Skip to main content
Log in

Cognitive–Behavioral Group Therapy Versus a Wait-List Control in the Treatment of African American Women with Panic Disorder

  • Published:
Cognitive Therapy and Research Aims and scope Submit manuscript

Abstract

This study examined the efficacy of group Panic Control Therapy (PCT; D. H. Barlow & M. G. Craske, 1994) for African Americans. Twenty-five African American women were assigned to either a treatment or wait-list control (WLC). Treatment was 11 group sessions, and wait-list participants did not receive any treatment for the same duration. At pretreatment, both groups were moderately anxious and depressed. At posttreatment, the PCT group experienced a significant reduction in panic frequency, avoidance behavior, state and trait anxiety, and anxiety sensitivity. There was no significant change on these variables for the WLC. There was a trend for change in depression among the PCT group only. On average, 54% of the treated group was classified as recovered, 17% as improved but not recovered, and 27% as unimproved. As many as 95% of the WLC were unimproved. The overall effect size of the study was comparable to that reported in previous studies of cognitive treatments incorporating interoceptive exposure with White Americans. These preliminary results suggest that CBT for panic is effective with African American women with panic disorder.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

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

    Google Scholar 

  • Barlow, D. H., & Cerny, J. A. (1988). Psychological treatment of panic: Treatment manual for practitioners. New York: Guilford Press.

    Google Scholar 

  • Barlow, D. H., & Craske, M. G. (1994). Mastery of your Anxiety and panic–II. San Antonio, TX: Harcourt Brace.

    Google Scholar 

  • Barlow, D. H., Craske, M. G., Cerny, J. A., & Klosko, J. S. (1989). Behavioral treatment of panic disorder. Behavior Therapy, 20, 261-282.

    Google Scholar 

  • Barlow, D. H., Gorman, J. M., Shear, M. K., & Woods, S. W. (2000). Cognitive–behavioral therapy, imipramine, or their combination for panic disorder: A randomized controlled trial. JAMA, 283, 2529-2536.

    Google Scholar 

  • Beck, A. T., & Steer, R. A. (1987). Beck Depression Inventory Manual. San Antonio, TX: The Psychological Corporation.

    Google Scholar 

  • Beck, J. G., Stanley, M. A., Baldwin, L. E., Deagle, E. A., & Averill, P. M. (1994). Comparison of cognitive therapy and relaxation training for panic disorder. Journal of Consulting and Clinical Psychology, 62, 818-826.

    Google Scholar 

  • Bell, C. C., Dixie-Bell, D. D., & Thompson, B. (1986). Further studies on the prevalence of isolated sleep paralysis in Black subjects. Journal of the National Medical Association, 75, 649-659.

    Google Scholar 

  • Bernal, M. E., & Castro, F. G. (1994). Are clinical psychologists prepared for service and research with ethnic minorities? American Psychologist, 49, 797-805.

    Google Scholar 

  • Brown, T. A., Antony, M. M., & Barlow, D. H. (1995). Diagnostic comorbidity in panic disorder: Effect of treatment outcome and course of comorbid diagnoses following treatment. Journal of Consulting and Clinical Psychology, 63, 408-418.

    Google Scholar 

  • Brown, D. R., Eaton, W. E., & Sussman, L. (1990). Racial differences in prevalence of phobic disorders. The Journal of Nervous and Mental Disease, 178, 434-441.

    Google Scholar 

  • Carter, M. M., Miller, O., Sbrocco, T., Suchday, S., & Lewis, E. L. (1999). Factor Structure of the Anxiety Sensitivity Index among African American college students. Psychological Assessment, 11, 525-533.

    Google Scholar 

  • Carter, M. M., Sbrocco, T., & Carter, C. (1996). African Americans and anxiety disorders research: Development of a testable theoretical framework. Psychotherapy: Theory, Research, and Practice, 33, 449-463.

    Google Scholar 

  • Carter, M. M., Sbrocco, T., Lewis, E. L., & Freedman, R. E. K. (2001). Parental bonding and anxiety: Differences between African American and European American college students. Journal of Anxiety Disorders, 15, 555-569.

    Google Scholar 

  • Carter, M. M., Turovsky, J., Sbrocco, T., Meadows, E. A., & Barlow, D. H. (1995). Patient dropout in couples' group treatment for panic disorder with agoraphobia. Professional Psychology: Research and Practice, 26, 626-628.

    Google Scholar 

  • Chambless, D. L., Caputo, G. C., Jasin, S. E., Gracely, E. J., & Williams, C. (1985). The Mobility Inventory for agoraphobia. Behaviour Research and Therapy, 23, 35-44.

    Google Scholar 

  • Chambless, D. L., Sanderson, W. C., Shoham, V., Johnson, S. B., Pope, K. S., Crits-Christoph, P., et al. (1996). An update on empirically validated therapies. The Clinical Psychologist, 49, 5-18.

    Google Scholar 

  • Chambless, D. L., & Williams, K.E. (1995). A preliminary study of African Americans with agoraphobia: Symptoms severity and outcome of treatment with in vivo exposure. Behavior Therapy, 26, 501-515.

    Google Scholar 

  • Clark, D. M., Salkovkis, P. M., Hackman, A., Wells, A., Ludgate, J., & Gelder, M. (1999). Brief cognitive therapy for panic disorder: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 67, 583-589.

    Google Scholar 

  • Craske, M. G., Brown, T. A., & Barlow, D. H. (1991). Behavioral treatment of panic disorder: A two-year follow-up. Behavior Therapy, 22, 289-304.

    Google Scholar 

  • First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1994). Structured clinical interview for Axis I DSM-IV disorders—Patient edition (SCID-I/P—Version 2). New York: Biomedics Research Department.

    Google Scholar 

  • Friedman, S., & Paradis, C. (1991). African American patients with panic disorder and agoraphobia. Journal of Anxiety Disorders, 5, 35-41.

    Google Scholar 

  • Friedman, S., Paradis, C. M., & Hatch, M. (1994). Characteristics of African Americans and White patients with panic disorder and agoraphobia. Hospital and Community Psychiatry, 45, 798-803.

    Google Scholar 

  • Gould, R. A., Otto, M. W., & Pollack, M. H. (1995). A meta-analysis of treatment outcome for panic disorder. Clinical Psychology Review, 15, 819-844.

    Google Scholar 

  • Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19.

    Google Scholar 

  • Jacobson, N. S., Wilson, L., & Tupper, C. (1988). The clinical significance of treatment gains resulting from exposure-based interventions for agoraphobia: A reanalysis of outcome data. Behavior Therapy, 19, 539-554.

    Google Scholar 

  • Landrine, H., & Klonoff, E. A. (1995). The African American Acculturation Scale II: Cross-validation and short form. Journal of Black Psychology, 21, 124-152.

    Google Scholar 

  • Okazaki, S. (1997). Sources of ethnic differences between Asian American and White American college students on measures of depression and social anxiety. Journal of Abnormal Psychology, 106, 52-60.

    Google Scholar 

  • Paniagua, F. A. (1994). Assessing and treating culturally diverse clients: A practical guide. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Rapee, R. M., & Medoro, L. (1994). Fear of physical sensations and trait anxiety as mediators of the response to hyperventilation in nonclinical subjects. Journal of Abnormal Psychology, 103, 693-699.

    Google Scholar 

  • Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency, and the prediction of fearfulness. Behaviour Research and Therapy, 24, 1-8.

    Google Scholar 

  • Sbrocco, T., Carter, M. M., Lewis, E. L., Vaughn, N. A., King, S., Kalupa, K. (• • •).

  • Church based obesity treatment for African American women improves adherence.Manuscript submitted for publication.

  • Schmidt, N. B., & Woolaway-Bickel, K. (2000). The effects of treatment compliance on outcome in cognitive–behavioral therapy for panic disorder: Quality versus quantity. Journal of Consulting and Clinical Psychology, 68, 13-18.

    Google Scholar 

  • Smith, L. C., Friedman, S., & Nevid, J. (1999). Clinical and sociocultural differences in African American and European American patients with panic disorder and agoraphobia. Journal of Nervous and Mental Disease, 187, 549-560.

    Google Scholar 

  • Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.

    Google Scholar 

  • Spitzer R. L., & Williams, J. B. (1988). Revised diagnostic criteria and a new structured interview for diagnosing anxiety disorders. Journal of Psychiatric Research, 22, 55-85.

    Google Scholar 

  • Sue, S., Fujino, L. H., Takeuchi, D. T., & Zane, N. W. S. (1991). Community mental health services for ethnic minority groups: A test of the cultural responsiveness hypothesis. Journal of Consulting and Clinical Psychology, 59, 533-540.

    Google Scholar 

  • Sue, D. W., & Sue, D. (1999). Counseling the culturally different: Theory and practice3rd ed. New York: Wiley.

    Google Scholar 

  • Tsao, J. C. I., Lewin, M. R., & Craske, M. G. (1998). The effects of cognitive-behavior therapy for panic disorder on comorbid conditions. Journal of Anxiety Disorders, 12, 357-371.

    Google Scholar 

  • Wade, S. L., Monroe, S. M., & Michelson, L. K. (1993). Chronic life stress and treatment outcome in agoraphobia. American Journal of Psychiatry, 150, 1491-1495.

    Google Scholar 

  • Williams, S. L., & Falbo, J. (1996). Cognitive and performance-based treatments for panic attacks in people with varying degrees of agoraphobic avoidance. Behaviour Research and Therapy, 34, 253-264.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michele M. Carter.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Carter, M.M., Sbrocco, T., Gore, K.L. et al. Cognitive–Behavioral Group Therapy Versus a Wait-List Control in the Treatment of African American Women with Panic Disorder. Cognitive Therapy and Research 27, 505–518 (2003). https://doi.org/10.1023/A:1026350903639

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1026350903639

Navigation