Cognitive change before sudden gains in cognitive behavioural therapy for panic disorder.

Cognitive behavioural therapy Panic disorder Panic treatment

Journal

Behavioural and cognitive psychotherapy
ISSN: 1469-1833
Titre abrégé: Behav Cogn Psychother
Pays: United States
ID NLM: 9418292

Informations de publication

Date de publication:
12 Oct 2023
Historique:
medline: 12 10 2023
pubmed: 12 10 2023
entrez: 11 10 2023
Statut: aheadofprint

Résumé

Sudden gains occur in a range of disorders and treatments and are of clinical and theoretical significance if they can shed light on therapeutic change processes. This study investigated the relationship between sudden gains in panic symptoms and preceding cognitive change during cognitive behavioural therapy (CBT) for panic disorder. Participants with panic disorder completed in session measures of panic symptoms and catastrophic cognitions. Independent samples Twenty-two (42%) of 53 participants experienced a sudden gain during treatment. Participants demonstrating a sudden gain showed more improvement in panic symptoms from pre- to post-treatment than those without a sudden gain. The within-session cognitive change score in the pre-gain session was significantly greater than in the control session. Sudden gains occurred in individual CBT for panic disorder and within-session cognitive change was associated with sudden gains. This is consistent with the cognitive model of panic disorder and highlights how sudden gains can help to identify key change processes.

Sections du résumé

BACKGROUND BACKGROUND
Sudden gains occur in a range of disorders and treatments and are of clinical and theoretical significance if they can shed light on therapeutic change processes. This study investigated the relationship between sudden gains in panic symptoms and preceding cognitive change during cognitive behavioural therapy (CBT) for panic disorder.
METHOD METHODS
Participants with panic disorder completed in session measures of panic symptoms and catastrophic cognitions. Independent samples
RESULTS RESULTS
Twenty-two (42%) of 53 participants experienced a sudden gain during treatment. Participants demonstrating a sudden gain showed more improvement in panic symptoms from pre- to post-treatment than those without a sudden gain. The within-session cognitive change score in the pre-gain session was significantly greater than in the control session.
CONCLUSIONS CONCLUSIONS
Sudden gains occurred in individual CBT for panic disorder and within-session cognitive change was associated with sudden gains. This is consistent with the cognitive model of panic disorder and highlights how sudden gains can help to identify key change processes.

Identifiants

pubmed: 37821240
pii: S1352465823000449
doi: 10.1017/S1352465823000449
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1-12

Auteurs

Rachel Lee (R)

South West Yorkshire Partnership NHS Foundation Trust, Fieldhead, Wakefield, UK.

Dean McMillan (D)

Hull York Medical School and Department of Health Sciences, Mental Health and Addiction Research Group, University of York, Heslington, York, UK.

Jaime Delgadillo (J)

Clinical and Applied Psychology Unit, Department of Psychology, University of Sheffield, Sheffield, UK.

Rachael Alexander (R)

South West Yorkshire Partnership NHS Foundation Trust, Fieldhead, Wakefield, UK.

Mike Lucock (M)

University of Huddersfield, Huddersfield, UK.

Classifications MeSH