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Moderators of short- and long-term outcomes in panic control treatment and panic-focused psychodynamic psychotherapy
Lund University, Sweden.
Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.ORCID iD: 0000-0002-2486-6859
Lund University, Sweden.
Lund University, Sweden.
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2024 (English)In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381Article in journal (Refereed) Epub ahead of print
Abstract [en]

Objective:The objective was to test the hypothesis that externalizing and internalizing helpfulness beliefs and learning styles at baseline moderate panic severity and overall mental illness as short-term and long-term outcomes of two panic-focused psychotherapies, Panic Control Treatment (PCT) and Panic-Focused Psychodynamic Psychotherapy (PFPP).Method:Participants were 108 adults with DSM-IV Panic Disorder with or without Agoraphobia (PD/A) who were randomized to treatment in a trial of PCT and PFPP. Piece-wise/segmented multilevel modeling was used to test three-way interactions (Treatments x Moderator x Time), with participants and therapists as random factors. Outcome variables were clinician-rated panic severity and self-rated mental illness post-treatment and during follow-up.Results:Patients' externalizing (but not internalizing) helpfulness beliefs moderated mental illness outcomes during follow-up (but not during treatment); low levels of Externalization were facilitative for PFPP but not PCT. Internalizing and externalizing helpfulness beliefs and learning style did not moderate clinician-rated panic severity, whether short- or long-term.Conclusions:These results suggest that helpfulness beliefs and learning style have limited use in assignment to either PCT or PFPP for PD/A. Although further research is needed, low levels of helpfulness beliefs about externalizing coping may play a role in mental illness outcomes for PFPP.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2024.
Keywords [en]
moderator effects, externalization/internalization, learning styles, psychodynamic therapy, cognitive behavior therapy, panic disorder
National Category
Applied Psychology
Research subject
Social Sciences, Psychology
Identifiers
URN: urn:nbn:se:lnu:diva-127679DOI: 10.1080/10503307.2023.2294888ISI: 001152103000001PubMedID: 38289698Scopus ID: 2-s2.0-85183884073OAI: oai:DiVA.org:lnu-127679DiVA, id: diva2:1837600
Available from: 2024-02-14 Created: 2024-02-14 Last updated: 2025-01-09

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Falkenström, Fredrik

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