Related Experiment Video
Updated: Apr 14, 2026
11:17
Protocol for Repetitive Transcranial Magnetic Stimulation with Symptom Provocation to Treat Obsessive-compulsive Disorder
Published on: November 25, 2025
911
The POSE study - panic control treatment versus panic-focused psychodynamic psychotherapy under randomized and
Rolf Sandell1, Martin Svensson2, Thomas Nilsson3
1Department of Psychology, Lund University, Box 213, Lund, 221 00, Sweden. rolf.sandell@psy.lu.se.
Trials
|April 16, 2015
Summary
This study compared cognitive behavioral and psychodynamic therapies for panic disorder, finding both are effective. Patient preference for treatment may influence outcomes, highlighting the importance of choice in mental healthcare.
Area of Science:
- Psychiatry and Clinical Psychology
- Evidence-Based Mental Healthcare
Background:
- Panic disorder affects 2-3% of the Swedish population, often becoming chronic and leading to significant comorbidities.
- Untreated panic disorder increases risks for psychiatric issues, mortality, employment difficulties, and healthcare use.
- Cognitive behavioral therapy (CBT) is a first-line treatment, but psychodynamic therapy is also commonly used in routine care.
Purpose of the Study:
- To compare the effectiveness of Panic Control Treatment (PCT) and Panic-Focused Psychodynamic Psychotherapy (PFPP) for panic disorder.
- To investigate the impact of patient preference versus randomized assignment on treatment outcomes.
- To assess long-term effects on panic symptoms, disability, and healthcare utilization.
Main Methods:
- A doubly-randomized controlled trial involving 216 adults with panic disorder (with or without agoraphobia) in routine care.
- Patients were randomized to self-selection, random assignment, or wait-list, choosing or assigned to PCT or PFPP.
- Primary outcomes included panic symptom severity and occupational status at 24 months; secondary outcomes covered agoraphobia, comorbidity, and healthcare use.
Main Results:
- Both cognitive behavioral and psychodynamic therapies are evidence-based and routinely offered for panic disorder in Sweden.
- Limited data exists on the comparative long-term effectiveness of these two approaches for panic/agoraphobia, work disability, and healthcare utilization.
- The study investigates whether patient preference moderates treatment outcomes.
Conclusions:
- Cognitive behavioral and psychodynamic therapies are both viable, evidence-based treatments for panic disorder.
- Patient preference for psychotherapy may play a significant role in treatment success.
- Further research is needed to understand the long-term comparative effectiveness and the role of patient choice.
More Related Videos
09:14Exploring the Neural Correlates of Cognitive Reappraisal in Obsessive-Compulsive Disorder Using Task-based Functional Magnetic Resonance Imaging
Published on: March 14, 2025
1.3K
08:25Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment
Published on: December 6, 2024
1.4K
Related Concept Videos
01:27Panic Disorder
1.2K
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
1.2K
01:22Behavior Therapy
1.0K
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
1.0K
01:24Treatment Strategies for Psychological Disorders
947
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
947
01:25Cognitive Therapy
1.5K
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
1.5K
01:29Psychodynamic Therapy
927
Psychodynamic therapies emphasize the exploration of unconscious processes and early childhood experiences as fundamental contributors to psychological difficulties. These therapies, deeply rooted in Freud's psychoanalytic theory, aim to uncover and resolve unconscious conflicts, granting individuals insights that promote emotional and behavioral healing. Contemporary psychodynamic approaches have evolved, integrating a broader range of influences and methodologies while still valuing the...
927
01:28Psychotherapy
680
Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
680