To examine process of changes in two distinct psychotherapies-cognitive-behavioral therapy (CBT) and Panic-Focused Psychodynamic Psychotherapy (PFPP). Two hypothesized processes of change-misinterpretation of bodily sensations and Panic Specific Reflective Function (PSRF)-were tested in the CBT and PFPP arms of the Cornell-Penn Study of Psychotherapies for Panic Disorder. The Brief Bodily Sensations Interpretation Questionnaire (BBSIQ) measures misinterpretation of bodily sensations-a focus of CBT interventions. PSRF, a target of PFPP, assesses the capacity to reflect on the underlying meaning of panic symptoms. A sample of 138 patients (37.7% men, 72.56% Whites, and 16.7% Latinx) with primary Diagnostic and Statistical Manual for Mental Disorders-Fourth Edition (DSM-IV) panic disorder were included in the present analyses. Mixed effects models tested the effects of early change in BBSIQ and PSRF (intake through Week 5) on subsequent change in the Panic Disorder Severity Scale (PDSS; Week 5 through termination). Early change on both PSRF and BBSIQ predicted subsequent change in panic severity across the two treatments. As predicted, PSRF changed more in PFPP than in CBT, but, contrary to expectation, BBSIQ showed comparable changes in both groups. Counterintuitively, CBT patients benefited more in terms of panic symptom improvement when their PSRF improved than did PFPP patients. This is the first demonstration of general processes of change (PSRF and BBSIQ) across psychotherapies for panic disorder, suggesting that to the extent patients change their beliefs about the meaning of panic, their panic symptoms improve in time-limited, panic-focused psychotherapies. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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治疗变化的过程：康奈尔-宾夕法尼亚大学恐慌症心理治疗研究的结果。

研究两种不同的心理疗法——认知行为疗法 (CBT) 和恐慌型心理动力学疗法 (PFP​​P) 的变化过程。在康奈尔-宾夕法尼亚大学惊恐障碍心理治疗研究的 CBT 和 PFPP 组中测试了两个假设的过程——身体感觉的变化误解和惊恐特定反射功能 (PSRF)。简短的身体感觉解释问卷 (BBSIQ) 测量对身体感觉的误解 - CBT 干预的重点。PSRF 是 PFPP 的目标，它评估反思恐慌症状潜在含义的能力。本分析包括了 138 名患者（37.7% 男性、72.56% 白人和 16.7% 拉丁裔）的样本，这些患者具有《精神疾病初级诊断和统计手册》第四版 (DSM-IV) 恐慌症。混合效应模型测试了 BBSIQ 和 PSRF 的早期变化（到第 5 周的摄入量）对恐慌症严重程度量表（PDSS；第 5 周到终止）的后续变化的影响。PSRF 和 BBSIQ 的早期变化预测了两种治疗后恐慌严重程度的后续变化。正如预测的那样，PFPP 中 PSRF 的变化大于 CBT，但与预期相反，BBSIQ 显示两组的变化相当。与直觉相反，当 PSRF 改善时，CBT 患者在恐慌症状改善方面比 PFPP 患者获益更多。这是惊恐障碍心理治疗的一般变化过程（PSRF 和 BBSIQ）的首次展示，表明在患者改变他们对恐慌意义的信念的程度上，他们的恐慌症状在限时、以恐慌为重点的心理治疗中得到改善。