Efficacy of group psychotherapy for panic disorder: Meta-Analysis of randomized, controlled trials

Group Dynamics

Volumn 21, Issue 2, 2017, Pages 77-93

  Schwartze, Dominique ^a   Barkowski, Sarah ^a   Strauss, Bernhard ^a   Burlingame, Gary M ^b   Barth, Jürgen ^c,d   Rosendahl, Jenny ^a  

^a JENA UNIVERSITY HOSPITAL   (Germany)

^b BRIGHAM YOUNG UNIVERSITY   (United States)

^c UNIVERSITY HOSPITAL ZURICH   (Switzerland)

^d UNIVERSITY OF ZURICH   (Switzerland)

Author keywords

Group therapy8Meta analysis; Panic disorder; Treatment efficacy

Indexed keywords

EID: 85020108113     PISSN: 10892699     EISSN: None     Source Type: Journal    
DOI: 10.1037/gdn0000064     Document Type: Article

References (95)

1. Acarturk, C., Cuijpers, P., van Straten, A., and de Graaf, R. (2009). Psychological treatment of social anxiety disorder: A meta-analysis. Psychological Medicine, 39, 241-254.
2. Altman, D. G. (1991). Practical statistics for medical research. London, England: Chapman and Hall.
3. American Psychiatric Association. (2009). Practice guideline for the treatment of patients with panic disorder (2nd ed.). Washington, DC: Author. Retrieved from http://psychiatryonline.org/pb/assets/ raw/sitewide/practice:guidelines/guidelines/ panicdisorder.pdf American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
4. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
5. Bakker, A., van Balkom, A. J., and Spinhoven, P. (2002). SSRIs vs. TCAs in the treatment of panic disorder: A meta-analysis. Acta Psychiatrica Scandinavica, 106, 163-167.
6. Bandelow, B. (1995). Assessing the efficacy of treatments for panic disorder and agoraphobia. II. The Panic and Agoraphobia Scale. International Clinical Psychopharmacology, 10, 73-81.
7. Bandelow, B., Lichte, T., Rudolf, S., Wiltink, J., and Beutel, M. E. (2015). The German guidelines for the treatment of anxiety disorders. European Archives of Psychiatry and Clinical Neuroscience, 265, 363-373.
8. Bandelow, B., Reitt, M., Röver, C., Michaelis, S., Görlich, Y., and Wedekind, D. (2015). Efficacy of treatments for anxiety disorders: A meta-analysis. International Clinical Psychopharmacology, 30, 183-192.
9. Bandelow, B., Wiltink, J., Alpers, G. W., Benecke, C., Deckert, J., Eckhardt-Henn, A. Beutel, M. E. (2014). Deutsche S3-Leitlinie Behandlung von Angststörungen [German clinical practice guideline for the treatment of patients with anxiety disorders]. Retrieved from http://www.awmf.org/ uploads/tx_szleitlinien/051-028l_S3_Angstst %C3%B6rungen_2014-05_2.pdf
10. Barkowski, S., Schwartze, D., Strauss, B., Burlingame, G. M., Barth, J., and Rosendahl, J. (2016). Efficacy of group psychotherapy for social anxiety disorder: A meta-analysis of randomized-controlled trials. Journal of Anxiety Disorders, 39, 44-64.
11. Barlow, D. H., and Cerny, J. A. (1988). Psychological treatment of panic. New York, NY: Guilford Press.
12. Barlow, D. H., and Craske, M. G. (1994). Mastery of your anxiety and panic-II. San Antonio, TX: Harcourt Brace.
13. Barlow, D. H., Gorman, J. M., Shear, M. K., and Woods, S. W. (2000). Cognitive-behavioral therapy, imipramine, or their combination for panic disorder: A randomized controlled trial. Journal of the American Medical Association, 283, 2529-2536.
14. Beck, A. T., Rush, A. J., Shaw, B. F., and Emery, G. (1979). Cognitive therapy of depression. New York, NY: Guilford Press.
15. Beck, A. T., and Steer, R. A. (1987). Beck Depression Inventory Manual. San Antonio, TX: The Psychological Corporation.
16. Beck, A. T., and Steer, R. A. (1990). The Beck Anxiety Inventory: Manual. San Antonio, TX: The Psychological Corporation.
17. Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., and Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561-571.
18. Beck, J. G., Stanley, M. A., Baldwin, L. E., Deagle, E. A., III, and Averill, P. M. (1994). Comparison of cognitive therapy and relaxation training for panic disorder. Journal of Consulting and Clinical Psychology, 62, 818-826.
19. Bernstein, D. A., and Borkovec, T. D. (1973). Progressive relaxation training. Champaign, IL: Research Press.
20. Borenstein, M., Hedges, L. V., Higgins, J. P. T., and Rothstein, H. R. (2009). Introduction to metaanalysis. Chichester, England: Wiley.
21. Bourne, E. J. (1995). The anxiety and phobia workbook. Oakland, CA: New Harbinger.
22. Burlingame, G. M., Seebeck, J. D., Janis, R. A., Whitcomb, K. E., Barkowski, S., Rosendahl, J., and Strauss, B. (2016). Outcome differences between individual and group formats when equivalent and nonequivalent treatments, patients and doses are compared: A 25-year meta-analytic perspective. Psychotherapy: Theory, Research, and Practice, 53, 446-461.
23. Carter, M. M., Sbrocco, T., Gore, K. L., Marin, N. W., and Lewis, E. L. (2003). Cognitivebehavioral group therapy versus a wait-list control in the treatment of African American women with panic disorder. Cognitive Therapy and Research, 27, 505-518.
24. Chambless, D. L., Caputo, G. C., Bright, P., and Gallagher, R. (1984). Assessment of fear of fear in agoraphobics: The body sensations questionnaire and the agoraphobic cognitions questionnaire. Journal of Consulting and Clinical Psychology, 52, 1090-1097.
25. Chambless, D. L., Caputo, G. C., Jasin, S. E., Gracely, E. J., and Williams, C. (1985). The Mobility Inventory for Agoraphobia. Behaviour Research and Therapy, 23, 35-44.
26. Chambless, D. L., and Hollon, S. D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66, 7-18.
27. Cicchetti, D. V. (1994). Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychological Assessment, 6, 284-290.
28. Clum, G. A. (1990). Coping with panic: A drug-free approach to dealing with anxiety attacks. Belmont, CA: Brooks/Cole.
29. Clum, G. A., Broyles, S., Borden, J., and Watkins, P. L. (1990). Validity and reliability of the panic attack symptoms and cognitions questionnaires. Journal of Psychopathology and Behavioral Assessment, 12, 233-245.
30. Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155-159.
31. Craske, M. G., and Barlow, D. H. (1993). Panic disorder and agoraphobia. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders (pp. 1-47). New York, NY: Guilford Press.
32. Cuijpers, P., Sijbrandij, M., Koole, S., Huibers, M., Berking, M., and Andersson, G. (2014). Psychological treatment of generalized anxiety disorder: A meta-analysis. Clinical Psychology Review, 34, 130-140.
33. Dannon, P. N., Gon-Usishkin, M., Gelbert, A., Lowengrub, K., and Grunhaus, L. (2004). Cognitive behavioral group therapy in panic disorder patients: The efficacy of CBGT versus drug treatment. Annals of Clinical Psychiatry, 16, 41-46.
34. Davidoff, J., Christensen, S., Khalili, D. N., Nguyen, J., and IsHak, W. W. (2012). Quality of life in panic disorder: Looking beyond symptom remission. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 21, 945-959.
35. Erickson, D. H., Janeck, A. S., and Tallman, K. (2007). A cognitive-behavioral group for patients with various anxiety disorders. Psychiatric Services, 58, 1205-1211.
36. Gloster, A. T., Wittchen, H. U., Einsle, F., Lang, T., Helbig-Lang, S., Fydrich, T. Arolt, V. (2011). Psychological treatment for panic disorder with agoraphobia: A randomized controlled trial to examine the role of therapist-guided exposure in situ in CBT. Journal of Consulting and Clinical Psychology, 79, 406-420.
37. Gould, R. A., Clum, G. A., and Shapiro, D. (1993). The use of bibliotherapy in the treatment of panic: A preliminary report. Behavior Therapy, 24, 241-253.
38. Gould, R. A., Otto, M. W., and Pollack, M. H. (1995). A meta-analysis of treatment outcome for panic disorder. Clinical Psychology Review, 15, 819-844.
39. Grant, B. F., Hasin, D. S., Stinson, F. S., Dawson, D. A., Goldstein, R. B., Smith, S. Saha, T. D. (2006). The epidemiology of DSM-IV panic disorder and agoraphobia in the United States: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. The Journal of Clinical Psychiatry, 67, 363-374.
40. Guyatt, G. H., Oxman, A. D., Montori, V., Vist, G., Kunz, R., Brozek, J. Schünemann, H. J. (2011). GRADE guidelines: 5. Rating the quality of evidence: Publication bias. Journal of Clinical Epidemiology, 64, 1277-1282.
41. Hamilton, M. (1959). The assessment of anxiety states by rating. The British Journal of Medical Psychology, 32, 50-55.
42. Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23, 56-62.
43. Hazen, A. L., Walker, J. R., and Eldridge, G. D. (1996). Anxiety sensitivity and treatment outcome in panic disorder. Anxiety, 2, 34-39.
44. Hedges, L. V., and Olkin, I. (1985). Statistical methods for meta-analysis. New York, NY: Academic Press.
45. Higgins, J. P. T., Altman, D. G., and Sterne, J. A. C. (2011). Assessing risk of bias in included studies. In J. P. T. Higgins, and S. Green (Eds.), Cochrane handbook for systematic reviews of interventions (version 5.1.0 [updated March 2011]). The Cochrane Collaboration. Retrieved from http:// handbook.cochrane.org/
46. Higgins, J. P. T., and Deeks, J. J. (2011). Selecting studies and collecting data. Cochrane handbook for systematic reviews of interventions (version 5.1.0 [updated March 2011]). The Cochrane Collaboration. Retrieved from http://handbook .cochrane.org/
47. Higgins, J. P. T., Deeks, J. J., and Altman, D. G. (2011). Special topics in statistics. In J. P. T. Higgins, and S. Green (Eds.), Cochrane handbook for systematic reviews of interventions (version 5.1.0 [updated March 2011]). The Cochrane Collaboration. Retrieved from http://www.cochranehandbook. org/
48. Higgins, J. P., Thompson, S. G., Deeks, J. J., and Altman, D. G. (2003). Measuring inconsistency in meta-analyses. British Medical Journal, 327, 557-560.
49. Kenardy, J. A., Dow, M. G., Johnston, D. W., Newman, M. G., Thomson, A., and Taylor, C. B. (2003). A comparison of delivery methods of cognitivebehavioral therapy for panic disorder: An international multicenter trial. Journal of Consulting and Clinical Psychology, 71, 1068-1075.
50. Kessler, R. C., Chiu, W. T., Jin, R., Ruscio, A. M., Shear, K., and Walters, E. E. (2006). The epidemiology of panic attacks, panic disorder, and agoraphobia in the National Comorbidity Survey Replication. Archives of General Psychiatry, 63, 415-424.
51. Korrelboom, K., Peeters, S., Blom, S., and Huijbrechts, I. (2014). Competitive memory training (COMET) for panic and applied relaxation (AR) are equally effective in the treatment of panic in panic-disordered patients. Journal of Contemporary Psychotherapy, 44, 183-190.
52. Lidren, D. M., Watkins, P. L., Gould, R. A., Clum, G. A., Asterino, M., and Tulloch, H. L. (1994). A comparison of bibliotherapy and group therapy in the treatment of panic disorder. Journal of Consulting and Clinical Psychology, 62, 865-869.
53. Marchand, A., Roberge, P., Primiano, S., and Germain, V. (2009). A randomized, controlled clinical trial of standard, group and brief cognitive-behavioral therapy for panic disorder with agoraphobia: A two-year follow-up. Journal of Anxiety Disorders, 23, 1139-1147.
54. Marks, I. M., and Mathews, A. M. (1979). Brief standard self-rating for phobic patients. Behaviour Research and Therapy, 17, 263-267.
55. McRoberts, C., Burlingame, G. M., and Hoag, M. J. (1998). Comparative efficacy of individual and group psychotherapy: A meta-analytic perspective. Group Dynamics: Theory, Research, and Practice, 2, 101-117.
56. Meulenbeek, P., Willemse, G., Smit, F., van Balkom, A., Spinhoven, P., and Cuijpers, P. (2010). Early intervention in panic: Pragmatic randomised controlled trial. The British Journal of Psychiatry, 196, 326-331.
57. Mitte, K. (2005). A meta-analysis of the efficacy of psycho- and pharmacotherapy in panic disorder with and without agoraphobia. Journal of Affective Disorders, 88, 27-45.
58. Montgomery, S. A., and Åsberg, M. (1979). A new depression scale designed to be sensitive to change. The British Journal of Psychiatry, 134, 382-389.
59. National Institute for Health and Care Excellence. (2011). Generalised anxiety disorder and panic disorder (with or without agoraphobia) in adults: Management in primary, secondary and community care. NICE clinical guideline 113. Retrieved from http://www.nice.org.uk/guidance/CG113.
60. Norton, P. J., and Price, E. C. (2007). A meta-analytic review of adult cognitive-behavioral treatment outcome across the anxiety disorders. Journal of Nervous and Mental Disease, 195, 521-531.
61. Oei, T. P., and Boschen, M. J. (2009). Clinical effectiveness of a cognitive behavioral group treatment program for anxiety disorders: A benchmarking study. Journal of Anxiety Disorders, 23, 950-957.
62. Oei, T. S., Llamas, M., and Devilly, G. J. (1999). The efficacy and cognitive processes of cognitive behaviour therapy in the treatment of panic disorder with agoraphobia. Behavioural and Cognitive Psychotherapy, 27, 63-88.
63. Öst, L.-G. (1987). Applied relaxation: Description of a coping technique and review of controlled studies. Behaviour Research and Therapy, 25, 397-409.
64. Otto, M. W., Pollack, M. H., and Maki, K. M. (2000). Empirically supported treatments for panic disorder: Costs, benefits, and stepped care. Journal of Consulting and Clinical Psychology, 68, 556-563.
65. Piper, W. E. (2008). Underutilization of short-term group therapy: Enigmatic or understandable? Psychotherapy Research, 18, 127-138.
66. Pompoli, A., Furukawa, T. A., Imai, H., Tajika, A., Efthimiou, O., and Salanti, G. (2016). Psychological therapies for panic disorder with or without agoraphobia in adults: A network meta-analysis. Cochrane Database of Systematic Reviews. Advance online publication. http://dx.doi.org/10.1002/ 14651858.cd011004.pub2
67. Praško, J., Horácek, J., Záleskỳ, R., Kopecek, M., Novák, T., Pasková, B. Höschl, C. (2004). The change of regional brain metabolism (18FDG PET) in panic disorder during the treatment with cognitive behavioral therapy or antidepressants. Neuroendocrinology Letters, 25, 340-348.
68. Rees, C. S., Richards, J. C., and Smith, L. M. (1998). Medical utilisation and costs in panic disorder: A comparison with social phobia. Journal of Anxiety Disorders, 12, 421-435. http://dx.doi.org/10.1016/ S0887-6185(98)00026-7.
69. Reiss, S., Peterson, R. A., Gursky, D. M., and Mc-Nally, R. J. (1986). Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behaviour Research and Therapy, 24, 1-8.
70. Roberge, P., Fournier, L., Duhoux, A., Nguyen, C. T., and Smolders, M. (2011). Mental health service use and treatment adequacy for anxiety disorders in Canada. Social Psychiatry and Psychiatric Epidemiology, 46, 321-330.
71. Roberge, P., Marchand, A., Reinharz, D., and Savard, P. (2008). Cognitive-behavioral treatment for panic disorder with agoraphobia: A randomized, controlled trial and cost-effectiveness analysis. Behavior Modification, 32, 333-351.
72. Rosenberg, N. K., and Hougaard, E. (2005). Cognitive-behavioural group treatment of panic disorder and agoraphobia in a psychiatric setting: A naturalistic study of effectiveness. Nordic Journal of Psychiatry, 59, 198-204.
73. Rosendahl, J., Barkowski, S., Schwartze, D., Koranyi, S., and Strauss, B. (2013). Systematic review and meta-analyses on the efficacy of small group treatment for mental disorders. PROSPERO 2013: CRD42013004419. Retrieved from http://www .crd.york.ac.uk/PROSPERO/display_record.asp? IDCRD42013004419.
74. Ruhmland, M., and Margraf, J. (2001). Effektivität psychologischer Therapien von Panik und Agoraphobie: Meta-Analysen auf Störungsebene [Efficacy of psychological treatments for panic and agoraphobia]. Verhaltenstherapie, 11, 41-53.
75. Sánchez-Meca, J., Rosa-Alcázar, A. I., Marín-Martínez, F., and Gómez-Conesa, A. (2010). Psychological treatment of panic disorder with or without agoraphobia: A meta-analysis. Clinical Psychology Review, 30, 37-50.
76. Schmidt, N. B. (1994). Safety maneuver elimination for panic disorder. Unpublished treatment manual.
77. Schmidt, N. B., Buckner, J. D., Pusser, A., Woolaway-Bickel, K., Preston, J. L., and Norr, A. (2012). Randomized controlled trial of false safety behavior elimination therapy: A unified cognitive behavioral treatment for anxiety psychopathology. Behavior Therapy, 43, 518-532.
78. Schmidt, N. B., McCreary, B. T., Trakowski, J. J., Santiago, H. T., Woolaway-Bickel, K., and Ialongo, N. (2003). Effects of cognitive behavioral treatment on physical health status in patients with panic disorder. Behavior Therapy, 34, 49-63.
79. Schmidt, N. B., Staab, J. P., Trakowski, J. H., Jr., and Sammons, M. (1997). Efficacy of a brief psychosocial treatment for panic disorder in an active duty sample: Implications for military readiness. Military Medicine, 162, 123-129.
80. Schmidt, N. B., Woolaway-Bickel, K., Trakowski, J., Santiago, H., Storey, J., Koselka, M., and Cook, J. (2000). Dismantling cognitive-behavioral treatment for panic disorder: Questioning the utility of breathing retraining. Journal of Consulting and Clinical Psychology, 68, 417-424.
81. Schwartze, D., Barkowski, S., Burlingame, G. M., Strauss, B., and Rosendahl, J. (2016). Efficacy of group psychotherapy for obsessive-compulsive disorder: A meta-analysis of randomized controlled trials. Journal of Obsessive-Compulsive and Related Disorders, 10, 49-61
82. Shadish, W. R., Jr., and Sweeney, R. B. (1991). Mediators and moderators in meta-analysis: There's a reason we don't let dodo birds tell us which psychotherapies should have prizes. Journal of Consulting and Clinical Psychology, 59, 883-893.
83. Sharp, D. M., Power, K. G., and Swanson, V. (2004). A comparison of the efficacy and acceptability of group versus individual cognitive behaviour therapy in the treatment of panic disorder and agoraphobia in primary care. Clinical Psychology and Psychotherapy, 11, 73-82.
84. Shear, M. K., Brown, T. A., Barlow, D. H., Money, R., Sholomskas, D. E., Woods, S. W. Papp, L. A. (1997). Multicenter Collaborative Panic Disorder Severity Scale. The American Journal of Psychiatry, 154, 1571-1575.
85. Sheehan, D. V. (1983). The anxiety disease. New York, NY: Scribners.
86. Spielberger, C. D., Gorsuch, R. L., and Lushene, R. E. (1970). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.
87. Sterne, J. A. C., Egger, M., and Moher, D. (2011). Addressing reporting biases. In J. P. T. Higgins, and S. Green (Eds.), Cochrane handbook for systematic reviews of interventions (version 5.1.0 [updated March 2011]). The Cochrane Collaboration. Retrieved from http://www.cochrane-handbook .org/
88. Swift, J. K., and Greenberg, R. P. (2012). Premature discontinuation in adult psychotherapy: A metaanalysis. Journal of Consulting and Clinical Psychology, 80, 547-559.
89. Telch, M. J., Lucas, J. A., Schmidt, N. B., Hanna, H. H., LaNae Jaimez, T., and Lucas, R. A. (1993). Group cognitive-behavioral treatment of panic disorder. Behaviour Research and Therapy, 31, 279-287.
90. Substance Abuse and Mental Health Services Administration. (2015). Receipt of services for behavioral health problems: Results from the 2014.National Survey on Drug Use and Health. Retrieved from: http://www.samhsa.gov/data/sites/default/files/ NSDUH-DR-FRR3-2014/NSDUH-DR-FRR3-2014/NSDUH-DR-FRR3-2014.htm
91. van Balkom, A. J., Bakker, A., Spinhoven, P., Blaauw, B. M., Smeenk, S., and Ruesink, B. (1997). A meta-analysis of the treatment of panic disorder with or without agoraphobia: A comparison of psychopharmacological, cognitive-behavioral, and combination treatments. Journal of Nervous and Mental Disease, 185, 510-516.
92. Wampold, B. E., Mondin, G. W., Moody, M., Stich, F., Benson, K., and Ahn, H. (1997). A meta-analysis of outcome studies comparing bona fide psychotherapies: Empirically, all must have prizes. Psychological Bulletin, 122, 203-215.
93. Wang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B., and Kessler, R. C. (2005). Twelvemonth use of mental health services in the United States: Results from the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 629-640.
94. World Health Organization. (1992). The ICD-10.classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. Geneva, Switzerland: Author.
95. Young, A. S., Klap, R., Sherbourne, C. D., & Wells, K. B. (2001). The quality of care for depressive and anxiety disorders in the United States. Archives of General Psychiatry, 58, 55-61.