Håkan Johansson
FD | Professor
Effects of panic-specific cognitive behavioural and psychodynamic psychotherapies on work ability in a doubly randomised clinical trial
Författare
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