Cognitive-behavioral treatment of agoraphobia: Paradoxical intention vs self-statement training
Behaviour Research and TherapyPublished 1 January 1983
Matig Mavissakalian, Larry Michelson, Deborah P. Greenwald, Sander J. Kornblith, Michael Greenwald
Citations81
SJR quartileQ1
SJR score2.01
SNIP1.64
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TL;DR
The results indicated statistically-significant improvement over time with both treatments, and ANCOVAs performed revealed superior effects on several agoraphobia measures for the PI condition at post-treatment.
Abstract
Twenty-six agoraphobics were randomly assigned to either Paradoxical Intention (PI) or Self-Statement Training (SST) which consisted of 12 weekly 90-min group sessions with 4–5 patients per group. Major assessments were carried out at pre-treatment, 6th week and 12th week of treatment, and at 1- and 6-month follow-ups. Measures included clinical ratings of severity of condition, phobia, anxiety and depression. Furthermore, a behavioral test was administered during which changes in subjective units of discomfort and cognitions were assessed. The results indicated statistically-significant improvement over time with both treatments. ANCOVAs performed revealed superior effects on several agoraphobia measures for the PI condition at post-treatment. However, by the 6-month follow-up assessment, the groups were equivalent due to marked improvement during the follow-up phase in the SST condition. Cognitive changes were marked by a decrease in self-defeating statements without concomitant increase in coping statements. These results and recommendations for future research are discussed.
Keywords
Psychology
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