Moderators of short- and long-term outcomes in panic control treatment and panic-focused psychodynamic psychotherapy.
Sandell, Rolf LU ; Falkenström, Fredrik ; Svensson, Martin LU ; Nilsson, Thomas LU ; Johansson, Håkan LU ; Viborg, Gardar LU and Perrin, Sean LU
(2025)
In Psychotherapy Research
35(2).
p.271-281
- 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 x Moderator x Time), with participants and therapists as random factors. Outcome variables were clinician-rated panic severity and self-rated... (More) - 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. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1bee47fc-d165-449b-8687-93f5852f7d8e
- author
- Sandell, Rolf
LU
; Falkenström, Fredrik
; Svensson, Martin
LU
; Nilsson, Thomas
LU
; Johansson, Håkan
LU
; Viborg, Gardar
LU
and Perrin, Sean
LU
- organization
- publishing date
- 2025
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- panic disorder (PD), Agoraphobia, cognitive behavioral therapy, psychodynamic therapy (PDT), randomized controlled trial, moderators of outcome
- in
- Psychotherapy Research
- volume
- 35
- issue
- 2
- pages
- 11 pages
- publisher
- Taylor & Francis
- external identifiers
-
- pmid:38289698
- scopus:85183884073
- ISSN
- 1468-4381
- DOI
- 10.1080/10503307.2023.2294888
- project
- Long-Term Outcomes of Adults Treated with Panic-Focussed CBT and Psychodynamic Psychotherapies
- Long-Term Outcomes of Adults Treated with Panic-Focussed CBT and Psychodynamic Psychotherapies
- language
- English
- LU publication?
- yes
- id
- 1bee47fc-d165-449b-8687-93f5852f7d8e
- date added to LUP
- 2023-12-12 10:39:35
- date last changed
- 2025-10-14 11:37:33
@article{1bee47fc-d165-449b-8687-93f5852f7d8e,
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).<br/>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. <br/>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. <br/>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.}},
author = {{Sandell, Rolf and Falkenström, Fredrik and Svensson, Martin and Nilsson, Thomas and Johansson, Håkan and Viborg, Gardar and Perrin, Sean}},
issn = {{1468-4381}},
keywords = {{panic disorder (PD); Agoraphobia; cognitive behavioral therapy; psychodynamic therapy (PDT); randomized controlled trial; moderators of outcome}},
language = {{eng}},
number = {{2}},
pages = {{271--281}},
publisher = {{Taylor & Francis}},
series = {{Psychotherapy Research}},
title = {{Moderators of short- and long-term outcomes in panic control treatment and panic-focused psychodynamic psychotherapy.}},
url = {{http://dx.doi.org/10.1080/10503307.2023.2294888}},
doi = {{10.1080/10503307.2023.2294888}},
volume = {{35}},
year = {{2025}},
}