{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T12:12:41Z","timestamp":1763727161698,"version":"3.37.3"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,5,11]],"date-time":"2017-05-11T00:00:00Z","timestamp":1494460800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI12\/00273"],"award-info":[{"award-number":["PI12\/00273"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:sec><jats:label\/><jats:p>In the context of psychological treatment, a sudden gain is a large and enduring improvement in symptom severity that occurs between two single therapy sessions. The influence of sudden gains on long\u2010term outcomes and functional impairment in anxiety disorders is not well understood, and little is known with regard to panic disorder in particular. In addition, previous research on patients with anxiety disorders has produced inconsistent results regarding the relationship between sudden gains and cognitive change. We examined the incidence of sudden gains in a large sample (<jats:italic>n<\/jats:italic>\u00a0=\u00a0116) of panic disorder patients undergoing exposure\u2010focused cognitive\u2010behavioral group therapy, and compared panic severity, functional impairment, and cognitive change in patients with and without sudden gains at posttreatment and 6\u2010month follow\u2010up. Participants who experienced sudden gains displayed lower levels of panic severity and functional impairment at posttreatment and 6\u2010month follow\u2010up than those who did not experience sudden gains. However, we observed no difference in cognitive changes between groups, either at posttreatment or at follow\u2010up. Our results demonstrate that the beneficial effects of sudden gains on therapeutic outcomes not only extend to long\u2010term and functional outcome measures but are also evident in less cognitive (i.e., exposure\u2010focused) forms of psychological treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Practitioner Message<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Sudden gains are common in panic disorder patients undergoing exposure\u2010based cognitive\u2010behavioral group therapy.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Sudden gains during exposure\u2010focused therapy are linked to greater improvement in panic disorder severity and functional impairment.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>The positive impact of sudden gains on panic disorder severity and functional impairment is maintained in the long term.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1002\/cpp.2093","type":"journal-article","created":{"date-parts":[[2017,5,11]],"date-time":"2017-05-11T15:55:30Z","timestamp":1494518130000},"page":"1285-1291","source":"Crossref","is-referenced-by-count":11,"title":["Sudden gains in exposure\u2010focused cognitive\u2010behavioral group therapy for panic disorder"],"prefix":"10.1002","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5998-701X","authenticated-orcid":false,"given":"Raquel","family":"Nogueira\u2010Arjona","sequence":"first","affiliation":[{"name":"School of Psychology University of M\u00e1laga  Malaga Spain"},{"name":"M\u00e1laga Institute of Biomedical Research (IBIMA)  Malaga Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mart\u00ed","family":"Santacana","sequence":"additional","affiliation":[{"name":"Department of Mental Health Consorci Sanitari de Terrassa  Terrassa Spain"},{"name":"Department of Psychiatry Autonomous University of Barcelona  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda","family":"Montoro","sequence":"additional","affiliation":[{"name":"Department of Mental Health Consorci Sanitari de Terrassa  Terrassa Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Rosado","sequence":"additional","affiliation":[{"name":"Anxiety Unit, Institute of Neuropsychiatry and Addictions Hospital del Mar  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roser","family":"Guillamat","sequence":"additional","affiliation":[{"name":"Department of Mental Health Consorci Sanitari de Terrassa  Terrassa Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicen\u00e7","family":"Vall\u00e8s","sequence":"additional","affiliation":[{"name":"Department of Mental Health Consorci Sanitari de Terrassa  Terrassa Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miquel A.","family":"Fullana","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Autonomous University of Barcelona  Barcelona Spain"},{"name":"Anxiety Unit, Institute of Neuropsychiatry and Addictions Hospital del Mar  Barcelona Spain"},{"name":"IMIM (Hospital del Mar Medical Research Institute) &amp; CIBERSAM  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,5,11]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000329995"},{"volume-title":"Diagnostic and statistical manual of mental disorders","year":"1994","author":"American Psychiatric Association","key":"e_1_2_5_3_1"},{"volume-title":"Mastery of our anxiety and panic\u2010II","year":"1994","author":"Barlow D. 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