The clinical significance of treatment gains resulting from exposure-based interventions for agoraphobia: A reanalysis of outcome data**
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2005, Behaviour Research and TherapyCitation Excerpt :Although no follow-up after the end of treatment is reported here, a previous study in our clinic found that improvements on the BDI and BAI were well maintained for a small sample followed up an average of nearly 2 years after treatment (Westbrook & Hill, 1998). On the other hand, although reliable improvement rates of around 50% seem to be fairly typical (see for example Speer, 1994; Jacobson, Wilson, & Tupper, 1988), such improvement rates clearly do not suggest that CBT (or probably any other psychological treatment) is any kind of panacea. Two-thirds of patients did not recover by our criteria, half did not reliably improve, and 2—3% deteriorated.
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2004, Behaviour Research and TherapyCitation Excerpt :The stepped care group received a sequence of a psycho-educational booklet, a detailed self-help workbook and five 2-h group sessions of CBT. They progressed to the next step in the sequence if they continued to experience DSMIV panic attacks or a level of avoidance on the MIA-A above 1.67 (recommended by Jacobson, Wilson, & Tupper, 1988, p. 545). The number of participants who received each step of intervention is shown in Table 2 along with the proportion of the US control who met criteria for the next step but did not receive it.
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Preparation of this manuscript was supported by Grant #2 RO1 MH33838-07 from the National Institute of Mental Health, awarded to the senior author. Special thanks to all of the authors who provided data for this study. These include all of those who participated in the studies listed in Table 1.