{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T10:23:09Z","timestamp":1768213389184,"version":"3.49.0"},"reference-count":62,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Past studies show a strong association of the self\u2010concept (SC) and symptom burden for many mental disorders including anxiety disorders. Cognitive behavioral therapy (CBT) is a highly effective treatment for anxiety disorders that has also been shown to improve SC in patients suffering from such. However, whilst CBT has been shown to be an effective intervention for treating panic disorder (PD), the effects of CBT on SC in patients with PD as well as the predictive role of SC for therapy outcome in these patients remain unclear. This is hence the first study investigating the effects of CBT on SC in patients with PD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      PD\u2010patient's SC (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009215) was assessed through the Frankfurter self\u2010concept scales before and after a 5\u2010week semi\u2010residential manualized CBT intervention not specifically targeting SC. Therapy outcome was assessed through the Symptom Checklist and the Beck Depression Inventory.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      8 out of 10 SC scales including self\u2010esteem (SE) significantly changed from pre\u2010 to posttreatment assessment (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.12 to 0.36). Regarding symptom severity, patients showed reduced general symptom burden (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.89) and depressive symptoms (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.79) following CBT intervention. SE before receiving CBT predicted therapy outcome with regard to general symptom burden but not depressive symptoms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Results indicate that CBT enhances different facets of SC in patients with PD as a positive side\u2010effect, suggesting that improving SC may offer the potential to optimize treatment outcome. Further studies are required to better understand the underlying mechanisms of CBT influencing SC and to identify what aspects of SC are key with respect to symptom burden in patients with PD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jclp.70055","type":"journal-article","created":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T12:11:17Z","timestamp":1760616677000},"page":"180-188","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Positive Side\u2010Effects of Psychotherapy: The Influence of Cognitive\u2010Behavioral Therapy on Self\u2010Concept in Patients With Panic Disorder"],"prefix":"10.1002","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8409-3405","authenticated-orcid":false,"given":"Vanessa","family":"Renner","sequence":"first","affiliation":[{"name":"Medical Psychology and Medical Sociology Johannes Gutenberg\u2010Universit\u00e4t Mainz Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Duhm","sequence":"additional","affiliation":[{"name":"Medical Psychology and Medical Sociology Johannes Gutenberg\u2010Universit\u00e4t Mainz Mainz Germany"},{"name":"Clinical Psychology Hochschule Fresenius Wiesbaden Wiesbaden Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Lorenz","sequence":"additional","affiliation":[{"name":"Department of Psychotherapy and Psychosomatic Medicine, University Hospital Carl Gustav Carus Dresden Technische Universit\u00e4t Dresden Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Joraschky","sequence":"additional","affiliation":[{"name":"Department of Psychotherapy and Psychosomatic Medicine, University Hospital Carl Gustav Carus Dresden Technische Universit\u00e4t Dresden Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katja","family":"Petrowski","sequence":"additional","affiliation":[{"name":"Medical Psychology and Medical Sociology Johannes Gutenberg\u2010Universit\u00e4t Mainz Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0004-282X2002000400007"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_5_1","first-page":"113","article-title":"The Effectiveness of Cognitive Behavioural Therapy (CBT) Treatment Group on Self\u2010Concept Among Adolescents","volume":"1","author":"Arip M. 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