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Effects of panic-specific cognitive behavioural and psychodynamic psychotherapies on work ability in a doubly randomised clinical trial
Lund University, Sweden.ORCID iD: 0000-0003-4046-0098
Lund University, Sweden.ORCID iD: 0000-0001-7677-9776
Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.ORCID iD: 0000-0002-2486-6859
Lund University, Sweden.ORCID iD: 0000-0002-5468-4706
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2024 (English)In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 34, no 2, p. 137-149Article in journal (Refereed) Published
Abstract [en]

Objective: The effects of panic-specific psychotherapy on occupational functioning remain under-researched. This study tests whether two brief psychotherapies for Panic Disorder with or without Agoraphobia (PD/A) may generate improvement in work ability. Methods: Adults (N = 221) with a primary diagnosis of PD/A were randomised to wait-list, panic-focused psychodynamic psychotherapy (PFPP), panic control treatment (PCT), or to the choice between the two treatments. Participants completed the Work Ability Inventory (WAI) at baseline, post-treatment, and during 24-month follow-ups. Change in WAI scores were assessed using segmented multilevel linear growth models, and mediation was explored through path analysis. Results: WAI scores changed from the moderate to good range between baseline and post-treatment (SMD = 0.45; 95% CI [0.33, 0.57]) and continued to increase throughout the follow-up (SMD = 0.16; 95% CI [0.03, 0.28]) with no differences between treatments or allocation forms. In PFPP (but not in PCT) pre- to post-treatment change in WAI was mediated by reduction in panic symptoms and WAI predicted employment status and absences. Conclusions: Two brief panic specific psychotherapies, one cognitive behavioural and one psychodynamic, produced short and long-term increases in work ability.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2024. Vol. 34, no 2, p. 137-149
Keywords [en]
work ability, panic disorder, anxiety disorder, psychodynamic therapy, cognitive-behavioural therapy, mediation
National Category
Psychology
Research subject
Social Sciences, Psychology
Identifiers
URN: urn:nbn:se:lnu:diva-120964DOI: 10.1080/10503307.2023.2190044ISI: 000980345300001PubMedID: 37127937Scopus ID: 2-s2.0-85154565200OAI: oai:DiVA.org:lnu-120964DiVA, id: diva2:1759730
Available from: 2023-05-26 Created: 2023-05-26 Last updated: 2024-02-27Bibliographically approved

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Falkenström, Fredrik

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