Moderators of short- and long-term outcomes in panic control treatment and panic-focused psychodynamic psychotherapy.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2025-02-01 Epub Date: 2024-01-30 DOI:10.1080/10503307.2023.2294888

Rolf Sandell, Fredrik Falkenström, Martin Svensson, Thomas Nilsson, Håkan Johansson, Gardar Viborg, Sean Perrin

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引用次数: 0

Abstract

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 × Moderator × 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.

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恐慌控制治疗和以恐慌为重点的心理动力学心理治疗短期和长期疗效的调节因素。

研究目的目的是检验这样一个假设，即外化和内化助人信念以及基线学习方式对恐慌严重程度和总体精神疾病的影响，是两种以恐慌为重点的心理疗法--恐慌控制疗法（PCT）和以恐慌为重点的心理动力学心理疗法（PFPP）--的短期和长期结果：参与者为108名患有DSM-IV恐慌症并伴有或不伴有广场恐惧症（PD/A）的成年人，他们被随机分配到PCT和PFPP试验中接受治疗。采用分片/分段多层次模型来检验三方交互作用（治疗 × 主持人 × 时间），参与者和治疗师为随机因素。结果变量为治疗后和随访期间临床医生评定的恐慌严重程度和自我评定的精神疾病：结果：患者的外化（而非内化）助人信念调节了随访期间（而非治疗期间）的精神疾病结果；低水平的外化对 PFPP 有促进作用，但对 PCT 没有促进作用。无论是短期还是长期，内化和外化助人信念以及学习风格都不会调节临床医生评定的恐慌严重程度：这些结果表明，助人信念和学习风格对 PD/A 的 PCT 或 PFPP 的分配作用有限。尽管还需要进一步的研究，但低水平的外化应对助人信念可能会对 PFPP 的精神疾病结果产生影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.