than their counterparts in CBT, whereas this was not the case for patients with average or high levels of expectancy. When patients had an onset of panic disorder later in life (≥27.5 yrs. old), they fared as well in PFPP as CBT. In contrast, at low and mean levels of onset age, CBT was the more effective treatment. Conclusions Predictive variables suggest possibly fruitful foci for improvement of treatment outcome. In terms of moderation, CBT was the more consistently effective treatment, but moderators identified some patients who would do as well in PFPP as in CBT, thereby widening empirically supported options for treatment of this disorder.

show abstract

“…Town et al (2011) have provided evidence supporting Davanloo's use of "unlocking the unconscious" in Intensive Short-Term Psychodynamic Psychotherapy as more effective than not accessing unconscious material. Attachment-based therapies have been utilized successfully in many diagnostic categories including autism, borderline personality disorder, and treatment-resistant anxiety (Milrod et al 2016), as well as receiving support from neuroscientific research. What happens when the "answer" does not lie in the "(c)lient's learning history," a la Thyer, when co-morbid conditions exist and/or when serious personality disorders are present?…”

mentioning

confidence: 99%