{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:44:44Z","timestamp":1790660684642,"version":"4.1.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2013,6,1]],"date-time":"2013-06-01T00:00:00Z","timestamp":1370044800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To determine the effectiveness of manualized panic-focused psychodynamic psychotherapy (PFPP) in routine care in Germany.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>German psychoanalysts were trained according to the PFPP manual. Fifty-four consecutive outpatients with panic disorder (with or without agoraphobia) were randomly assigned in a 2:1 ratio to PFPP or cognitive-behavioural therapy (CBT) plus exposure therapy. Subjects (female 57.4%; mean age 36.2 years) had high rates of psychiatric (68.5%) and somatic (64.8%) comorbidity, and previous psychiatric treatments (57.4%). Assessments were performed pre- and posttreatment and at 6-month follow-up. The primary outcome measure was the Panic Disorder Severity Scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Both treatments were highly effective. In patients randomized to PFPP, remission was achieved in 44.4% at termination and by 50% at follow-up (CBT 61.1 % and 55.6%, respectively). No significant differences were found. Emotional awareness, a posited moderator of good outcome in psychotherapies, was significantly higher in the CBT group at baseline. It was found to be a strong moderator of treatment effectiveness in both treatments. After adjusting for initial Levels of Emotional Awareness Scale (LEAS) scores, effect sizes (ESs) for the primary outcome were Cohen d = 1.28, from pre- to posttreatment, and d = 1.03, from pretreatment to follow-up, for PFPP, and d = 1.81 and 1.28 for CBT, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>PFPP was implemented effectively into clinical practice by psychoanalysts in the community in a sample with severe mental illness with large ESs. Assessment of LEAS may facilitate the identification of patients suitable for short-term psychotherapy. (Clinical Trial Registration Number: German Clinical Trials Register, DRKS00000245; Universal Trial Number, U1111-1112-4245)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/070674371305800604","type":"journal-article","created":{"date-parts":[[2017,1,12]],"date-time":"2017-01-12T05:53:53Z","timestamp":1484200433000},"page":"326-334","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":62,"title":["Implementing Panic-Focused Psychodynamic Psychotherapy into Clinical                     Practice"],"prefix":"10.1177","volume":"58","author":[{"given":"Manfred E","family":"Beutel","sequence":"first","affiliation":[{"name":"Professor and Director, Department of\r                Psychosomatic Medicine and Psychotherapy, University Medical Centre, Mainz,\r                Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vera","family":"Scheurich","sequence":"additional","affiliation":[{"name":"Resident, Department of Psychosomatic\r                Medicine and Psychotherapy, University Medical Centre, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Achim","family":"Knebel","sequence":"additional","affiliation":[{"name":"Research Fellow, Department of\r                Psychosomatic Medicine and Psychotherapy, University Medical Centre, Mainz,\r                Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Michal","sequence":"additional","affiliation":[{"name":"Assistant Medical Director,\r                Department of Psychosomatic Medicine and Psychotherapy, University Medical Centre,\r                Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Wiltink","sequence":"additional","affiliation":[{"name":"Deputy, Department of Psychosomatic\r                Medicine and Psychotherapy, University Medical Centre, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mechthild","family":"Graf-Morgenstern","sequence":"additional","affiliation":[{"name":"Deputy, Department of Psychiatry and\r                Psychotherapy, University Medical Centre, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regine","family":"Tschan","sequence":"additional","affiliation":[{"name":"Postdoctoral Research Fellow,\r                Department of Psychosomatic Medicine and Psychotherapy, University Medical Centre,\r                Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Milrod","sequence":"additional","affiliation":[{"name":"Professor of Psychiatry, Weill\r                Cornell Medical College, New York City, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Wellek","sequence":"additional","affiliation":[{"name":"Professor and Head, Department of\r                Biostatistics, Central Institute of Mental Health Mannheim of the University of\r                Heidelberg, Heidelberg, Germany; Adjunct Senior Research Professor, Department of\r                Medical Biostatistics, Epidemiology and Informatics, University Medical Centre,\r                Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Subic-Wrana","sequence":"additional","affiliation":[{"name":"Deputy, Department of Psychosomatic\r                Medicine and Psychotherapy, University Medical Centre, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,6,1]]},"reference":[{"key":"bibr1-070674371305800604","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2009.08.011"},{"key":"bibr2-070674371305800604","volume-title":"Practice guideline for the treatment of patients with panic disorder","author":"American Psychiatric Association (APA)","year":"2009","edition":"2"},{"key":"bibr3-070674371305800604","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.19.2529"},{"key":"bibr4-070674371305800604","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004364.pub2"},{"key":"bibr5-070674371305800604","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-13018-2_24"},{"key":"bibr6-070674371305800604","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.2007.164.2.265"},{"key":"bibr7-070674371305800604","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.154.11.1571"},{"key":"bibr8-070674371305800604","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v68n0610"},{"key":"bibr9-070674371305800604","unstructured":"Schneider S, Margraf J. Agoraphobie und Panikst\u00f6rung. Band 3. Fortschritte der                         Psychotherapie [Agoraphobia and panic disorder. Vol                         3. Progress in psychotherapy]. In: Schulte D, Grawe K, Hahlweg Ket al, et al, editors. G\u00f6ttingen                         (DE): Hogrefe Verlag;                         1998. German."},{"key":"bibr10-070674371305800604","volume-title":"Structured Clinical Interview for DSM-IV Axis I Disorders, Clinician Version (SCID-CV)","author":"First MB","year":"1996"},{"key":"bibr11-070674371305800604","volume-title":"Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II)","author":"First MB","year":"1997"},{"key":"bibr12-070674371305800604","doi-asserted-by":"publisher","DOI":"10.1002\/da.20532"},{"key":"bibr13-070674371305800604","doi-asserted-by":"crossref","unstructured":"Guy W. ECDEU Assessment manual for psychopharmacology.                         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