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Comparison between REBT and Visual/Kinaesthetic Dissociation in the Treatment of Panic Disorder: An Empirical Study

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Abstract

The aim of this study was to test the efficacy of two brief treatment methods for panic disorder: Rational Emotive Behaviour Therapy (REBT) and Visual/Kinaesthetic Dissociation (VKD), neither of which have been the object of scientific enquiry. The study is a two-way between-groups pre-test/post-test experimental design with baseline and follow-up measures. An innovative four-session treatment protocol was developed for each treatment method. Eighteen participants in North-East Surrey, England, who responded to media advertisements for cognitive-behavioural treatment for panic disorder and who met Diagnostic and Statistical Manual of Mental Disorders criteria for panic disorder with or without agoraphobia were randomly assigned to either REBT or VKD. Pre-test/post-test changes in panic were measured using the ACQ, PASQ, and HADS scales and a global panic rating measure. At post-test there was a statistically significant improvement on all measures for both groups, which was maintained at one-month follow-up. Taking into consideration limitations such as the small sample size and a short follow-up period, implications of this study and recommendations for future research are discussed.

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References

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Andrews, G., Creamer, M., Crino, R., Hunt, C., Lampe, L., & Page, A. (2003). The treatment of anxiety disorders. Cambridge: Cambridge University Press.

    Google Scholar 

  • Bandler, R., & Grinder, J. (1979). Frogs into princes. London: Eden Grove Editions.

    Google Scholar 

  • Beamish, P. M., Granello, D. H., & Belcastro, A. L. (2002). Treatment of panic disorder: Practical guidelines. Journal of Mental Health Counseling, 24(3), 224–246. (p224).

    Google Scholar 

  • Bond, F. W., & Dryden, W. (2000). How rational beliefs and irrational beliefs affect people’s inferences: An experimental investigation. Behaviour and Cognitive Psychotherapy, 28, 33–43.

    Google Scholar 

  • Brown, T. A., Di Nardo, P. A., & Barlow, D. H. (1994). Anxiety disorders interview schedule for DSM-IV. Albany, NY: Graywind Publications.

    Google Scholar 

  • Campbell, I. (1985). The psychology of homosexuality. In A. Ellis & M. E. Bernard (Eds.), Clinical applications of rational emotive therapy. New York: Plenum.

    Google Scholar 

  • Cannon, W. B. (1927). Bodily changes in pain, hunger, fear, and rage. New York: Appleton-Century-Crofts.

    Google Scholar 

  • Chambless, D. L., Caputo, C. G., Bright, P., & Gallagher, R. (1984). Assessment of fear in agoraphobics: The body sensations questionnaire and the agoraphobics questionnaire. Journal of Consulting and Clinical Psychology, 52, 1090–1097.

    Article  PubMed  Google Scholar 

  • Clark, D. M. (1986). A cognitive approach to panic. Behaviour Research and Therapy, 24, 461–470.

    Article  PubMed  Google Scholar 

  • Clark, D. M. (1996). Panic disorder: From theory to therapy. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy. New York: Guilford Publications.

    Google Scholar 

  • Clark, D. M. (1999). Anxiety disorders: Why they persist and how to treat them. Behaviour Research and Therapy, 37, S5–S27.

    Article  PubMed  Google Scholar 

  • Clark, D. M., Salkovskis, P. M., & Chalkey, A. J. (1985). Respiratory control as a treatment for panic attacks. Journal of Behaviour Therapy and Experimental Psychiatry, 16, 23–30.

    Article  Google Scholar 

  • Clum, G. A., Broyles, S., Borden, J., & Watkins, P. L. (1990). Validity and reliability of the Panic Attack Symptoms and Cognition Questionnaire. Journal of Psychopathology and Behavioural Assessment, 12, 233–245. Plenum Publishing Crop.

    Article  Google Scholar 

  • Day, S. J., Homes, E. A., & Hackmann, A. (2004). Occurrence of imagery and its link with early memories in agoraphobia. Memory, 12(4), 416–427.

    Article  PubMed  Google Scholar 

  • Dietrich, A.M. (2000). A review of visual/kinesthetic disassociation in the treatment of posttraumatic disorders: Theory, efficacy and practice recommendations. Traumatology, [Internet]. VI(2), Article 3 (August). Available from http://www.fsu.edu/~trauma/v6i2a3.html. Accessed, 15.01.07.

  • Dryden, W. (1995). Brief rational emotive behaviour therapy. Chichester: Wiley.

    Google Scholar 

  • Dryden, W. (2002). Fundamentals of rational emotive behaviour therapy. London: Whurr Publishers.

    Google Scholar 

  • Ellis, A. (1977). The basic clinical theory of rational-emotive therapy. In A. Ellis & R. Grieger (Eds.), Handbook of rational-emotive therapy. New York: Springer.

    Google Scholar 

  • Ellis, A. (1994). Reason and emotion in psychotherapy. Revised and updated. New York: Birch Lane Press.

    Google Scholar 

  • Ellis, A. (2001). Reasons why rational emotive behaviour therapy is relatively neglected in the professional and scientific literature. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 19(1), 67–74.

    Article  Google Scholar 

  • Grey, N., Young, K., & Holmes, E. (2002). Cognitive restructuring within reliving: A treatment for peritraumatic emotional ‘‘hotspots’’ in posttraumatic stress disorder. Behavioural and Cognitive Psychotherapy, 2002(30), 37–56.

    Google Scholar 

  • Guy, K., & Guy, N. (2003). The fast cure for phobia and trauma: Evidence that it works. Human Givens Journal, [Internet]. 9(4). Available from: http://www.humangivens.com/hgi/archive/rewindevidence.htm. Accessed 15.01.07.

  • Hirsch, C. R., & Holmes, E. A. (2007). Mental imagery in anxiety disorders. Psychiatry, 6(4), 161–165.

    Article  Google Scholar 

  • Holmes, E. A., Arntz, A., & Smucker, M. R. (2007). Imagery rescripting in cognitive behaviour therapy: Images, treatment techniques and outcomes. Journal of Behavior Therapy and Experimental Psychiatry, 38(4), 297–305.

    Article  PubMed  Google Scholar 

  • Meuret, A. E. (2003). Breathing training for treating panic disorder. Behavior Modification, 27(5), 731–754.

    Article  PubMed  Google Scholar 

  • Neenan, M., & Dryden, W. (2000). Essential rational emotive behaviour therapy. London: Whurr.

    Google Scholar 

  • Rachman, S. J. (2004). Panic disorder: The facts. Oxford: Oxford University Press.

    Google Scholar 

  • Salkovskis, P. M. (2007). Cognitive-behavioural treatment for Panic Disorder and Agoraphobia. Centre for Anxiety Disorders & Trauma, Institute of Psychiatry, Kings College University of London. Unpublished workshop notes [workshop, 23rd and 24th November 2006].

  • Silove, D., & Manicavasagar, V. (1997). Overcoming panic. London: Robinson.

    Google Scholar 

  • Taylor, S. (2000). Understanding and treating panic disorder: Cognitive-behavioural approaches. New York: Wiley.

    Google Scholar 

  • Tricket, S. (1992). Coping successfully with panic attacks. London: Sheldon Press.

    Google Scholar 

  • Walen, S. R., DiGiuseppe, R., & Dryden, W. (1992). A practitioner’s guide to rational-emotive behaviour therapy (2nd ed., p. 25). Oxford: Oxford University Press.

    Google Scholar 

  • Weitzenhoffer, A. M. (2000). The practice of hypnotism (2nd ed.). New York: Wiley.

    Google Scholar 

  • Wells, A. (1997). Cognitive therapy of anxiety disorders. Chichester: Wiley.

    Google Scholar 

  • Westbrook, D., & Rouf, K. (1998). Understanding panic. Oxford: Oxford Cognitive Therapy Centre.

    Google Scholar 

  • Westling, B. E., & Öst, L.-G. (1999). Brief cognitive behaviour therapy of panic disorder. Scandinavian Journal of Behaviour Therapy, 28(2), 49–57.

    Google Scholar 

  • Yankura, J. (1997). REBT and panic disorder with agoraphobia. In J. Yankura & W. Dryden (Eds.), Using REBT with common psychological problems: A therapist’s casebook (pp. 112–157). New York: Springer.

    Google Scholar 

  • Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavia, 67, 361–370.

    Article  Google Scholar 

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Correspondence to Simon D. R. Simpson.

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Simpson, S.D.R., Dryden, W. Comparison between REBT and Visual/Kinaesthetic Dissociation in the Treatment of Panic Disorder: An Empirical Study. J Rat-Emo Cognitive-Behav Ther 29, 158–176 (2011). https://doi.org/10.1007/s10942-011-0136-2

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