The interaction of motivation and therapist adherence predicts outcome in cognitive behavioral therapy for panic disorder: Preliminary findings
The interaction of motivation and therapist adherence predicts outcome in cognitive behavioral therapy for panic disorder: Preliminary findings
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DOI：
10.1016/j.cbpra.2005.10.001
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发表时间：
2006-08-01
影响因子：
2.9
通讯作者：
Woods, Scott W.
中科院分区：
文献类型：
--
作者：
Huppert, Jonathan D.;Barlow, David H.;Woods, Scott W.
这份报告是一个事后的，解释性的检查之间的关系患者的动机，治疗师协议的遵守，和恐慌症的结果在患者的背景下，认知行为疗法治疗恐慌症的随机临床试验（巴洛，戈尔曼，剪切，和伍兹，2000年）。结果表明，动机和坚持相互作用，预测恐慌的严重程度的变化。在被评定为动机较低的患者中，治疗方案依从性越高，预后越差。被评定为更积极的患者中，依从性与结果无显著相关性。需要进一步的过程研究来证实这些初步结果，并了解患者和治疗师因素的相互作用，以及它们如何与标准化方案（例如恐慌症的认知行为治疗）的结果相关。
This report is a post-hoc, explaratory examination of the relationships among patient motivation, therapist protocol adherence, and panic disorder outcome in Patients treated with cognitive behavioral therapy within the context of a randomized clinical trial for the treatment of panic disorder (Barlow, Gorman, Shear, & Woods, 2000). Results suggested that motivation and adherence interacted to predict change in panic severity. Among patients rated, as less motivated, greater therapist protocol adherence was associated with poorer outcome. A mongpatients rated as more motivated, adherence was not significantly associated with outcome. Further process research is needed to confirm these preliminary results and to understand the into-actions of patient and therapist factors and how they are related to outcome in standardized protocols such as cognitive behavioral theropy for panic disorder.