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Related Experiment Videos

Brief cognitive therapy for panic disorder: a randomized controlled trial.

D M Clark1, P M Salkovskis, A Hackmann

  • 1Department of Psychiatry, University of Oxford, United Kingdom. David.Clark@psych.ox.ac.uk

Journal of Consulting and Clinical Psychology
|August 18, 1999
PubMed
Summary

Brief cognitive therapy (CT) is as effective as full CT for panic disorder (PD), offering a cost-effective treatment. Both approaches significantly reduce panic symptoms long-term.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Behavioral Therapy

Background:

  • Panic disorder (PD) is a debilitating condition often treated with cognitive therapy (CT).
  • Standard CT involves 12-15 sessions, posing cost and accessibility challenges.
  • Developing cost-effective alternatives is crucial for wider PD treatment access.

Purpose of the Study:

  • To evaluate the efficacy of a brief cognitive therapy (BCT) program for panic disorder.
  • To compare BCT with full cognitive therapy (FCT) and a waitlist control group.
  • To assess the long-term maintenance of treatment gains.

Main Methods:

  • Forty-three PD patients were randomized into three groups: FCT, BCT, or a 3-month waitlist.
  • BCT incorporated extensive between-session patient self-study modules.

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  • Treatment outcomes were assessed immediately post-treatment and at 12-month follow-up.

    • Main Results:

    • Both FCT and BCT demonstrated significant superiority over the waitlist control across all measures.
    • No significant differences in efficacy were found between FCT and BCT.
    • Both treatments achieved large and comparable effect sizes (approximately 3.0).
    • BCT required substantially less therapist time (6.5 hours).

    Conclusions:

    • Brief cognitive therapy (BCT) is a viable and cost-effective alternative to full cognitive therapy (FCT) for panic disorder.
    • Treatment gains from both BCT and FCT are well-maintained at 12-month follow-up.
    • Patient expectations and cognitive changes predict treatment success in panic disorder.