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Håkan Johansson.

Håkan Johansson

FD | Professor

Håkan Johansson.

Effects of panic-specific cognitive behavioural and psychodynamic psychotherapies on work ability in a doubly randomised clinical trial

Författare

  • Thomas Nilsson
  • Martin Svensson
  • Fredrik Falkenström
  • Sean Perrin
  • Håkan Johansson
  • Gardar Viborg
  • Rolf Sandell

Summary, in English

Objective: The effects of panic-specific psychotherapy on occupational functioning remain under-researched. This study tests whether two brief psychotherapies for Panic Disorder with or without Agoraphobia (PD/A) may generate improvement in work ability. Methods: Adults (N = 221) with a primary diagnosis of PD/A were randomised to wait-list, panic-focused psychodynamic psychotherapy (PFPP), panic control treatment (PCT), or to the choice between the two treatments. Participants completed the Work Ability Inventory (WAI) at baseline, post-treatment, and during 24-month follow-ups. Change in WAI scores were assessed using segmented multilevel linear growth models, and mediation was explored through path analysis. Results: WAI scores changed from the moderate to good range between baseline and post-treatment (SMD = 0.45; 95% CI [0.33, 0.57]) and continued to increase throughout the follow-up (SMD = 0.16; 95% CI [0.03, 0.28]) with no differences between treatments or allocation forms. In PFPP (but not in PCT) pre- to post-treatment change in WAI was mediated by reduction in panic symptoms and WAI predicted employment status and absences. Conclusions: Two brief panic specific psychotherapies, one cognitive behavioural and one psychodynamic, produced short and long-term increases in work ability.

Avdelning/ar

  • Institutionen för psykologi

Publiceringsår

2024-02-01

Språk

Engelska

Sidor

137-149

Publikation/Tidskrift/Serie

Psychotherapy Research

Volym

34

Issue

2

Dokumenttyp

Artikel i tidskrift

Förlag

Taylor & Francis

Ämne

  • Psychology
  • Psychiatry

Nyckelord

  • anxiety disorder
  • cognitive–behavioural therapy
  • mediation
  • panic disorder
  • psychodynamic therapy
  • work ability

Status

Published

Projekt

  • Long-Term Outcomes of Adults Treated with Panic-Focussed CBT and Psychodynamic Psychotherapies

ISBN/ISSN/Övrigt

  • ISSN: 1050-3307