Articlegreen2010

Respiratory and cognitive mediators of treatment change in panic disorder: Evidence for intervention specificity.

Alicia E. Meuret · Anke Seidel · Lavanya Bhaskara · Stefan G. Hofmann

141 citations0/0 files storedJournal of Consulting and Clinical Psychology

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Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Psychotherapy Techniques and Applications Psychological Treatments and Assessments

Abstract

OBJECTIVE: There are numerous theories of panic disorder, each proposing a unique pathway of change leading to treatment success. However, little is known about whether improvements in proposed mediators are indeed associated with treatment outcomes and whether these mediators are specific to particular treatment modalities. Our purpose in this study was to analyze pathways of change in theoretically distinct interventions using longitudinal, moderated mediation analyses. METHOD: Forty-one patients with panic disorder and agoraphobia were randomly assigned to receive 4 weeks of training aimed at altering either respiration (capnometry-assisted respiratory training) or panic-related cognitions (cognitive training). Changes in respiration (PCO₂, respiration rate), symptom appraisal, and a modality-nonspecific mediator (perceived control) were considered as possible mediators. RESULTS: The reductions in panic symptom severity and panic-related cognitions and the improvements in perceived control were significant and comparable in both treatment groups. Capnometry-assisted respiratory training, but not cognitive training, led to corrections from initially hypocapnic to normocapnic levels. Moderated mediation and temporal analyses suggested that in capnometry-assisted respiratory training, PCO₂ unidirectionally mediated and preceded changes in symptom appraisal and perceived control and was unidirectionally associated with changes in panic symptom severity. In cognitive training, reductions in symptom appraisal were bidirectionally associated with perceived control and panic symptom severity. In addition, perceived control was bidirectionally related to panic symptom severity in both treatment conditions. CONCLUSION: The findings suggest that reductions in panic symptom severity can be achieved through different pathways, consistent with the underlying models.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 1979Intraclass correlations: Uses in assessing rater reliability.1986Anxiety sensitivity, anxiety frequency and the prediction of fearfulness 2007Mediators and Mechanisms of Change in Psychotherapy Research 1986A cognitive approach to panic 2000Psychometric properties of the credibility/expectancy questionnaire 2008Cognitive-Behavioral Therapy for Adult Anxiety Disorders 2007Distribution of the product confidence limits for the indirect effect: Program PRODCLIN

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