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Cognitive and Secondary Symptom Variables as Predictive Factors in the Treatment of Agoraphobic In-Patients

Published online by Cambridge University Press:  16 June 2009

Asle Hoffart  and
Egil W. Martinsen
Asle Hoffart
Affiliation:
Modum Bads Nervesanatorium, Vikersund, Norway
Egil W. Martinsen
Affiliation:
Modum Bads Nervesanatorium, Vikersund, Norway
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Extract

The ability of health locus of control, causal attributional, and secondary symptom variables to predict response to an integrated behavioural and psychodynamic treatment of agoraphobic in-patients, both immediately and one year after treatment, was investigated (N = 36). It was hypothesized that patients who retained an external locus of control during treatment would be likely to relapse after treatment. Further, it was hypothesized that tendencies to externalize locus of control, to attribute bad events to internal, stable, and global causes, and to attribute good events to external, unstable, and specific causes, would influence the treatment process in a negative way. It was also hypothesized that high levels of secondary symptoms, that is depression and general anxiety, would inhibit progress. None of these hypotheses were consistently supported by the results. This indicates that more precise and sophisticated models of agoraphobia development and treatment process are needed.

Type
Clinical Section
Information
Behavioural and Cognitive Psychotherapy , Volume 19 , Issue 3 , July 1991 , pp. 267 - 276
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1991

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References

Aasberg, M., Montgomery, S. A., Perris, C., Schalling, D. and Sedvall, G. (1978). A comprehensive psychopathological rating scale. Acta Psychiatrica Scandinavica Supplements 271, 5–5.CrossRefGoogle Scholar
Abramson, L. Y., Seligman, M. E. P. and Teasdale, J. D. (1978). Learned helplessness in humans: critique and reformulation. Journal of Abnormal Psychology 87, 49–49.CrossRefGoogle ScholarPubMed
American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders. 3rd edn.Revised. Washington DC: American Psychiatric Association.Google Scholar
Beck, A. T., Rush, A. J., Shaw, B. F. and Emery, G. (1979). Cognitive Therapy of Depression: A Treatment Manual. New York: Guilford Press.Google Scholar
Emmelkamp, P. G. M. (1982). Phobic and Obsessive-Compulsive Disorders. New York: Plenum.CrossRefGoogle Scholar
Emmelkamp, P. G. M. and Kuipers, A. (1979). Agoraphobia: a follow-up study four years after treatment. British Journal of Psychiatry 134, 352–352.CrossRefGoogle ScholarPubMed
Fischer, M., Hand, I., Angenendt, J., Buttner-Westphal, H. and Manecke, Ch. (1988). Failures in exposure treatment of agoraphobia: evaluation and prediction. In Hand, I. and Wittchen, H.-U. (Eds). Panic and Phobias II. Berlin: Springer.Google Scholar
Foa, E. and Emmelkamp, P. G. M. (Eds). (1983). Failures in Behavior Therapy. New York: Wiley.Google Scholar
Hoffart, A., Friis, S. and Martinsen, E. (1989). The Phobic Avoidance Rating Scale: a psychometric evaluation of an interview-based scale. Psychiatric Developments 7, 71–71.Google Scholar
Hoffart, A. and Martinsen, E. (1990a). Agoraphobia, depression, mental health locus of control, and attributional styles. Cognitive Therapy and Research 14, 343–343.CrossRefGoogle Scholar
Hoffart, A. and Martinsen, E. (1990b). Exposure-based integrated vs. pure psychodynamic treatment of agoraphobic inpatients. Psychotherapy 27, 210–210.CrossRefGoogle Scholar
Jansson, L. and Öst, L. G. (1982). Behavioral treatments for agoraphobia: an evaluative review. Clinical Psychology Review 2, 311–311.CrossRefGoogle Scholar
Lang, P. J. (1968). Fear reduction and fear behavior: problems in treating a construct. In Shilen, J. M. (Ed). Research in Psychotherapy. Washington, DC: American Psychological Association.Google Scholar
Martinsen, E., Friis, S. and Hoffart, A. (1989). A factor analytical study of the Comprehensive Psychopathological Rating Scale (CPRS) on patients with anxiety and depressive disorders. Acta Psychiatrica Scandinavica 80, 492–492.CrossRefGoogle ScholarPubMed
Martinsen, E., Hoffart, A. and Solberg, Ö. (1989). Comparing aerobic and nonaerobic forms of exercise in the treatment of anxiety disorders: a randomized trial. Stress Medicine 5, 115–115.CrossRefGoogle Scholar
Michelson, L., Mavissakalian, M. and Meminger, S. (1983). Prognostic utility of locus of control in treatment of agoraphobia. Behaviour Research and Therapy 21, 309–309.CrossRefGoogle ScholarPubMed
Peterson, C., Semmel, A., Von Bayer, C., Abramson, L. Y., Metalsky, G. Y. and Seligman, M. E. P. (1982). The attributional style questionnaire. Cognitive Therapy and Research 6, 287–287.CrossRefGoogle Scholar
Spitzer, R. L. and Williams, J. B. W. (1984). Structured Clinical Interview for DSM-III (SCID 10/1/84). Biometric Research Department, New York State Psychiatric Institute, 722 West 168th Street, New York 10032.Google Scholar
Wallston, K. A. and Wallston, B. S. (1981). Health locus of control scales. In Lefcourt, H. M. (Ed). Research with the Locus of Control Construct. New York: Academic Press.Google Scholar
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