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Preferences for cognitive behavioural therapy and psychodynamic psychotherapy for panic disorder - Who chooses which and why?

Svensson, Martin LU ; Nilsson, Thomas LU ; Perrin, Sean LU orcid ; Johansson, Håkan LU ; Viborg, Gardar LU and Sandell, Rolf LU (2021) In Psychotherapy Research 31(5). p.644-655
Abstract
Objective: Few studies have examined factors associated with patient’s choice of particular psychological treatments. The present study explores possible associations to, and the reasons given for, patient’s choice of Panic Control Treatment (PCT) or Panic-Focused Psychodynamic Psychotherapy (PFPP) for Panic Disorder with or without Agoraphobia (PD/A). Method: Both quantitative and qualitative analyses were applied to data obtained from 109 adults with PD/A who were randomized to the Choice condition in the doubly randomized controlled preference trial from which this data are drawn. Results: The strongest associations were between treatment credibility ratings and the treatment choice (d = -1.00 and 1.31, p < .01, for PCT and PFPP... (More)
Objective: Few studies have examined factors associated with patient’s choice of particular psychological treatments. The present study explores possible associations to, and the reasons given for, patient’s choice of Panic Control Treatment (PCT) or Panic-Focused Psychodynamic Psychotherapy (PFPP) for Panic Disorder with or without Agoraphobia (PD/A). Method: Both quantitative and qualitative analyses were applied to data obtained from 109 adults with PD/A who were randomized to the Choice condition in the doubly randomized controlled preference trial from which this data are drawn. Results: The strongest associations were between treatment credibility ratings and the treatment choice (d = -1.00 and 1.31, p < .01, for PCT and PFPP respectively). Treatment choice was also moderately associated with patient characteristics, treatment helpfulness beliefs, and learning style. Qualitative analysis revealed that patients gave contrasting reasons for their treatment choice; either a focus on the present, symptom reduction and problem-solving for those who chose PCT or a focus on the past, symptom understanding and reflection for those who chose PFPP. Conclusions: When offered a choice between two evidence-based psychotherapies for PD/A, the resulting choice was primarily a function of the patient’s beliefs about the chosen therapy, its potential for success, and their preferred learning style. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Panic Disorder, Agoraphobia, CBT, Psychodynamic Therapy, Patient preferences
in
Psychotherapy Research
volume
31
issue
5
pages
644 - 655
publisher
Taylor & Francis
external identifiers
  • scopus:85095791823
  • pmid:33148129
ISSN
1468-4381
DOI
10.1080/10503307.2020.1839686
language
English
LU publication?
yes
id
cf70acc7-7a77-4e5c-ad77-8c1bfc17da83
date added to LUP
2020-10-13 09:19:53
date last changed
2022-04-19 01:05:49
@article{cf70acc7-7a77-4e5c-ad77-8c1bfc17da83,
  abstract     = {{Objective: Few studies have examined factors associated with patient’s choice of particular psychological treatments. The present study explores possible associations to, and the reasons given for, patient’s choice of Panic Control Treatment (PCT) or Panic-Focused Psychodynamic Psychotherapy (PFPP) for Panic Disorder with or without Agoraphobia (PD/A). Method: Both quantitative and qualitative analyses were applied to data obtained from 109 adults with PD/A who were randomized to the Choice condition in the doubly randomized controlled preference trial from which this data are drawn. Results: The strongest associations were between treatment credibility ratings and the treatment choice (d = -1.00 and 1.31, p &lt; .01, for PCT and PFPP respectively). Treatment choice was also moderately associated with patient characteristics, treatment helpfulness beliefs, and learning style. Qualitative analysis revealed that patients gave contrasting reasons for their treatment choice; either a focus on the present, symptom reduction and problem-solving for those who chose PCT or a focus on the past, symptom understanding and reflection for those who chose PFPP. Conclusions: When offered a choice between two evidence-based psychotherapies for PD/A, the resulting choice was primarily a function of the patient’s beliefs about the chosen therapy, its potential for success, and their preferred learning style.}},
  author       = {{Svensson, Martin and Nilsson, Thomas and Perrin, Sean and Johansson, Håkan and Viborg, Gardar and Sandell, Rolf}},
  issn         = {{1468-4381}},
  keywords     = {{Panic Disorder; Agoraphobia; CBT; Psychodynamic Therapy; Patient preferences}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{644--655}},
  publisher    = {{Taylor & Francis}},
  series       = {{Psychotherapy Research}},
  title        = {{Preferences for cognitive behavioural therapy and psychodynamic psychotherapy for panic disorder - Who chooses which and why?}},
  url          = {{http://dx.doi.org/10.1080/10503307.2020.1839686}},
  doi          = {{10.1080/10503307.2020.1839686}},
  volume       = {{31}},
  year         = {{2021}},
}