{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T17:59:34Z","timestamp":1784138374701,"version":"3.55.0"},"reference-count":37,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2016,9,14]],"date-time":"2016-09-14T00:00:00Z","timestamp":1473811200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["100002025"],"award-info":[{"award-number":["100002025"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Treatment effects in psychotherapy outcome research are generally based on the reduction of symptoms. Standard inclusion of other beneficial treatment effects such as remoralization (increase of hope, self\u2010efficacy, well\u2010being) might lead to more elaborate findings in the field of psychotherapy. On the other hand, it is also possible that symptom reduction and remoralization always go hand in hand in the experience of patients. The present study sought to experimentally test this assumption.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A total of 78 patients suffering from panic disorder were randomly assigned to brief remoralization treatment, brief exposure treatment, or waiting list (WL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both treatments increased remoralization and both reduced symptoms of panic disorder as compared to WL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>It is unlikely that patients experience remoralization without symptom reduction or symptom reduction without remoralization. These findings do not favor the assumption that conclusions within psychotherapy outcome research are flawed because of its heavy reliance on measurements of symptom reduction.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.22380","type":"journal-article","created":{"date-parts":[[2016,9,14]],"date-time":"2016-09-14T14:12:39Z","timestamp":1473862359000},"page":"785-796","source":"Crossref","is-referenced-by-count":7,"title":["Symptom Reduction Without Remoralization: A Randomized, Waiting\u2010List Controlled Study Aimed at Separating Two Beneficial Psychotherapy Outcome Effects"],"prefix":"10.1002","volume":"73","author":[{"given":"Wiede","family":"Vissers","sequence":"first","affiliation":[{"name":"Radboud University Nijmegen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ger P.J.","family":"Keijsers","sequence":"additional","affiliation":[{"name":"Radboud University Nijmegen"},{"name":"University Maastricht"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirjam","family":"Kampman","sequence":"additional","affiliation":[{"name":"Pro Persona Centre for Anxiety Disorders Overwaal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gert\u2010Jan","family":"Hendriks","sequence":"additional","affiliation":[{"name":"Pro Persona Centre for Anxiety Disorders Overwaal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Rijnders","sequence":"additional","affiliation":[{"name":"Mentaal Beter Terneuzen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giel J.M.","family":"Hutschemaekers","sequence":"additional","affiliation":[{"name":"Radboud University Nijmegen"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,9,14]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1980"},{"key":"e_1_2_5_3_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1987"},{"key":"e_1_2_5_4_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_5_5_1","first-page":"73","article-title":"Assessing the efficacy of treatments for panic disorder and agoraphobia","volume":"10","author":"Bandelow B.","year":"1995","journal-title":"II. 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