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Behavior Modification
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Cognitive Change During Treatment of Agoraphobia

Behavioral and Cognitive-Behavioral Approaches

Cynthia G. Last

David H. Barlow

Gerald T. O'Brien

Centerfor Stress and Anxiety Disorders, State University of New York at Albany

The main purpose of the present investigation was to assess cognitive change during behavioral and cognitive-behavioral treatment of agorophobia. In addition, the relationship between cognitive change and treatment outcome was evaluated. Six agoraphobics participated in a treatment program consisting of in vivo exposure, with half of the subjects receiving an additional cognitive treatment component. Both treatments were administered in a multiple baseline design across subjects. Results showed neither treatment to produce clear and consistent changes in cognitions. However, evaluation of the effects of both treatments on cognitions were hampered by several factors: (1) cognitive improvement typically occurring during the baseline phase; (2) marked variability of cognitions often exhibited during the treatment phases; and (3) relatively poor clinical outcome of several subjects. Nevertheless, no lawful relationship between cognitive change and treatment outcome was observed, irrespective of subjects' individual treatment responses.

Behavior Modification, Vol. 8, No. 2, 181-210 (1984)
DOI: 10.1177/01454455840082003
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This article has been cited by other articles:


Home page
 Behav ModifHome page
J. A. Franklin
A 6-Year Follow-up of the Effectiveness of Respiratory Retraining, In-situ Isometric Relaxation, and Cognitive Modification in the Treatment of Agoraphobia
Behav Modif, April 1, 1989; 13(2): 139 - 167.
[Abstract] [PDF]

Home page
 Behav ModifHome page
C. G. Last, G. T. O'Brien, and D. H. Barlow
The Relationship between Cognitions and Anxiety: A Preliminary Report
Behav Modif, April 1, 1985; 9(2): 235 - 241.
[Abstract] [PDF]

Home page
 Behav ModifHome page
C. G. Last, D. H. Barlow, and G. T. O'Brien
Assessing Cognitive Aspects of Anxiety: Stability over Time and Agreement between Several Methods
Behav Modif, January 1, 1985; 9(1): 72 - 93.
[Abstract] [PDF]