Short- and long-term effectiveness of high density exposure for panic disorder with Agoraphobia in an inpatient setting [Elektronische Ressource] : a 7-years follow-up / vorgelegt von Silvia Uhle

Description

Short- and Long-Term Effectiveness of High-Density Exposure for PanicDisorder with Agoraphobia in an Inpatient Setting: A 7-Years Follow-upVon der Medizinischen Fakultät der Rheinisch-Westfälischen Technischen Hochschule Aachen zur Erlangung des akademischen Grades einer Doktorin der Theoretischen Medizingenehmigte Dissertationvorgelegt vonDipl.-Psych. Silvia UhleausGelsenkirchenBerichter: Herr UniversitätsprofessorDr.phil. Dipl.-Psych. Siegfried GauggelHerr UniversitätsprofessorDr.med. Tilo KircherTag der mündlichen Prüfung: 11. Dezember 2006Diese Dissertation ist auf den Internetseiten der Hochschulbibliothek online verfügbar.List of contents0. Abstract 11. Introduction 22. Method 7Participants 7Treatment 9Measures 9Rasch analysis 11Statistical analyses 163. Results 18Long-term effects of HDE 18Comparison of treatment completers and dropouts 20Comparison of patients who submitted vs. not submittedquestionnaires at follow-up 214. Discussion 225. References 286. Danksagung 367. Lebenslauf 370. AbstractObjective: This study examined the effectiveness up to 7 years post-treatment ofindividual high-density exposure (3-4 weeks, all day) for panic disorder with agoraphobia(PDAG).Method: Unselected inpatients (N = 379) with a primary diagnosis of PDAG were treatedin the Christoph-Dornier-Clinic (CDK) for Psychotherapy in Germany (Muenster).Outcome measures (i.e.

Sujets

• Gesundheit

Informations

• Publié par: rheinisch-westfalischen_technischen_hochschule_-rwth-_aachen
• Publié le: 01 janvier 2006
• Nombre de lectures: 4
• Langue: English

Extrait

Short- and Long-Term Effectiveness of High-Density Exposure for Panic Disorder with Agoraphobia in an Inpatient Setting: A 7-Years Follow-up

Von der Medizinischen Fakultät der Rheinisch-Westfälischen Technischen Hochschule Aachen zur Erlangung des akademischen Grades einer Doktorin der Theoretischen Medizin genehmigte Dissertation

vorgelegt von

Dipl.-Psych. Silvia Uhle

aus

Gelsenkirchen

Berichter: Herr Universitätsprofessor Dr.phil. Dipl.-Psych. Siegfried Gauggel Herr Universitätsprofessor Dr.med. Tilo Kircher

Tag der mündlichen Prüfung: 11. Dezember 2006

Diese Dissertation ist auf den Internetseiten der Hochschulbibliothek online verfügbar.

List of contents 0. Abstract

1.

2.

3.

4.

5.

6.

7.

Introduction

Method Participants Treatment Measures Rasch analysis Statistical analyses Results Long-term effects of HDE Comparison of treatment completers and dropouts Comparison of patients who submitted vs. not submitted questionnaires at follow-up Discussion

References

Danksagung

Lebenslauf

1

2

7 7 9 9 11 16 18 18 20 21 22

28

36

37

0. Abstract

Objective: This study examined the effectiveness up to 7 years post-treatment of individual high-density exposure (3-4 weeks, all day) for panic disorder with agoraphobia (PDAG). Method:inpatients (N = 379) with a primary diagnosis of PDAG were treatedUnselected in the Christoph-Dornier-Clinic (CDK) for Psychotherapy in Germany (Muenster). Outcome measures (i.e., self-report questionnaires) were given pre-treatment, 6-weeks, 1-year and 7-years post-treatment and data were analyzed with Item Response Theory (Rasch analysis). Results: significant symptom reductions in anxiety cognitions, anxiety body Highly sensations, agoraphobic avoidance, depressive symptoms, and general psychopathology could be found at the 6-weeks follow-up, also at 1-year follow up, and 7-years post- treatment. At the 6-weeks follow-up the effect sizes ranged from 1.08 to 1.62 with an average effect size of 1.29; at the 1-year follow-up from 1.07 to 1.48 (average effect size was 1.26). Seven years after discharge the effect sizes ranged from 1.15 to 1.33 with an average of 1.22. Conclusions:The results suggest that high-density exposure for treatment of PDAG can be transferred to a natural clinic-setting without reducing its effectiveness. There is convincing evidence for long-lasting effectiveness up to seven years after treatment.

Keywords:Agoraphobia, panic disorder, behavior therapy, exposure, effectiveness study, Rasch analysis

1