{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T22:00:44Z","timestamp":1747173644169,"version":"3.40.5"},"reference-count":48,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2019,5,24]],"date-time":"2019-05-24T00:00:00Z","timestamp":1558656000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav. Cogn. Psychother."],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec sec-type=\"as1\"><jats:title>Background:<\/jats:title><jats:p>Research has long investigated the cognitive processes in the treatment of depression, and more recently in panic disorder (PD). Meanwhile, other studies have examined patients\u2019 cognitive therapy skills in depression to gain insight into the link between acquiring such skills and treatment outcome.<\/jats:p><\/jats:sec><jats:sec sec-type=\"as2\"><jats:title>Aims:<\/jats:title><jats:p>Given that no scale exists to examine in-session patient use of panic-related cognitive behavioural therapy (CBT) skills, the aim of this study was to develop a new measure for assessing patients\u2019 cognitive and behavioural skills in CBT for PD.<\/jats:p><\/jats:sec><jats:sec sec-type=\"as3\"><jats:title>Method:<\/jats:title><jats:p>This study included 20 PD patients who received 12 weekly individual therapy sessions. The Cognitive Behavioral Therapy Panic Skills (CBTPS) rating system was developed. Three independent raters coded tapes of therapy sessions at the beginning and end of treatment.<\/jats:p><\/jats:sec><jats:sec sec-type=\"as4\"><jats:title>Results:<\/jats:title><jats:p>The coefficient alphas and inter-rater reliability were high for the cognitive and behavioural subscales. Improvement in the patients\u2019 CBTPS scores on both subscales indicated overall symptom improvement, above improvement in anxiety sensitivity.<\/jats:p><\/jats:sec><jats:sec sec-type=\"as5\"><jats:title>Conclusion:<\/jats:title><jats:p>To our knowledge, this is the first study examining the impact of patient acquisition of CBT PD skills on treatment outcome. A new measure was developed based on the observations and was deemed reliable and valid. The measure facilitates the examination of the mechanisms of change in treatment for PD. An in-depth examination of the CBTPS may refine our understanding of the impact of each skill on PD treatment outcome. 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