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Effectiveness of cognitive--behavioral treatment for panic disorder versus treatment as usual in a managed care
Michael E Addis1, Christina Hatgis, Aaron D Krasnow
1Department of Psychology, Clark University, Worcester, MA 01610, USA. maddis@clarku.edu
Abstract:
Eighty clients enrolled in a managed care health plan who identified panic disorder as their primary presenting problem were randomly assigned to treatment by a therapist recently trained in a manual-based empirically supported psychotherapy or a therapist conducting treatment as usual (TAU). Participants in both conditions showed significant change from pre- to posttreatment on a number of measures. Those receiving panic control therapy (PCT) showed greater levels of change than those receiving TAU. Among treatment completers, an average of 42.9% of those in PCT and 18.8% in TAU achieved clinically significant change across measures. The results are discussed with reference to the dissemination of PCT and other evidence-based psychotherapies to clinical practice settings.
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