Competitive Memory Training (COMET) for Panic and Applied Relaxation (AR) Are Equally Effective in the Treatment of Panic in Panic-Disordered Patients

Abstract

While various psychological interventions, among them Applied Relaxation (AR), are effective in treating patients with panic disorder, there is still room for improvement. Competitive Memory Training (COMET) is a transdiagnostic intervention, slightly different variants of which have proven to be successful in several psychopathological conditions in different patient populations. The objective of this study is to compare the effectiveness of COMET for panic disorder with AR in a group of panic-disordered patients (with or without agoraphobia) in a routine clinical setting. A total of 143 panic-disordered patients were randomized over two (group) treatment conditions: seven sessions of AR, or seven sessions of COMET. Measurements were made at pre- and post intervention. Both treatments resulted in significant amelioration of panic and phobic symptoms; this beneficial effect was relatively large for the primary outcome measure. However, there were no significant differences between the two treatments for any of the outcome measures. COMET and AR appear to be equally effective in treating panic in panic-disordered patients.