{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:53:24Z","timestamp":1760147604260,"version":"3.37.3"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,12,31]],"date-time":"2018-12-31T00:00:00Z","timestamp":1546214400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>There is a very limited amount of research on the relationship between therapist and patient in\u2010session behavior and treatment outcome in cognitive behavioral therapy (CBT) for panic disorder with agoraphobia (PD\/AG). Additionally, the findings tend to be inconclusive. This study investigates the association between therapist competence, adherence, patient interpersonal behavior, and therapeutic alliance and outcome in a low\u2010control CBT setting by using comprehensive measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010six patients with PD\/AG received 12 sessions of exposure\u2010based CBT. With regard to the outcome, treatments were classified either as problematic or nonproblematic by means of distinct criteria. Two raters evaluated the in\u2010session behavior.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patient interpersonal behavior was significantly associated with outcome at follow\u2010up (<jats:italic>r<\/jats:italic>\u2009=\u20090.49). At posttreatment, the correlation did not reach significance (\n<jats:italic>r<\/jats:italic>\u2009=\u20090.34). Competence, adherence, and alliance were not outcome associated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The findings emphasize the need for therapists to pay particular attention to patients\u2019 interpersonal behavior during treatment.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.22738","type":"journal-article","created":{"date-parts":[[2018,12,31]],"date-time":"2018-12-31T22:45:38Z","timestamp":1546296338000},"page":"614-626","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The role of therapist and patient in\u2010session behavior for treatment outcome in exposure\u2010based cognitive behavioral therapy for panic disorder with agoraphobia"],"prefix":"10.1002","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4535-1384","authenticated-orcid":false,"given":"Lisa M.","family":"Maiwald","sequence":"first","affiliation":[{"name":"Department of Clinical Psychology, Psychotherapy, and Experimental Psychopathology University of Mainz Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yvonne M.","family":"Junga","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, Psychotherapy, and Experimental Psychopathology University of Mainz Mainz Germany"},{"name":"Department of Clinical Psychology and Psychotherapy University of Potsdam Potsdam Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Lang","sequence":"additional","affiliation":[{"name":"Christoph\u2010Dornier\u2010Foundation for Clinical Psychology Bremen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Romina","family":"Montini","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology and Psychotherapy University of Koblenz\/Landau Landau Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Witth\u00f6ft","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, Psychotherapy, and Experimental Psychopathology University of Mainz Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens","family":"Heider","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology and Psychotherapy University of Koblenz\/Landau Landau Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annette","family":"Schr\u00f6der","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology and Psychotherapy University of Koblenz\/Landau Landau Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Weck","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology and Psychotherapy University of Potsdam Potsdam Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,12,31]]},"reference":[{"volume-title":"Diagnostic and statistical manual of mental disorders","year":"1994","author":"American Psychiatric Association","key":"e_1_2_7_1_2_1"},{"volume-title":"Panic and agoraphobia scale (PAS)","year":"1999","author":"Bandelow B.","key":"e_1_2_7_1_3_1"},{"key":"e_1_2_7_1_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.1144"},{"key":"e_1_2_7_1_5_1","first-page":"pp. 219","volume-title":"Bergin and Garfield's handbook of psychotherapy and behavior change","author":"Bohart A. 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