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Cognitive behavioral therapy for postpartum panic disorder: a case series

BACKGROUND: Clinical anxiety is common during the perinatal period, and anxiety symptoms often persist after childbirth. Ten to 30 % of perinatal women are diagnosed with panic disorder (PD)—far more than the 1.5–3% rate among the general population. Although cognitive behavioral therapy (CBT) has b...

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Autores principales: Matsumoto, Kazuki, Sato, Koichi, Hamatani, Sayo, Shirayama, Yukihiko, Shimizu, Eiji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6704562/
https://www.ncbi.nlm.nih.gov/pubmed/31439043
http://dx.doi.org/10.1186/s40359-019-0330-z
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author Matsumoto, Kazuki
Sato, Koichi
Hamatani, Sayo
Shirayama, Yukihiko
Shimizu, Eiji
author_facet Matsumoto, Kazuki
Sato, Koichi
Hamatani, Sayo
Shirayama, Yukihiko
Shimizu, Eiji
author_sort Matsumoto, Kazuki
collection PubMed
description BACKGROUND: Clinical anxiety is common during the perinatal period, and anxiety symptoms often persist after childbirth. Ten to 30 % of perinatal women are diagnosed with panic disorder (PD)—far more than the 1.5–3% rate among the general population. Although cognitive behavioral therapy (CBT) has been determined to be an effective treatment for PD, few studies have been conducted on CBT effectiveness in treating postpartum PD and, to the best of the knowledge of the present authors, no research has been conducted on postpartum PD among Japanese women. In this manuscript, we report on our administration of CBT to three postpartum patients with PD, detailing the improvement in their symptoms. CASE PRESENTATION: All patients in this study were married, in their thirties, and diagnosed using the Mini-International Neuropsychiatric Interview as having PD with agoraphobia. The Panic Disorder Severity Scale (PDSS) was used to evaluate patients’ panic symptoms and their severity. All patients received a total of 16 weekly 50-min sessions of CBT, and all completed the treatment. All patients were exceedingly preoccupied with the perception that a “mother must protect her child,” which reinforced the fear that “the continuation of their perinatal symptoms would prevent them from rearing their children”. After treatment, all participants’ panic symptoms were found to have decreased according to the PDSS, and two no longer met clinical criteria: Chihiro’s score changed from 13 to 3, Beth’s PDSS score at baseline from 22 to 6, and Tammy’s score changed from 7 to 1. CONCLUSIONS: CBT provides a therapeutic effect and is a feasible method for treating postpartum PD. It is important that therapists prescribe tasks that patients can perform collaboratively with their children. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s40359-019-0330-z) contains supplementary material, which is available to authorized users.
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spelling pubmed-67045622019-08-28 Cognitive behavioral therapy for postpartum panic disorder: a case series Matsumoto, Kazuki Sato, Koichi Hamatani, Sayo Shirayama, Yukihiko Shimizu, Eiji BMC Psychol Case Report BACKGROUND: Clinical anxiety is common during the perinatal period, and anxiety symptoms often persist after childbirth. Ten to 30 % of perinatal women are diagnosed with panic disorder (PD)—far more than the 1.5–3% rate among the general population. Although cognitive behavioral therapy (CBT) has been determined to be an effective treatment for PD, few studies have been conducted on CBT effectiveness in treating postpartum PD and, to the best of the knowledge of the present authors, no research has been conducted on postpartum PD among Japanese women. In this manuscript, we report on our administration of CBT to three postpartum patients with PD, detailing the improvement in their symptoms. CASE PRESENTATION: All patients in this study were married, in their thirties, and diagnosed using the Mini-International Neuropsychiatric Interview as having PD with agoraphobia. The Panic Disorder Severity Scale (PDSS) was used to evaluate patients’ panic symptoms and their severity. All patients received a total of 16 weekly 50-min sessions of CBT, and all completed the treatment. All patients were exceedingly preoccupied with the perception that a “mother must protect her child,” which reinforced the fear that “the continuation of their perinatal symptoms would prevent them from rearing their children”. After treatment, all participants’ panic symptoms were found to have decreased according to the PDSS, and two no longer met clinical criteria: Chihiro’s score changed from 13 to 3, Beth’s PDSS score at baseline from 22 to 6, and Tammy’s score changed from 7 to 1. CONCLUSIONS: CBT provides a therapeutic effect and is a feasible method for treating postpartum PD. It is important that therapists prescribe tasks that patients can perform collaboratively with their children. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s40359-019-0330-z) contains supplementary material, which is available to authorized users. BioMed Central 2019-08-22 /pmc/articles/PMC6704562/ /pubmed/31439043 http://dx.doi.org/10.1186/s40359-019-0330-z Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Matsumoto, Kazuki
Sato, Koichi
Hamatani, Sayo
Shirayama, Yukihiko
Shimizu, Eiji
Cognitive behavioral therapy for postpartum panic disorder: a case series
title Cognitive behavioral therapy for postpartum panic disorder: a case series
title_full Cognitive behavioral therapy for postpartum panic disorder: a case series
title_fullStr Cognitive behavioral therapy for postpartum panic disorder: a case series
title_full_unstemmed Cognitive behavioral therapy for postpartum panic disorder: a case series
title_short Cognitive behavioral therapy for postpartum panic disorder: a case series
title_sort cognitive behavioral therapy for postpartum panic disorder: a case series
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6704562/
https://www.ncbi.nlm.nih.gov/pubmed/31439043
http://dx.doi.org/10.1186/s40359-019-0330-z
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