Defense mechanisms after brief cognitive-behavior group therapy for panic disorder : One-year follow-up
Changes in defense mechanisms have been shown in long-term psychodynamic treatment. The aim of this study was to examine the changes that occurred after brief cognitive-behavior group therapy in the defense style of panic disorder patients that had failed to respond to pharmacotherapy. Forty-seven p...
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| Veröffentlicht in: | The journal of nervous and mental disease 2007-06, Vol.195 (6), p.540-543 |
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| container_title | The journal of nervous and mental disease |
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| creator | HELDT, Elizeth BLAYA, Carolina KIPPER, Leticia SALUM, Giovanni A OTTO, Michael W MANFRO, Gisele G |
| description | Changes in defense mechanisms have been shown in long-term psychodynamic treatment. The aim of this study was to examine the changes that occurred after brief cognitive-behavior group therapy in the defense style of panic disorder patients that had failed to respond to pharmacotherapy. Forty-seven patients participated in the study and severity of panic disorder was evaluated by Clinical Global Impression. Defense mechanisms were evaluated by the Defense Style Questionnaire. Patients decreased the use of maladaptive defenses after cognitive-behavior group therapy, and the change in immature defenses was maintained at 1-year follow-up evaluation (p = 0.022). These modifications were associated with reduction of symptoms (F = 0.359; p = 0.047). These findings are consistent with the hypothesis that defense styles are malleable in short-term treatment and are, at least partially, symptom-state dependent. |
| doi_str_mv | 10.1097/NMD.0b013e318064e7c4 |
| format | Article |
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The aim of this study was to examine the changes that occurred after brief cognitive-behavior group therapy in the defense style of panic disorder patients that had failed to respond to pharmacotherapy. Forty-seven patients participated in the study and severity of panic disorder was evaluated by Clinical Global Impression. Defense mechanisms were evaluated by the Defense Style Questionnaire. Patients decreased the use of maladaptive defenses after cognitive-behavior group therapy, and the change in immature defenses was maintained at 1-year follow-up evaluation (p = 0.022). These modifications were associated with reduction of symptoms (F = 0.359; p = 0.047). These findings are consistent with the hypothesis that defense styles are malleable in short-term treatment and are, at least partially, symptom-state dependent.</description><identifier>ISSN: 0022-3018</identifier><identifier>EISSN: 1539-736X</identifier><identifier>DOI: 10.1097/NMD.0b013e318064e7c4</identifier><identifier>PMID: 17568304</identifier><identifier>CODEN: JNMDAN</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adult ; Adult and adolescent clinical studies ; Antidepressive Agents - therapeutic use ; Anxiety disorders. Neuroses ; Behavior therapy. Cognitive therapy ; Biological and medical sciences ; Cognitive therapy ; Cognitive Therapy - methods ; Combined Modality Therapy ; Comorbidity ; Defense Mechanisms ; Diagnostic and Statistical Manual of Mental Disorders ; Drug Resistance ; Drug therapy ; Female ; Follow-Up Studies ; Group therapy ; Humans ; Male ; Medical sciences ; Panic attacks ; Panic disorder ; Panic Disorder - diagnosis ; Panic Disorder - psychology ; Panic Disorder - therapy ; Patients ; Personality Inventory ; Psychiatric Status Rating Scales ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotherapy, Brief ; Psychotherapy, Group ; Severity of Illness Index ; Surveys and Questionnaires ; Treatment Outcome ; Treatments</subject><ispartof>The journal of nervous and mental disease, 2007-06, Vol.195 (6), p.540-543</ispartof><rights>2007 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Jun 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c311t-8bb8fad095675403df092355f18470e5bd8dcafb15a5f71cba7622ac89c6ee463</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18846894$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17568304$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HELDT, Elizeth</creatorcontrib><creatorcontrib>BLAYA, Carolina</creatorcontrib><creatorcontrib>KIPPER, Leticia</creatorcontrib><creatorcontrib>SALUM, Giovanni A</creatorcontrib><creatorcontrib>OTTO, Michael W</creatorcontrib><creatorcontrib>MANFRO, Gisele G</creatorcontrib><title>Defense mechanisms after brief cognitive-behavior group therapy for panic disorder : One-year follow-up</title><title>The journal of nervous and mental disease</title><addtitle>J Nerv Ment Dis</addtitle><description>Changes in defense mechanisms have been shown in long-term psychodynamic treatment. The aim of this study was to examine the changes that occurred after brief cognitive-behavior group therapy in the defense style of panic disorder patients that had failed to respond to pharmacotherapy. Forty-seven patients participated in the study and severity of panic disorder was evaluated by Clinical Global Impression. Defense mechanisms were evaluated by the Defense Style Questionnaire. Patients decreased the use of maladaptive defenses after cognitive-behavior group therapy, and the change in immature defenses was maintained at 1-year follow-up evaluation (p = 0.022). These modifications were associated with reduction of symptoms (F = 0.359; p = 0.047). These findings are consistent with the hypothesis that defense styles are malleable in short-term treatment and are, at least partially, symptom-state dependent.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Antidepressive Agents - therapeutic use</subject><subject>Anxiety disorders. Neuroses</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Biological and medical sciences</subject><subject>Cognitive therapy</subject><subject>Cognitive Therapy - methods</subject><subject>Combined Modality Therapy</subject><subject>Comorbidity</subject><subject>Defense Mechanisms</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Drug Resistance</subject><subject>Drug therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Group therapy</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Panic attacks</subject><subject>Panic disorder</subject><subject>Panic Disorder - diagnosis</subject><subject>Panic Disorder - psychology</subject><subject>Panic Disorder - therapy</subject><subject>Patients</subject><subject>Personality Inventory</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapy, Brief</subject><subject>Psychotherapy, Group</subject><subject>Severity of Illness Index</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><issn>0022-3018</issn><issn>1539-736X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkUtr3TAQhUVpaW7S_oNSRKHZORlZT3dXkr4gTTYJdGckeXSvg225kp1y_30VciGQ1cDMdw7DOYR8YHDGoNHn178vz8AB48iZASVQe_GKbJjkTaW5-vOabADquuLAzBE5zvkegGku4C05Yloqw0FsyPYSA04Z6Yh-Z6c-j5nasGCiLvUYqI_bqV_6B6wc7uxDHxPdprjOdNlhsvOehrKZi9DTrs8xdUX5hd5MWO3RpnIdhvivWud35E2wQ8b3h3lC7r5_u734WV3d_Ph18fWq8pyxpTLOmWA7aKTSUgDvAjQ1lzIwIzSgdJ3pvA2OSSuDZt5ZreraetN4hSgUPyGnT75zin9XzEs79tnjMNgJ45pbDQq40o_gpxfgfVzTVH5rayj5CaaaAoknyKeYc8LQzqkfbdq3DNrHFtrSQvuyhSL7ePBe3Yjds-gQewE-HwCbvR1CspPv8zNnjFCmEfw_8AiRoQ</recordid><startdate>20070601</startdate><enddate>20070601</enddate><creator>HELDT, Elizeth</creator><creator>BLAYA, Carolina</creator><creator>KIPPER, Leticia</creator><creator>SALUM, Giovanni A</creator><creator>OTTO, Michael W</creator><creator>MANFRO, Gisele G</creator><general>Lippincott Williams & Wilkins</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20070601</creationdate><title>Defense mechanisms after brief cognitive-behavior group therapy for panic disorder : One-year follow-up</title><author>HELDT, Elizeth ; BLAYA, Carolina ; KIPPER, Leticia ; SALUM, Giovanni A ; OTTO, Michael W ; MANFRO, Gisele G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c311t-8bb8fad095675403df092355f18470e5bd8dcafb15a5f71cba7622ac89c6ee463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Antidepressive Agents - therapeutic use</topic><topic>Anxiety disorders. Neuroses</topic><topic>Behavior therapy. Cognitive therapy</topic><topic>Biological and medical sciences</topic><topic>Cognitive therapy</topic><topic>Cognitive Therapy - methods</topic><topic>Combined Modality Therapy</topic><topic>Comorbidity</topic><topic>Defense Mechanisms</topic><topic>Diagnostic and Statistical Manual of Mental Disorders</topic><topic>Drug Resistance</topic><topic>Drug therapy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Group therapy</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Panic attacks</topic><topic>Panic disorder</topic><topic>Panic Disorder - diagnosis</topic><topic>Panic Disorder - psychology</topic><topic>Panic Disorder - therapy</topic><topic>Patients</topic><topic>Personality Inventory</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychotherapy, Brief</topic><topic>Psychotherapy, Group</topic><topic>Severity of Illness Index</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HELDT, Elizeth</creatorcontrib><creatorcontrib>BLAYA, Carolina</creatorcontrib><creatorcontrib>KIPPER, Leticia</creatorcontrib><creatorcontrib>SALUM, Giovanni A</creatorcontrib><creatorcontrib>OTTO, Michael W</creatorcontrib><creatorcontrib>MANFRO, Gisele G</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of nervous and mental disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HELDT, Elizeth</au><au>BLAYA, Carolina</au><au>KIPPER, Leticia</au><au>SALUM, Giovanni A</au><au>OTTO, Michael W</au><au>MANFRO, Gisele G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Defense mechanisms after brief cognitive-behavior group therapy for panic disorder : One-year follow-up</atitle><jtitle>The journal of nervous and mental disease</jtitle><addtitle>J Nerv Ment Dis</addtitle><date>2007-06-01</date><risdate>2007</risdate><volume>195</volume><issue>6</issue><spage>540</spage><epage>543</epage><pages>540-543</pages><issn>0022-3018</issn><eissn>1539-736X</eissn><coden>JNMDAN</coden><abstract>Changes in defense mechanisms have been shown in long-term psychodynamic treatment. The aim of this study was to examine the changes that occurred after brief cognitive-behavior group therapy in the defense style of panic disorder patients that had failed to respond to pharmacotherapy. Forty-seven patients participated in the study and severity of panic disorder was evaluated by Clinical Global Impression. Defense mechanisms were evaluated by the Defense Style Questionnaire. Patients decreased the use of maladaptive defenses after cognitive-behavior group therapy, and the change in immature defenses was maintained at 1-year follow-up evaluation (p = 0.022). These modifications were associated with reduction of symptoms (F = 0.359; p = 0.047). 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| subjects | Adult Adult and adolescent clinical studies Antidepressive Agents - therapeutic use Anxiety disorders. Neuroses Behavior therapy. Cognitive therapy Biological and medical sciences Cognitive therapy Cognitive Therapy - methods Combined Modality Therapy Comorbidity Defense Mechanisms Diagnostic and Statistical Manual of Mental Disorders Drug Resistance Drug therapy Female Follow-Up Studies Group therapy Humans Male Medical sciences Panic attacks Panic disorder Panic Disorder - diagnosis Panic Disorder - psychology Panic Disorder - therapy Patients Personality Inventory Psychiatric Status Rating Scales Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapy, Brief Psychotherapy, Group Severity of Illness Index Surveys and Questionnaires Treatment Outcome Treatments |
| title | Defense mechanisms after brief cognitive-behavior group therapy for panic disorder : One-year follow-up |
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