Psychology

Effectiveness of cognitive-behavioral treatment for panic disorder versus treatment as usual in a managed care setting: 2-Year follow-up

Document Type

Article

Abstract

Eighty clients meeting criteria for panic disorder and receiving either panic control therapy (PCT; M. G. Craske, E. Meadows, & D. H. Barlow, 1994) or treatment as usual (TAU) in a managed care setting were assessed 1 and 2 years following acute treatment. PCT was provided by therapists with little or no previous exposure to cognitive-behavioral therapies. Analyses of the full intent-to-treat sample revealed no significant differences between the treatments across the follow-up period. However, when treatment completer status was added as a moderator, those receiving PCT showed lower levels of panic severity and phobic avoidance and a greater likelihood of achieving and maintaining clinically significant change. Benzodiazepine use during follow-up was associated with greater panic severity for those clients who received PCT, but no such relationship was found for TAU clients. Results are discussed in relation to the dissemination and effectiveness of PCT as well as evidence-based psychotherapies more generally. Copyright 2006 by the American Psychological Association.

Publication Title

Journal of Consulting and Clinical Psychology

Publication Date

2006

Volume

74

Issue

2

First Page

377

Last Page

385

ISSN

0022-006X

DOI

10.1037/0022-006X.74.2.377

Keywords

dissemination, effectiveness, empirically supported treatments, panic disorder, psychotherapy

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