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In this study, structural equation modeling was used to conduct a cross\u2010lagged panel analysis of the relationship between PC and anxiety symptom severity assessed before and after treatment in anxiety\u2010disordered patients. PC was found to be unrelated to concurrent symptom severity. Furthermore, pretreatment PC significantly predicted posttreatment symptom severity over and above the effect of pretreatment symptom severity, whereas pretreatment symptom severity failed to significantly predict posttreatment PC. Thus, these results are consistent with (although not proof of) the hypothesis that PC detracts from patients' ability to respond to treatment, and inconsistent with the hypothesis that PC is a reflection of a patient's symptom severity. \u00a9 2003 Wiley Periodicals, Inc. 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