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Outcome Prediction of Cognitive Behaviour Therapy for Panic Disorder: Initial Symptom Severity is Predictive for Treatment Outcome, Comorbid Anxiety or Depressive Disorder, Cluster C Personality Disorders and Initial Motivation Are Not

Published online by Cambridge University Press:  16 November 2007

Mirjam Kampman ,
Ger P. J. Keijsers ,
Cees A. L. Hoogduin  and
Gert-Jan Hendriks
Mirjam Kampman*
Affiliation:
Outpatient Clinic for Anxiety Disorders, GGZ-Nijmegen, The Netherlands
Ger P. J. Keijsers
Affiliation:
University of Nijmegen, The Netherlands
Cees A. L. Hoogduin
Affiliation:
University of Nijmegen, The Netherlands
Gert-Jan Hendriks
Affiliation:
Outpatient Clinic for Anxiety Disorders, GGZ-Nijmegen, The Netherlands
*
Reprint requests to Mirjam Kampman, Outpatient Clinic for Anxiety Disorders, GGz-Nijmegen, PO Box 9104, 6503 GM Nijmegen, The Netherlands. E-mail: mkampman@ggznijmegen.nl
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Abstract

Five variables were investigated with regard to their possible predictive value for cognitive behavioural treatment (CBT) outcome in a large sample of panic disorder (PD) patients. The variables were initial symptom severity, comorbid anxiety or depressive disorders, comorbid cluster C personality disorders, and initial motivation for treatment. A total number of 161 PD patients received a standardized CBT of 15 sessions. Assessments of predictive variables took place prior to treatment. Outcome measures were assessed at pre- and posttreatment. The patients had significantly improved after the treatment. None of the variables, separately or together, affected CBT outcome, save initial severity of panic disorder symptoms, which was positively associated with posttreatment symptom severity. Since research efforts failed to produce consistent predictors for CBT treatment outcome in panic disorder thus far, the usefulness of future outcome prediction research in panic disorder by pre-treatment demographic, disorder-related, psychological, or socio-psychological variables is put into question.

Keywords

Panic disordercognitive behaviour therapyprediction research
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 36 , Issue 1 , January 2008 , pp. 99 - 112
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2007

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