The Effects of Cognitive-Behavior Therapy for Panic Disorder on Comorbid Conditions
Section snippets
Participants
Patients with principal panic disorder and agoraphobia (PDA) were enrolled in a treatment outcome study comparing two different CBT packages for PDA. Participants were self-referred or referred by local mental health professionals to the UCLA Anxiety Disorders Behavioral Program. An initial diagnostic evaluation was scheduled for participants who met the following criteria: (a) reported panic attacks and/or panic apprehension and agoraphobic avoidance, (b) aged between 18 and 60 years, (c) not
Analytic Approach
Overall, both treatment packages for panic, CIE and CBE, led to significant reductions in ADIS-R-rated panic disorder severity, , p < .001, although CIE resulted in more improvement than CBE on measures of panic frequency and severity. Because the focus of the current study was to examine whether successful treatment for panic disorder influences comorbid conditions, and due to the relatively small sample size that prohibits testing of Treatment Group × Comorbidity
Discussion
The present study found that CBT treatment for principal panic disorder was effective in reducing both frequency and severity of comorbid conditions that were not the focus of treatment. In terms of frequency, there was a significant decline in number of patients with comorbid diagnoses of clinical severity following panic treatment. Whereas 21 (63.6%) patients presented with at least one additional diagnosis at pretreatment, only 9 (27.3%) continued to have a clinically severe comorbid
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