Physical, mental, and social catastrophic cognitions as prognostic factors in cognitive-behavioral and pharmacological treatments for panic disorder.
The authors explored the prognostic value of 3 different types of catastrophic cognitions in the treatment of panic disorder with and without mild-to-moderate agoraphobia using a sample of 143 participants who received either cognitive-behavioral therapy (CBT) or imipramine in a randomized controlled trial. Stronger fears of social catastrophes both prior to and following treatment with CBT or imipramine were associated with a poorer outcome. In contrast, cognitions involving physical or mental catastrophes were unrelated to outcome, regardless of whether these thoughts were measured prior to or following treatment. These findings are consistent with the notion that although the intensity of physical catastrophe cognitions may best discriminate between panic disorder and other anxiety disorders, it is the intensity of social catastrophe cognitions that is most closely tied to success in treating this disorder.
Department of Psychology, University of Vermont, Burlington, VT, USA. tomhicks@scc.net
Thomas V
TV
Hicks
Harold
H
Leitenberg
David H
DH
Barlow
Jack M
JM
Gorman
M Katherine
MK
Shear
Scott W
SW
Woods
D000328:Adult; D000379:Agoraphobia / Q000628:therapy; D000929:Antidepressive Agents, Tricyclic / Q000008:administration & dosage / Q000627:therapeutic use*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D004305:Dose-Response Relationship, Drug; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D007099:Imipramine / Q000008:administration & dosage / Q000627:therapeutic use*; D008297:Male; D016584:Panic Disorder / Q000175:diagnosis* / Q000188:drug therapy / Q000628:therapy*; D011237:Predictive Value of Tests; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000453:epidemiology; D012938:Social Perception; D011795:Surveys and Questionnaires; D013850:Thinking; D016896:Treatment Outcome
D000929:Antidepressive Agents, Tricyclic; D007099:Imipramine