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However, various relevant expectations have been discussed, and empirical studies examining their significance are still scarce. This study aimed to investigate one specific form of expectancy violation, based on Rachman\u2019s (1994) match\u2010mismatch model, specifically by comparing expected and experienced fear and examining their relationship to safety behaviour during exposure in vivo in 268 patients meeting DSM\u2010IV criteria for panic disorder with agoraphobia. Participants underwent exposure to a highly controlled manual\u2010based cognitive behaviour therapy in a randomised multicenter psychotherapy study. Participants tended to overpredict fear during exposure. Both expected and experienced fear significantly decreased over the course of repeated exposure exercises, while prediction (in)accuracy (difference between expected and experienced fear) remained stable. The decrease in expected fear over time was a strong predictor of treatment outcomes for the Bodily Sensations Questionnaire (BSQ) and Panic and Agoraphobia Scale (PAS) at post. Even more, the reduction in expected fear was a significant predictor of treatment success across all outcome measures in the follow\u2010up assessment. These findings suggest that violating excessive fear expectancies is not a necessary condition for symptom reduction during exposure therapy.<\/jats:p>","DOI":"10.1155\/da\/6963860","type":"journal-article","created":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T03:35:08Z","timestamp":1750304108000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["How Do Patients\u2019 Fear Prediction and Fear Experience Impact Exposure\u2010Based Therapy for Panic Disorder With Agoraphobia? 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