Quality of Life and Treatment Outcome in Panic Disorder: Cognitive Behavior Group Therapy Effects in Patients Refractory to Medication Treatment
Background: Improvements in quality of life (QoL) as well as symptomatic relief are important outcomes for the treatment of panic disorder (PD). The aim of this study is to assess the impact of brief cognitive behavior group therapy (CBGT) for panic disorder on QoL and to identify the clinical featu...
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| Veröffentlicht in: | Psychotherapy and psychosomatics 2006-01, Vol.75 (3), p.183-186 |
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| container_title | Psychotherapy and psychosomatics |
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| creator | Heldt, Elizeth Blaya, Carolina Isolan, Luciano Kipper, Leticia Teruchkin, Betina Otto, Michael W. Fleck, Marcelo Manfro, Gisele G. |
| description | Background: Improvements in quality of life (QoL) as well as symptomatic relief are important outcomes for the treatment of panic disorder (PD). The aim of this study is to assess the impact of brief cognitive behavior group therapy (CBGT) for panic disorder on QoL and to identify the clinical features associated with these changes. Methods: Thirty-six patients with PD refractory to pharmacological treatment took part in a treatment protocol consisting of 12 sessions of CBGT. To evaluate the changes in QoL, the WHOQOL-bref was administered before and after treatment. Results: Thirty-two patients completed the treatment. Significant improvement in all domains of QoL was observed (p< 0.001), which was associated with reductions in general and anticipatory anxiety (p = 0.018) and agoraphobic avoidance (p = 0.046). Consistent with previous findings, associations between QoL and panic-free status did not reach significance in this small study (p = 0.094). Conclusions: CBGT was efficacious in the treatment of PD; the symptoms of anticipatory anxiety and avoidance appear to be more important than episodic panic episodes in affecting QoL. |
| doi_str_mv | 10.1159/000091776 |
| format | Article |
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The aim of this study is to assess the impact of brief cognitive behavior group therapy (CBGT) for panic disorder on QoL and to identify the clinical features associated with these changes. Methods: Thirty-six patients with PD refractory to pharmacological treatment took part in a treatment protocol consisting of 12 sessions of CBGT. To evaluate the changes in QoL, the WHOQOL-bref was administered before and after treatment. Results: Thirty-two patients completed the treatment. Significant improvement in all domains of QoL was observed (p< 0.001), which was associated with reductions in general and anticipatory anxiety (p = 0.018) and agoraphobic avoidance (p = 0.046). Consistent with previous findings, associations between QoL and panic-free status did not reach significance in this small study (p = 0.094). Conclusions: CBGT was efficacious in the treatment of PD; the symptoms of anticipatory anxiety and avoidance appear to be more important than episodic panic episodes in affecting QoL.</description><identifier>ISSN: 0033-3190</identifier><identifier>EISSN: 1423-0348</identifier><identifier>DOI: 10.1159/000091776</identifier><identifier>PMID: 16636634</identifier><identifier>CODEN: PSPSBF</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Adult ; Agoraphobia - drug therapy ; Agoraphobia - psychology ; Agoraphobia - therapy ; Anxiety - drug therapy ; Anxiety - psychology ; Anxiety - therapy ; Behavior therapy. Cognitive therapy ; Biological and medical sciences ; Cognitive Therapy - methods ; Combined Modality Therapy - methods ; Female ; Group psychotherapy ; Humans ; Male ; Medical sciences ; Panic Disorder - drug therapy ; Panic Disorder - psychology ; Panic Disorder - therapy ; Psychiatric Status Rating Scales ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotherapies. Psychological and clinical counseling ; Psychotherapy, Group - methods ; Quality of Life - psychology ; Regular Article ; Severity of Illness Index ; Social Behavior ; Treatment Outcome ; Treatments</subject><ispartof>Psychotherapy and psychosomatics, 2006-01, Vol.75 (3), p.183-186</ispartof><rights>2006 S. Karger AG</rights><rights>2006 S. Karger AG, Basel</rights><rights>2007 INIST-CNRS</rights><rights>Copyright (c) 2006 S. 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The aim of this study is to assess the impact of brief cognitive behavior group therapy (CBGT) for panic disorder on QoL and to identify the clinical features associated with these changes. Methods: Thirty-six patients with PD refractory to pharmacological treatment took part in a treatment protocol consisting of 12 sessions of CBGT. To evaluate the changes in QoL, the WHOQOL-bref was administered before and after treatment. Results: Thirty-two patients completed the treatment. Significant improvement in all domains of QoL was observed (p< 0.001), which was associated with reductions in general and anticipatory anxiety (p = 0.018) and agoraphobic avoidance (p = 0.046). Consistent with previous findings, associations between QoL and panic-free status did not reach significance in this small study (p = 0.094). Conclusions: CBGT was efficacious in the treatment of PD; the symptoms of anticipatory anxiety and avoidance appear to be more important than episodic panic episodes in affecting QoL.</description><subject>Adult</subject><subject>Agoraphobia - drug therapy</subject><subject>Agoraphobia - psychology</subject><subject>Agoraphobia - therapy</subject><subject>Anxiety - drug therapy</subject><subject>Anxiety - psychology</subject><subject>Anxiety - therapy</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Biological and medical sciences</subject><subject>Cognitive Therapy - methods</subject><subject>Combined Modality Therapy - methods</subject><subject>Female</subject><subject>Group psychotherapy</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Panic Disorder - drug therapy</subject><subject>Panic Disorder - psychology</subject><subject>Panic Disorder - therapy</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapies. 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The aim of this study is to assess the impact of brief cognitive behavior group therapy (CBGT) for panic disorder on QoL and to identify the clinical features associated with these changes. Methods: Thirty-six patients with PD refractory to pharmacological treatment took part in a treatment protocol consisting of 12 sessions of CBGT. To evaluate the changes in QoL, the WHOQOL-bref was administered before and after treatment. Results: Thirty-two patients completed the treatment. Significant improvement in all domains of QoL was observed (p< 0.001), which was associated with reductions in general and anticipatory anxiety (p = 0.018) and agoraphobic avoidance (p = 0.046). Consistent with previous findings, associations between QoL and panic-free status did not reach significance in this small study (p = 0.094). Conclusions: CBGT was efficacious in the treatment of PD; the symptoms of anticipatory anxiety and avoidance appear to be more important than episodic panic episodes in affecting QoL.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>16636634</pmid><doi>10.1159/000091776</doi><tpages>4</tpages></addata></record> |
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| subjects | Adult Agoraphobia - drug therapy Agoraphobia - psychology Agoraphobia - therapy Anxiety - drug therapy Anxiety - psychology Anxiety - therapy Behavior therapy. Cognitive therapy Biological and medical sciences Cognitive Therapy - methods Combined Modality Therapy - methods Female Group psychotherapy Humans Male Medical sciences Panic Disorder - drug therapy Panic Disorder - psychology Panic Disorder - therapy Psychiatric Status Rating Scales Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapies. Psychological and clinical counseling Psychotherapy, Group - methods Quality of Life - psychology Regular Article Severity of Illness Index Social Behavior Treatment Outcome Treatments |
| title | Quality of Life and Treatment Outcome in Panic Disorder: Cognitive Behavior Group Therapy Effects in Patients Refractory to Medication Treatment |
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