Trial Outcomes & Findings for Comparison of Psychotherapy Programs to Treat Panic Disorder (NCT NCT00353470)

NCT ID: NCT00353470

Last Updated: 2022-12-23

Results Overview

A composite score of panic severity. High value = 28, lowest value =0. Higher=worse

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

201 participants

Primary outcome timeframe

12 weeks

Results posted on

2022-12-23

Participant Flow

Participant milestones

Participant milestones
Measure
PFPP
Participants will receive panic focused psychodynamic psychotherapy for 12 weeks Panic focused psychodynamic psychotherapy (PFPP): PFPP will include 19 to 24 sessions over 12 weeks.
C.B.T.
Participants will receive cognitive behavioral therapy-panic control treatment for 12 weeks Cognitive behavioral therapy: CBT for panic disorder will include 19 to 24 sessions over 12 weeks.
A.R.T.
Participants will receive applied relaxation training for 12 weeks Applied relaxation training (ART): ART with exposure protocol will include 19 to 24 sessions over 12 weeks.
Overall Study
STARTED
81
81
39
Overall Study
COMPLETED
61
61
23
Overall Study
NOT COMPLETED
20
20
16

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Comparison of Psychotherapy Programs to Treat Panic Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PFPP
n=81 Participants
Participants will receive panic focused psychodynamic psychotherapy for 12 weeks Panic focused psychodynamic psychotherapy (PFPP): PFPP will include 19 to 24 sessions over 12 weeks.
C.B.T.
n=81 Participants
Participants will receive cognitive behavioral therapy-panic control treatment for 12 weeks Cognitive behavioral therapy: CBT for panic disorder will include 19 to 24 sessions over 12 weeks.
A.R.T.
n=39 Participants
Participants will receive applied relaxation training for 12 weeks Applied relaxation training (ART): ART with exposure protocol will include 19 to 24 sessions over 12 weeks.
Total
n=201 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
81 Participants
n=5 Participants
81 Participants
n=7 Participants
39 Participants
n=5 Participants
201 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Continuous
39.8 years
STANDARD_DEVIATION 13.2 • n=5 Participants
39.3 years
STANDARD_DEVIATION 12.9 • n=7 Participants
36 years
STANDARD_DEVIATION 12 • n=5 Participants
38.8 years
STANDARD_DEVIATION 13.2 • n=4 Participants
Sex: Female, Male
Female
58 Participants
n=5 Participants
46 Participants
n=7 Participants
32 Participants
n=5 Participants
136 Participants
n=4 Participants
Sex: Female, Male
Male
23 Participants
n=5 Participants
35 Participants
n=7 Participants
7 Participants
n=5 Participants
65 Participants
n=4 Participants
Region of Enrollment
United States
81 participants
n=5 Participants
81 participants
n=7 Participants
39 participants
n=5 Participants
201 participants
n=4 Participants

PRIMARY outcome

Timeframe: 12 weeks

Population: one subject was eliminated from analyses with DSMB consent as they lied about symptoms at intake and did not meet inclusion criteria

A composite score of panic severity. High value = 28, lowest value =0. Higher=worse

Outcome measures

Outcome measures
Measure
PFPP
n=80 Participants
Participants will receive panic focused psychodynamic psychotherapy for 12 weeks Panic focused psychodynamic psychotherapy (PFPP): PFPP will include 19 to 24 sessions over 12 weeks.
C.B.T.
n=81 Participants
Participants will receive cognitive behavioral therapy-panic control treatment for 12 weeks Cognitive behavioral therapy: CBT for panic disorder will include 19 to 24 sessions over 12 weeks.
A.R.T.
n=39 Participants
Participants will receive applied relaxation training for 12 weeks Applied relaxation training (ART): ART with exposure protocol will include 19 to 24 sessions over 12 weeks.
Panic Disorder Severity Scale
6.72 score on a scale
Standard Deviation 4.49
5.78 score on a scale
Standard Deviation 3.48
7 score on a scale
Standard Deviation 2.94

SECONDARY outcome

Timeframe: 12 weeks

Population: Data is presented for those subjects from whom data was collected for this measure.

Level of psychosocial functional impairment. highest value=30, lowest value =0, higher numbers indicate greater dysfunction

Outcome measures

Outcome measures
Measure
PFPP
n=78 Participants
Participants will receive panic focused psychodynamic psychotherapy for 12 weeks Panic focused psychodynamic psychotherapy (PFPP): PFPP will include 19 to 24 sessions over 12 weeks.
C.B.T.
n=79 Participants
Participants will receive cognitive behavioral therapy-panic control treatment for 12 weeks Cognitive behavioral therapy: CBT for panic disorder will include 19 to 24 sessions over 12 weeks.
A.R.T.
n=38 Participants
Participants will receive applied relaxation training for 12 weeks Applied relaxation training (ART): ART with exposure protocol will include 19 to 24 sessions over 12 weeks.
Sheehan Disability Scale
6.4 score on a scale
Standard Deviation 6.74
6.28 score on a scale
Standard Deviation 5.89
6.9 score on a scale
Standard Deviation 4.43

SECONDARY outcome

Timeframe: 12 weeks

Population: Data is presented for those subjects from whom data was collected for this measure.

Clinical assessment of severity of impairment. Minimum value=1, maximum value =6; high scores worse

Outcome measures

Outcome measures
Measure
PFPP
n=79 Participants
Participants will receive panic focused psychodynamic psychotherapy for 12 weeks Panic focused psychodynamic psychotherapy (PFPP): PFPP will include 19 to 24 sessions over 12 weeks.
C.B.T.
n=77 Participants
Participants will receive cognitive behavioral therapy-panic control treatment for 12 weeks Cognitive behavioral therapy: CBT for panic disorder will include 19 to 24 sessions over 12 weeks.
A.R.T.
n=38 Participants
Participants will receive applied relaxation training for 12 weeks Applied relaxation training (ART): ART with exposure protocol will include 19 to 24 sessions over 12 weeks.
Clinical Global Impressions Scale
2.17 units on a scale
Standard Deviation 1.28
2.16 units on a scale
Standard Deviation 0.90
2.38 units on a scale
Standard Deviation 0.92

SECONDARY outcome

Timeframe: 12 weeks

Population: Data is presented for those subjects from whom data was collected for this measure.

Level of state depression. scale 0-81, 0 symptom free, 81 worst severity

Outcome measures

Outcome measures
Measure
PFPP
n=79 Participants
Participants will receive panic focused psychodynamic psychotherapy for 12 weeks Panic focused psychodynamic psychotherapy (PFPP): PFPP will include 19 to 24 sessions over 12 weeks.
C.B.T.
n=81 Participants
Participants will receive cognitive behavioral therapy-panic control treatment for 12 weeks Cognitive behavioral therapy: CBT for panic disorder will include 19 to 24 sessions over 12 weeks.
A.R.T.
n=39 Participants
Participants will receive applied relaxation training for 12 weeks Applied relaxation training (ART): ART with exposure protocol will include 19 to 24 sessions over 12 weeks.
Hamilton Depression Rating Scale
11.37 units on a scale
Interval 0.0 to 81.0
10.18 units on a scale
Interval 0.0 to 81.0
11.55 units on a scale
Interval 0.0 to 81.0

SECONDARY outcome

Timeframe: 12 weeks

Population: Data is presented for those subjects from whom data was collected for this measure.

level of state anxiety. 0=symptom free, 56 most severe

Outcome measures

Outcome measures
Measure
PFPP
n=79 Participants
Participants will receive panic focused psychodynamic psychotherapy for 12 weeks Panic focused psychodynamic psychotherapy (PFPP): PFPP will include 19 to 24 sessions over 12 weeks.
C.B.T.
n=81 Participants
Participants will receive cognitive behavioral therapy-panic control treatment for 12 weeks Cognitive behavioral therapy: CBT for panic disorder will include 19 to 24 sessions over 12 weeks.
A.R.T.
n=39 Participants
Participants will receive applied relaxation training for 12 weeks Applied relaxation training (ART): ART with exposure protocol will include 19 to 24 sessions over 12 weeks.
Hamilton Anxiety Rating Scale
7.97 units on a scale
Standard Deviation 6.13
7.87 units on a scale
Standard Deviation 5.89
6.30 units on a scale
Standard Deviation 3.2

SECONDARY outcome

Timeframe: 12 weeks

Population: Data is presented for those subjects from whom data was collected for this measure.

Anxiety disorder sensitivity index measures Sensitivity to physical symptoms of anxiety (scores range from 0-64). 0= no anxiety, 64 =maximum anxiety

Outcome measures

Outcome measures
Measure
PFPP
n=79 Participants
Participants will receive panic focused psychodynamic psychotherapy for 12 weeks Panic focused psychodynamic psychotherapy (PFPP): PFPP will include 19 to 24 sessions over 12 weeks.
C.B.T.
n=77 Participants
Participants will receive cognitive behavioral therapy-panic control treatment for 12 weeks Cognitive behavioral therapy: CBT for panic disorder will include 19 to 24 sessions over 12 weeks.
A.R.T.
n=38 Participants
Participants will receive applied relaxation training for 12 weeks Applied relaxation training (ART): ART with exposure protocol will include 19 to 24 sessions over 12 weeks.
Anxiety Disorder Sensitivity Index
27.07 score on a scale
Standard Deviation 12.77
17.71 score on a scale
Standard Deviation 9.87
19.09 score on a scale
Standard Deviation 12.28

SECONDARY outcome

Timeframe: 12 weeks

Population: Data is presented for those subjects from whom data was collected for this measure.

The BBSIQ measures how physically sensitive the person is to physical symptoms of anxiety; (scores range 0-63) 0= no anxiety; 63= highest levels of physical anxiety

Outcome measures

Outcome measures
Measure
PFPP
n=73 Participants
Participants will receive panic focused psychodynamic psychotherapy for 12 weeks Panic focused psychodynamic psychotherapy (PFPP): PFPP will include 19 to 24 sessions over 12 weeks.
C.B.T.
n=79 Participants
Participants will receive cognitive behavioral therapy-panic control treatment for 12 weeks Cognitive behavioral therapy: CBT for panic disorder will include 19 to 24 sessions over 12 weeks.
A.R.T.
n=37 Participants
Participants will receive applied relaxation training for 12 weeks Applied relaxation training (ART): ART with exposure protocol will include 19 to 24 sessions over 12 weeks.
Brief Body Sensitivity Interpretation Questionnaire (BBSIQ)
1.80 score on a scale
Standard Deviation 0.39
1.62 score on a scale
Standard Deviation 0.31
1.70 score on a scale
Standard Deviation 0.27

SECONDARY outcome

Timeframe: 12 weeks

Population: Data is presented for those subjects from whom data was collected for this measure.

Ability to reflect on the emotional meaning of panic symptoms. scored -1 to 9, high numbers better

Outcome measures

Outcome measures
Measure
PFPP
n=79 Participants
Participants will receive panic focused psychodynamic psychotherapy for 12 weeks Panic focused psychodynamic psychotherapy (PFPP): PFPP will include 19 to 24 sessions over 12 weeks.
C.B.T.
n=78 Participants
Participants will receive cognitive behavioral therapy-panic control treatment for 12 weeks Cognitive behavioral therapy: CBT for panic disorder will include 19 to 24 sessions over 12 weeks.
A.R.T.
n=38 Participants
Participants will receive applied relaxation training for 12 weeks Applied relaxation training (ART): ART with exposure protocol will include 19 to 24 sessions over 12 weeks.
Panic-Specific Reflective Function
4.67 units on a scale
Standard Deviation 1.11
3.67 units on a scale
Standard Deviation 1.15
3.20 units on a scale
Standard Deviation 1.03

Adverse Events

PFPP

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

C.B.T.

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

A.R.T.

Serious events: 2 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
PFPP
n=81 participants at risk
Participants will receive panic focused psychodynamic psychotherapy for 12 weeks Panic focused psychodynamic psychotherapy (PFPP): PFPP will include 19 to 24 sessions over 12 weeks.
C.B.T.
n=81 participants at risk
Participants will receive cognitive behavioral therapy-panic control treatment for 12 weeks Cognitive behavioral therapy: CBT for panic disorder will include 19 to 24 sessions over 12 weeks.
A.R.T.
n=39 participants at risk
Participants will receive applied relaxation training for 12 weeks Applied relaxation training (ART): ART with exposure protocol will include 19 to 24 sessions over 12 weeks.
Psychiatric disorders
hospitalization
0.00%
0/81 • Subjects assessed for AEs for three months of therapy, 3 months of crossover (if eligible) and 12 months of follow-up; 15-18 months
0.00%
0/81 • Subjects assessed for AEs for three months of therapy, 3 months of crossover (if eligible) and 12 months of follow-up; 15-18 months
100.0%
2/2 • Number of events 2 • Subjects assessed for AEs for three months of therapy, 3 months of crossover (if eligible) and 12 months of follow-up; 15-18 months

Other adverse events

Adverse event data not reported

Additional Information

Barbara Milrod, M.D., PI

Albert Einstein College of Medicine

Phone: 212-595-0806

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place