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Related Experiment Videos

Fresh symptom emergence after intensive behaviour therapy.

R J Hafner

    The British Journal of Psychiatry : the Journal of Mental Science
    |October 1, 1976
    PubMed
    Summary

    Intensive agoraphobia treatment can lead to new symptoms in many patients, impacting long-term outcomes. Careful monitoring is crucial for individuals undergoing such therapeutic programs.

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    Area of Science:

    • Psychology
    • Clinical Psychology
    • Therapeutic Interventions

    Background:

    • Agoraphobia is a debilitating anxiety disorder.
    • Standard intensive treatment programs aim to alleviate symptoms.
    • The emergence of new symptoms during or after treatment is a concern.

    Purpose of the Study:

    • To examine the outcome of a four-day intensive symptomatic treatment program for agoraphobia.
    • To investigate the incidence of new symptom emergence in patients undergoing this treatment.
    • To assess the association between new symptom emergence and long-term treatment outcomes.

    Main Methods:

    • A standard four-day intensive symptomatic treatment program was administered to 39 patients with agoraphobia.
    • Patients were followed up to assess for fresh symptom emergence.
    • Outcomes were evaluated at a one-year follow-up, considering various measures of adjustment.
    • A comparison was made between 16 individually treated patients and 39 group-treated patients regarding drop-out rates.

    Main Results:

    • Twenty-six out of 39 patients experienced fresh symptom emergence during follow-up.
    • A significant association was found between fresh symptom emergence and poorer one-year outcomes.
    • Approximately 18% of patients were adversely affected by the treatment, based on broad symptom and adjustment measures.
    • Differences in drop-out rates between individual and group treatment were discussed.

    Conclusions:

    • Intensive symptomatic treatment for agoraphobia is associated with a high incidence of new symptom emergence.
    • New symptom emergence is a significant predictor of poorer long-term outcomes in agoraphobia patients.
    • A notable percentage of patients experience adverse effects from this intensive treatment approach.

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