{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T02:39:54Z","timestamp":1789094394959,"version":"build-2803163510"},"reference-count":70,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"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":["Scandinavian J Psychology"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    This study's primary aim was to evaluate the efficacy of an internet\u2010based Acceptance and Commitment Therapy (IACT) program modified to include interoceptive exposure for treating panic disorder with or without concurrent agoraphobia. Its secondary aim was to examine whether therapist\u2010 and client\u2010rated working alliances were related to treatment outcomes. This randomized controlled trial included 79 participants, assigned to either a treatment group (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200940) or a waitlist control group (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200939) over 10\u2009weeks. The study investigated the effects on panic disorder and quality of life, as well as the relationship between working alliances (rated by therapists and clients) and treatment outcomes. At post\u2010treatment, there was a significant between\u2010group treatment effect on panic disorder symptoms, with an observed effect size of\n                    <jats:italic>d<\/jats:italic>\n                    \u2009=\u20090.92. The model\u2010predicted effect size based on the multilevel model was\n                    <jats:italic>d<\/jats:italic>\n                    <jats:sub>GMA\u2010raw<\/jats:sub>\n                    \u2009=\u20090.86. Furthermore, 43% of participants no longer met the diagnostic criteria. Participants with concurrent agoraphobia exhibited higher initial panic symptom scores and were less likely to be diagnosis\u2010free post\u2010treatment. However, they still experienced significant and large treatment effects, with an observed effect size\n                    <jats:italic>d<\/jats:italic>\n                    \u2009=\u20091.22 and\n                    <jats:italic>d<\/jats:italic>\n                    <jats:sub>GMA\u2010raw<\/jats:sub>\n                    \u2009=\u20090,99. There was no significant between\u2010group difference in quality\u2010of\u2010life measurements. The therapist\u2010rated working alliance was associated with treatment outcome, but no significant relationship was found for the client\u2010rated alliance. Overall, the study suggests that interoceptive exposure\u2010modified IACT is an effective treatment for panic disorder and shows promise for patients with concurrent agoraphobia.\n                  <\/jats:p>","DOI":"10.1111\/sjop.70045","type":"journal-article","created":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T04:25:23Z","timestamp":1764390323000},"page":"605-619","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Internet\u2010Based Acceptance and Commitment Therapy With Interoceptive Exposure for Panic Disorder: A Randomized Controlled Trial and Working Alliance Analysis"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8148-2547","authenticated-orcid":false,"given":"Lisa","family":"B\u00e4ckman","sequence":"first","affiliation":[{"name":"Department of Psychology University of Gothenburg  Gothenburg Sweden"},{"name":"Department of Research, Education and Innovation Region V\u00e4stra G\u00f6taland, S\u00f6dra \u00c4lvsborg Hospital  Bor\u00e5s Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Weineland","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Gothenburg  Gothenburg Sweden"},{"name":"General Practice\/Family Medicine, School of Public Health and Community Medicine Institute of Medicine, Sahlgrenska Academy, University of Gothenburg  Gothenburg Sweden"},{"name":"Research, Education, Development &amp; Innovation, Primary Health Care, Region V\u00e4stra G\u00f6taland  Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4250-8868","authenticated-orcid":false,"given":"Kristofer","family":"Vernmark","sequence":"additional","affiliation":[{"name":"Department of Behavioural Sciences and Learning (IBL) Link\u00f6ping University  Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ella","family":"Radvogin","sequence":"additional","affiliation":[{"name":"Psykologpartners Stockholm  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4430-4044","authenticated-orcid":false,"given":"P\u00e4r","family":"Bj\u00e4lkebring","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Enbuske","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Uppsala  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ida","family":"Hermansson","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Uppsala  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Johansson","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Uppsala  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalie","family":"Petersen","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Uppsala  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timo","family":"Hursti","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Uppsala  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,28]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10608\u2010008\u20109182\u20101"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2012.05.003"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468\u20102850.2008.00137.x"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0028310"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000365764"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2007.03.013"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2014.08.003"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u2010244X\u201011\u2010107"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2015.1119908"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/37.3.245"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0085885"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127\u2010002\u20100542\u2010y"},{"key":"e_1_2_13_14_1","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_13_15_1","first-page":"1","volume-title":"Clinical Handbook of Psychological Disorders: A Step\u2010By\u2010Step Treatment Manual","author":"Craske M. G.","year":"2008"},{"key":"e_1_2_13_16_1","first-page":"1","volume-title":"Clinical Handbook of Psychological Disorders: A Step\u2010By\u2010Step Treatment Manual","author":"Craske M. G.","year":"2014"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2007.10.003"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2017.1395922"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2010.06.001"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291722003841"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000482"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22572"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.06.059"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2009.06.005"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.20982\/tqmp.15.2.p096"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2022.02.013"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1037\/pst0000172"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000594"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1517\/14656566.2016.1109628"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.20532"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1159\/000370162"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcbs.2020.09.009"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2024.100751"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.4088\/jcp.v67n0305"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.2196\/39727"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503300500352500"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2019.1677964"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2009.08.002"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.21088"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2018.11.087"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2015.11.002"},{"key":"e_1_2_13_42_1","unstructured":"Inera. n.d.Statistik F\u00f6r 1177 St\u00f6d Och Behandling.https:\/\/www.inera.se\/tjanster\/statistik\u2010for\u2010ineras\u2010tjanster\/statistik\u2010for\u20101177\u2010stod\u2010och\u2010behandling\/oversikt\/."},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2016.05.014"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2016.09.012"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2015.02.006"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.2196\/12530"},{"key":"e_1_2_13_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005\u20107894(04)80018\u20102"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2016.1143526"},{"issue":"3","key":"e_1_2_13_49_1","first-page":"299","article-title":"Acceptance and Commitment Therapy (ACT) in the Treatment of Panic Disorder: Some Considerations From the Research on Basic Processes","volume":"9","author":"L\u00f3pez F. J. C.","year":"2009","journal-title":"International Journal of Psychology and Psychological Therapy"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2023.100654"},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2015.1061718"},{"key":"e_1_2_13_52_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u2010006X.68.3.438"},{"key":"e_1_2_13_53_1","volume-title":"Mental Health and Wellbeing in England: Adult Psychiatric Morbidity Survey","author":"McManus S.","year":"2014"},{"key":"e_1_2_13_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2012.05.004"},{"key":"e_1_2_13_55_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.658"},{"key":"e_1_2_13_56_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjc.12369"},{"key":"e_1_2_13_57_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291721001999"},{"key":"e_1_2_13_58_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717003919"},{"key":"e_1_2_13_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2022.102528"},{"issue":"20","key":"e_1_2_13_60_1","first-page":"22","article-title":"The Mini\u2010International Neuropsychiatric Interview (M.I.N.I.): The Development and Validation of a Structured Diagnostic Psychiatric Interview for DSM\u2010IV and ICD\u201010","volume":"59","author":"Sheehan D. V.","year":"1998","journal-title":"Journal of Clinical Psychiatry"},{"key":"e_1_2_13_61_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.8578"},{"key":"e_1_2_13_62_1","unstructured":"Socialstyrelsen.2017.Nationella riktlinjer f\u00f6r v\u00e5rd av depression och \u00e5ngestsyndrom: St\u00f6d f\u00f6r styrning och ledning (Artikelnr: 2017\u201012\u20104).https:\/\/www.socialstyrelsen.se\/publikationer2017\/2017\u201012\u20104."},{"key":"e_1_2_13_63_1","unstructured":"Socialstyrelsen.2021.Nationella riktlinjer f\u00f6r v\u00e5rd vid depression och \u00e5ngestsyndrom: St\u00f6d f\u00f6r styrning och ledning.https:\/\/www.socialstyrelsen.se\/kunskapsstod\u2010och\u2010regler\/regler\u2010och\u2010riktlinjer\/nationella\u2010riktlinjer\/riktlinjer\u2010och\u2010utvarderingar\/depression\u2010och\u2010angest\/."},{"key":"e_1_2_13_64_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2018.03.002"},{"key":"e_1_2_13_65_1","volume-title":"Utbildningsniv\u00e5n i Sverige","author":"Statistikmyndigheten","year":"2022"},{"key":"e_1_2_13_66_1","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2019.1628808"},{"key":"e_1_2_13_67_1","doi-asserted-by":"publisher","DOI":"10.1080\/08039488.2018.1554699"},{"key":"e_1_2_13_68_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2020.07.002"},{"key":"e_1_2_13_69_1","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2010.550059"},{"key":"e_1_2_13_70_1","doi-asserted-by":"publisher","DOI":"10.1177\/20552076241287059"},{"key":"e_1_2_13_71_1","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2018.1533577"}],"container-title":["Scandinavian Journal of Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/sjop.70045","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/sjop.70045","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/sjop.70045","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T12:56:13Z","timestamp":1773406573000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/sjop.70045"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,28]]},"references-count":70,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/sjop.70045"],"URL":"https:\/\/doi.org\/10.1111\/sjop.70045","archive":["Portico"],"relation":{},"ISSN":["0036-5564","1467-9450"],"issn-type":[{"value":"0036-5564","type":"print"},{"value":"1467-9450","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,28]]},"assertion":[{"value":"2024-04-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}