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Cognitive behavior therapy in the treatment of panic disorder

BACKGROUND: Comprehensive cognitive behavior therapies have been proved to be more effective than behavioral interventions. However, the efficacy of CBT is not studied in the Indian context and also, the amount of change brought about by CBT is not known. Aims: This study aims to examine the efficac...

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Autores principales: Manjula, M., Kumariah, V., Prasadarao, P. S. D. V., Raguram, R.
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2755166/
https://www.ncbi.nlm.nih.gov/pubmed/19823629
http://dx.doi.org/10.4103/0019-5545.49450
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author Manjula, M.
Kumariah, V.
Prasadarao, P. S. D. V.
Raguram, R.
author_facet Manjula, M.
Kumariah, V.
Prasadarao, P. S. D. V.
Raguram, R.
author_sort Manjula, M.
collection PubMed
description BACKGROUND: Comprehensive cognitive behavior therapies have been proved to be more effective than behavioral interventions. However, the efficacy of CBT is not studied in the Indian context and also, the amount of change brought about by CBT is not known. Aims: This study aims to examine the efficacy of cognitive behavioral intervention (CBI) in the treatment of panic disorder. Our specific objectives were to assess the effectiveness of CBI in reducing symptom severity as well as cognitions related to panic and panic-related behaviors. Design: The study adopted a two-group comparison with pre- and postassessments design. MATERIALS AND METHODS: The sample consisted of 30 patients sequentially allotted to the CBI (n = 15) and behavioral intervention (BI, n = 15) groups. Assessment was done using a semistructured interview schedule, panic disorder severity scale, Texas panic attack record form, Anxiety Sensitivity Index, Agoraphobic cognitions questionnaire, Behavioral avoidance checklist, and Panic appraisal inventory. The CBI group was provided with comprehensive cognitive behavior therapy and the BI group with psycho-education and applied relaxation. RESULTS: CBI was found to be superior to BI in the reduction of panic symptoms, behavioral avoidance, safety behaviors, and cognitions. A large percentage of the CBI group patients met the criteria for clinically significant change with a large magnitude of change. CONCLUSION: Multicomponent CBI is superior to BI in terms of the amount of change it brings about with respect to panic symptoms, avoidance, safety behaviors, and cognitions.
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spelling pubmed-27551662009-10-09 Cognitive behavior therapy in the treatment of panic disorder Manjula, M. Kumariah, V. Prasadarao, P. S. D. V. Raguram, R. Indian J Psychiatry Original Article BACKGROUND: Comprehensive cognitive behavior therapies have been proved to be more effective than behavioral interventions. However, the efficacy of CBT is not studied in the Indian context and also, the amount of change brought about by CBT is not known. Aims: This study aims to examine the efficacy of cognitive behavioral intervention (CBI) in the treatment of panic disorder. Our specific objectives were to assess the effectiveness of CBI in reducing symptom severity as well as cognitions related to panic and panic-related behaviors. Design: The study adopted a two-group comparison with pre- and postassessments design. MATERIALS AND METHODS: The sample consisted of 30 patients sequentially allotted to the CBI (n = 15) and behavioral intervention (BI, n = 15) groups. Assessment was done using a semistructured interview schedule, panic disorder severity scale, Texas panic attack record form, Anxiety Sensitivity Index, Agoraphobic cognitions questionnaire, Behavioral avoidance checklist, and Panic appraisal inventory. The CBI group was provided with comprehensive cognitive behavior therapy and the BI group with psycho-education and applied relaxation. RESULTS: CBI was found to be superior to BI in the reduction of panic symptoms, behavioral avoidance, safety behaviors, and cognitions. A large percentage of the CBI group patients met the criteria for clinically significant change with a large magnitude of change. CONCLUSION: Multicomponent CBI is superior to BI in terms of the amount of change it brings about with respect to panic symptoms, avoidance, safety behaviors, and cognitions. Medknow Publications 2009 /pmc/articles/PMC2755166/ /pubmed/19823629 http://dx.doi.org/10.4103/0019-5545.49450 Text en © Indian Journal of Psychiatry http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Manjula, M.
Kumariah, V.
Prasadarao, P. S. D. V.
Raguram, R.
Cognitive behavior therapy in the treatment of panic disorder
title Cognitive behavior therapy in the treatment of panic disorder
title_full Cognitive behavior therapy in the treatment of panic disorder
title_fullStr Cognitive behavior therapy in the treatment of panic disorder
title_full_unstemmed Cognitive behavior therapy in the treatment of panic disorder
title_short Cognitive behavior therapy in the treatment of panic disorder
title_sort cognitive behavior therapy in the treatment of panic disorder
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2755166/
https://www.ncbi.nlm.nih.gov/pubmed/19823629
http://dx.doi.org/10.4103/0019-5545.49450
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