Effects of panic-specific cognitive behavioural and psychodynamic psychotherapies on work ability in a doubly randomised clinical trial
Nilsson, Thomas LU ; Svensson, Martin LU ; Falkenström, Fredrik ; Perrin, Sean LU
; Johansson, Håkan
LU
; Viborg, Gardar
LU
and Sandell, Rolf
LU
(2024)
In Psychotherapy Research
34(2).
p.137-149
- Abstract
Objective: The effects of panic-specific psychotherapy on occupational functioning remain under-researched. This study tests whether two brief psychotherapies for Panic Disorder with or without Agoraphobia (PD/A) may generate improvement in work ability. Methods: Adults (N = 221) with a primary diagnosis of PD/A were randomised to wait-list, panic-focused psychodynamic psychotherapy (PFPP), panic control treatment (PCT), or to the choice between the two treatments. Participants completed the Work Ability Inventory (WAI) at baseline, post-treatment, and during 24-month follow-ups. Change in WAI scores were assessed using segmented multilevel linear growth models, and mediation was explored through path analysis. Results: WAI scores... (More)
Objective: The effects of panic-specific psychotherapy on occupational functioning remain under-researched. This study tests whether two brief psychotherapies for Panic Disorder with or without Agoraphobia (PD/A) may generate improvement in work ability. Methods: Adults (N = 221) with a primary diagnosis of PD/A were randomised to wait-list, panic-focused psychodynamic psychotherapy (PFPP), panic control treatment (PCT), or to the choice between the two treatments. Participants completed the Work Ability Inventory (WAI) at baseline, post-treatment, and during 24-month follow-ups. Change in WAI scores were assessed using segmented multilevel linear growth models, and mediation was explored through path analysis. Results: WAI scores changed from the moderate to good range between baseline and post-treatment (SMD = 0.45; 95% CI [0.33, 0.57]) and continued to increase throughout the follow-up (SMD = 0.16; 95% CI [0.03, 0.28]) with no differences between treatments or allocation forms. In PFPP (but not in PCT) pre- to post-treatment change in WAI was mediated by reduction in panic symptoms and WAI predicted employment status and absences. Conclusions: Two brief panic specific psychotherapies, one cognitive behavioural and one psychodynamic, produced short and long-term increases in work ability.
(Less)
- author
- Nilsson, Thomas
LU
; Svensson, Martin
LU
; Falkenström, Fredrik
; Perrin, Sean
LU
; Johansson, Håkan
LU
; Viborg, Gardar
LU
and Sandell, Rolf
LU
- organization
- publishing date
- 2024-02-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- anxiety disorder, cognitive–behavioural therapy, mediation, panic disorder, psychodynamic therapy, work ability
- in
- Psychotherapy Research
- volume
- 34
- issue
- 2
- pages
- 137 - 149
- publisher
- Taylor & Francis
- external identifiers
-
- pmid:37127937
- scopus:85154565200
- ISSN
- 1050-3307
- DOI
- 10.1080/10503307.2023.2190044
- project
- Long-Term Outcomes of Adults Treated with Panic-Focussed CBT and Psychodynamic Psychotherapies
- language
- English
- LU publication?
- yes
- additional info
- Publisher Copyright: © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
- id
- 6d2dba07-fc49-4789-8a7a-6eb98c3ee87d
- date added to LUP
- 2023-05-17 22:32:06
- date last changed
- 2024-04-19 21:50:28
@article{6d2dba07-fc49-4789-8a7a-6eb98c3ee87d,
abstract = {{<p>Objective: The effects of panic-specific psychotherapy on occupational functioning remain under-researched. This study tests whether two brief psychotherapies for Panic Disorder with or without Agoraphobia (PD/A) may generate improvement in work ability. Methods: Adults (N = 221) with a primary diagnosis of PD/A were randomised to wait-list, panic-focused psychodynamic psychotherapy (PFPP), panic control treatment (PCT), or to the choice between the two treatments. Participants completed the Work Ability Inventory (WAI) at baseline, post-treatment, and during 24-month follow-ups. Change in WAI scores were assessed using segmented multilevel linear growth models, and mediation was explored through path analysis. Results: WAI scores changed from the moderate to good range between baseline and post-treatment (SMD = 0.45; 95% CI [0.33, 0.57]) and continued to increase throughout the follow-up (SMD = 0.16; 95% CI [0.03, 0.28]) with no differences between treatments or allocation forms. In PFPP (but not in PCT) pre- to post-treatment change in WAI was mediated by reduction in panic symptoms and WAI predicted employment status and absences. Conclusions: Two brief panic specific psychotherapies, one cognitive behavioural and one psychodynamic, produced short and long-term increases in work ability.</p>}},
author = {{Nilsson, Thomas and Svensson, Martin and Falkenström, Fredrik and Perrin, Sean and Johansson, Håkan and Viborg, Gardar and Sandell, Rolf}},
issn = {{1050-3307}},
keywords = {{anxiety disorder; cognitive–behavioural therapy; mediation; panic disorder; psychodynamic therapy; work ability}},
language = {{eng}},
month = {{02}},
number = {{2}},
pages = {{137--149}},
publisher = {{Taylor & Francis}},
series = {{Psychotherapy Research}},
title = {{Effects of panic-specific cognitive behavioural and psychodynamic psychotherapies on work ability in a doubly randomised clinical trial}},
url = {{http://dx.doi.org/10.1080/10503307.2023.2190044}},
doi = {{10.1080/10503307.2023.2190044}},
volume = {{34}},
year = {{2024}},
}