공황장애에서 1회기 집단인지행동치료의 효능；예비 연구
A Pilot Study of the Effectiveness of a Session of Group Cognitive Behavioral Therapy for Patients with Panic Disorder
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초록
Objectives：The purpose of this pilot study was to investigate the potential clinical benefits a single group session of cognitive behavioral therapy in the treatment of patients with panic disorder. Methods：The study participants were 18 patients (14 males, 4 females; mean age=38.9 years), all of whom were assessed as meeting the DSM-IV-TR criteria for panic disorder. All participants attended one two-hour session of structured group cognitive behavioral therapy (CBT). Clinical symptoms was assessed before and eight weeks after the single therapy session using the Panic Disorder Severity Scale (PDSS). Results：Eight weeks after a single session of group CBT significant improvements were found in panic attack frequency, distress during panic attacks, severity of anticipatory anxiety, agoraphobic fear/avoidance, panic-related sensation fear/avoidance, impairment in work functioning, impairment in social functioning. Conclusions：One session of group CBT appears to be an effective treatment of panic disorder by reducing the severity of all symptoms assessed on the PDSS. An attempt should be made to replicate the findings of this pilot study in a larger and controlled, comparative clinical trial.
Abstract
Objectives：The purpose of this pilot study was to investigate the potential clinical benefits a single group session of cognitive behavioral therapy in the treatment of patients with panic disorder. Methods：The study participants were 18 patients (14 males, 4 females; mean age=38.9 years), all of whom were assessed as meeting the DSM-IV-TR criteria for panic disorder. All participants attended one two-hour session of structured group cognitive behavioral therapy (CBT). Clinical symptoms was assessed before and eight weeks after the single therapy session using the Panic Disorder Severity Scale (PDSS). Results：Eight weeks after a single session of group CBT significant improvements were found in panic attack frequency, distress during panic attacks, severity of anticipatory anxiety, agoraphobic fear/avoidance, panic-related sensation fear/avoidance, impairment in work functioning, impairment in social functioning. Conclusions：One session of group CBT appears to be an effective treatment of panic disorder by reducing the severity of all symptoms assessed on the PDSS. An attempt should be made to replicate the findings of this pilot study in a larger and controlled, comparative clinical trial.
참고문헌 (37)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision" (2000), American Psychiatric Association
- U.S. Department of health and Human Services, "Public health Service National Center for Health Statistics, National Medical Care Utilization and Expenditure Survey (NMCUES)" (1985), US Government Printing Office
- Edlund MJ, "The economic and social costs of panic disorder", Hosp Community Psychiatry, 38, pp.1277~1279 (1987)
- Landon TM, "Cognitive-behavioral treatment for panic disorder: Current status", J Psychitr Pract, 10, pp.211~226 (2004)
- Markowitz JS, "Quality of life in panic disorder", Arch Gen Psychiatry, 46, pp.984~992 (1989)
- Fyer AJ, "Effects of discontinuation of antipanic medication. Panic and Phobias II" (1988), Springer-Vrelag
- Sheehan DV, "Tricyclic antidepressants in the treatment of panic and anxiety disorder", Psychosomatics, 27, pp.10~16 (1986)
- Choi YH, "Cognitive-behavioral therapy for panic disorder", J Korean Neuropsychiatr Assoc, 37, pp.603~619 (1998)
- American Psychiatric Association, "Practice Guidelines for the Treatment of Psychiatric Disorders 2006" (2006), American Psychiatric Publishing
- Gould RA, "A meta-analysis of treatment outcome for panic disorder", Clin Psychol Review, 15, pp.819~844 (1995)
- Kim MS, "Korean medication algorithm for panic disorder 2008: diagnosis, treatment response and remission of panic disorder in Korea", Anxiety and Mood, 4, pp.49~54 (2008)
- Barlow DH, "Behavioral treatment of panic disorder", Behav Ther, 20, pp.261~282 (1989)
- Beck AT, "A crossover study of focused cognitive therapy for panic disorder", Am J Psychiatry, 149, pp.778~783 (1992)
- Mishcelson L, "Panic disorder: cognitive-behavioral treatment", Behav Res Ther, 28, pp.141~151 (1990)
- Salkovskis PM, "Respiratory control in the treatment of panic attacks: replication and extension with concurrent measures of behaviour and pCO2", Br J Psychiatry, 148, pp.526~532 (1986)
- Fava GA, "Long-term outcome of panic disorder with agoraphobia treated by exposure", Psychol Med, 31, pp.891~898 (2001)
- Schmidt NB, "Antidepressant discontinuation in the context of cognitive behavioral treatment for panic disorder", Behav Res Ther, 40, pp.67~73 (2002)
- Craske MG, "Brief cognitive behavioral versus non-directive therapy for panic disorder", Behave Ther Exp Psychiatry, 26, pp.113~120 (1995)
- Botella C, "The possibility of reducing therapist contact and total length of therapy in the treatment of panic disorder", Behav Cogn Psychother, 27, pp.231~247 (1999)
- Wilkinson DJ, "Sympathetic activity in patients with panic disorder at rest, under laboratory mental stress, and during panic attacks", Arch Gen Psychiatry, 55, pp.511~520 (1998)
- Saxena S, "Differential cerebral metabolic changes with paroxetine treatment of obsessive compulsive disorder vs major depression", Arch Gen Psychiatry, 59, pp.250~261 (2002)
- Shear MK, "Multicenter Collaborative Panic Disorder Severity Scale", Am J Psychiatry, 154, pp.1571~1575 (1997)
- Kim JB, "Development of the Korean version of the Panic Disorder Severity Scale", Korean J Psychopathol, 10, pp.141~151 (2001)
- Shear MK, "The road to recovery in panic disorder: Response, remission, and relapse", J Clin Psychiatry, 59(8), pp.4~8 (1998)
- Barlow DH, "Mastery of your anxiety and panic" (1989), Graywind
- Barlow DH, "Mastery of your anxiety and panic-II" (1994), Graywind
- 최병휘, "공황장애의 인지행동치료" (2006), 시그마프 레스
- 최영희, "공황과 불안의 극복" (2000), 적성출판 사
- Klosko JS, "A comparison of alprazolam and behavior therapy in treatment of panic disorder", J Consult Clin Psychol, 58, pp.77~84 (1990)
- Barlow DH, "Cognitive-behavioral therapy, imipramine, or their combination for panic disorder: a randomized controlled trial", JAMA, 283, pp.2529~2536 (2000)
- Otto MW, "Discontinuation of benzodiazepine treatment: efficacy of cognitive-behavioral therapy for patients with panic disorder", Am J Psychiatry, 150, pp.1485~1490 (1993)
- Heldt E, "One-year follow-up of pharmacotherapy-resistant patients with panic disorder treated with cognitive-behavioral therapy: outcome and predictors of remission", Behav Res Ther, 44, pp.657~665 (2006)
- Otto MW, "Cognitive-behavior therapy and the longitudinal course of panic disorder", Psychiatr Clin North Am, 18, pp.803~820 (1995)
- Brown GK, "A comparison of focused and standard cognitive therapy for panic disorder", J Anxiety Disord, 11, pp.329~345 (1997)
- Margraf J, "Outcome and active ingredients of cognitivebehavioral treatments for panic disorder" (1991), Paper presented at the annual meeting of the Association for Advancement of Behavioral Therapy
- 최영희, "집단 인지행동치료가 공황장애 환자의 삶의 질에 미치는 영향", 신경정신의학, 41(6) (2002), 대한신경정신의학회
- Deacon B, "A pilot study of two-day cognitive-behavioral therapy for panic disorder. Behav Res Ther 2006;44:807-817. 38. Deacon B. Two-day, intensive cognitive-behavioral therapy for panic disorder: a case study", Behav Modif, 31, pp.595~615 (2007)