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

IF 2 4区心理学 Q3 PSYCHOLOGY, CLINICAL

Behavioural and Cognitive Psychotherapy Pub Date : 2024-03-01 Epub Date: 2023-10-12 DOI:10.1017/S1352465823000449

Rachel Lee, Dean McMillan, Jaime Delgadillo, Rachael Alexander, Mike Lucock

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引用次数: 0

Abstract

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: Participants with panic disorder completed in session measures of panic symptoms and catastrophic cognitions. Independent samples t-tests were used to compare the post-treatment score of those who met criteria for one or more sudden gain during treatment with those who did not, and to compare within-session cognitive change between pre-sudden gain sessions and the previous (control) session.

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: 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.

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恐慌症认知行为疗法突然取得进展之前的认知变化。

背景：突然的收获发生在一系列的疾病和治疗中，如果它们能揭示治疗的变化过程，那么就具有临床和理论意义。本研究调查了恐慌症认知行为疗法（CBT）期间恐慌症状的突然增加与先前认知变化之间的关系。方法：有惊恐障碍的参与者完成了对惊恐症状和灾难性认知的会话测量。使用独立样本t检验来比较那些在治疗期间达到一次或多次突然增益标准的患者和那些没有达到标准的患者的治疗后得分，并比较突然增益前疗程和前一次（对照）疗程之间的疗程内认知变化。结果：53名参与者中有22人（42%）在治疗过程中出现突然增重。从治疗前到治疗后，表现出突然增益的参与者在恐慌症状方面比没有突然增益的人改善得更多。增益前会话中的会话内认知变化得分显著高于对照会话。结论：惊恐障碍患者的CBT出现突然增加，会话内认知变化与突然增加有关。这与恐慌症的认知模型一致，并强调了突然的收获如何有助于识别关键的变化过程。

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

Behavioural and Cognitive Psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

3.50

自引率

5.60%

发文量

期刊介绍： An international multidisciplinary journal aimed primarily at members of the helping and teaching professions. Behavioural and Cognitive Psychotherapy features original research papers, covering both experimental and clinical work, that contribute to the theory, practice and evolution of cognitive and behaviour therapy. The journal aims to reflect and influence the continuing changes in the concepts, methodology, and techniques of behavioural and cognitive psychotherapy. A particular feature of the journal is its broad ranging scope - both in terms of topics and types of study covered. Behavioural and Cognitive Psychotherapy encompasses most areas of human behaviour and experience, and represents many different research methods, from randomized controlled trials to detailed case studies.