Internet‐Based Acceptance and Commitment Therapy With Interoceptive Exposure for Panic Disorder: A Randomized Controlled Trial and Working Alliance Analysis.
This study's primary aim was to evaluate the efficacy of an internet‐based Acceptance and Commitment Therapy (IACT) program modified to include interoceptive exposure for treating panic disorder with or without concurrent agoraphobia. Its secondary aim was to examine whether therapist‐ and client‐ra...
| Publicado en: | Scandinavian Journal of Psychology Vol. 67; no. 2; pp. 605 - 620 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192288131&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192288131 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00365564 2CT jtl: Scandinavian Journal of Psychology issn: 00365564 maglogo: Y pubinfo: dt: Apr2026 vid: 67 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 192288131 189632157 192288131 192288131 10.1111/sjop.70045 192288131 ppf: 605 ppct: 15 formats: tig: atl: Internet‐Based Acceptance and Commitment Therapy With Interoceptive Exposure for Panic Disorder: A Randomized Controlled Trial and Working Alliance Analysis. aug: au: Bäckman, Lisa Weineland, Sandra Vernmark, Kristofer Radvogin, Ella Bjälkebring, Pär Enbuske, Esther Hermansson, Ida Johansson, Nina Petersen, Nathalie Hursti, Timo affil: Department of Psychology, University of Gothenburg, Gothenburg, Sweden sug: subj: Panic Disorder Therapy Agoraphobia Therapy Internet-Based Intervention Evaluation Desensitization, Psychologic Evaluation Acceptance and Commitment Therapy Evaluation Treatment Outcomes Evaluation Therapeutic Alliance Sweden Human Male Female Adult Middle Age Aged Randomized Controlled Trials Random Assignment Descriptive Statistics Pretest-Posttest Control Group Design Quality of Life Evaluation Convenience Sample Funding Source Physician-Patient Relations Scales Data Analysis Software Disease Remission Patient Compliance Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: This study's primary aim was to evaluate the efficacy of an internet‐based Acceptance and Commitment Therapy (IACT) program modified to include interoceptive exposure for treating panic disorder with or without concurrent agoraphobia. Its secondary aim was to examine whether therapist‐ and client‐rated working alliances were related to treatment outcomes. This randomized controlled trial included 79 participants, assigned to either a treatment group (n = 40) or a waitlist control group (n = 39) over 10 weeks. The study investigated the effects on panic disorder and quality of life, as well as the relationship between working alliances (rated by therapists and clients) and treatment outcomes. At post‐treatment, there was a significant between‐group treatment effect on panic disorder symptoms, with an observed effect size of d = 0.92. The model‐predicted effect size based on the multilevel model was dGMA‐raw = 0.86. Furthermore, 43% of participants no longer met the diagnostic criteria. Participants with concurrent agoraphobia exhibited higher initial panic symptom scores and were less likely to be diagnosis‐free post‐treatment. However, they still experienced significant and large treatment effects, with an observed effect size d = 1.22 and dGMA‐raw = 0,99. There was no significant between‐group difference in quality‐of‐life measurements. The therapist‐rated working alliance was associated with treatment outcome, but no significant relationship was found for the client‐rated alliance. Overall, the study suggests that interoceptive exposure‐modified IACT is an effective treatment for panic disorder and shows promise for patients with concurrent agoraphobia. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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