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December 1, 1989The Journal of Nervous and Mental Disease67 citations

Cognitive Therapy of Panic Disorder

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LSLeslie SokolABAaron T. BeckRGRuth L. Greenberg

Key Points

  • To evaluate the real-world clinical effectiveness and required treatment duration of individual cognitive therapy for patients with panic disorder.
  • Conducted a naturalistic study involving N=17 patients diagnosed with panic disorder via the Structured Clinical Interview for DSM-III.
  • Administered individual cognitive therapy sessions with flexible, non-predetermined durations (mean of 18 sessions).
  • Monitored outcomes using weekly self-report panic logs, depression and anxiety inventories, cognitive dysfunction scales, and a 12-month follow-up assessment.
  • Weekly panic attack frequency decreased significantly to a mean of zero at the end of treatment, with therapeutic gains maintained at 12-month follow-up.
  • Patients achieved concurrent, significant reductions in self-reported anxiety, depression, and panic-related cognitive dysfunction.
  • The presence of comorbid personality disorders or depression was associated with requiring a longer treatment duration to become symptom-free.

Abstract

A naturalistic study with no predetermined duration of treatment was undertaken in order to examine the effectiveness of cognitive therapy in the treatment of panic disorder. Seventeen patients diagnosed as having panic disorder according to the Structured Clinical Interview for DSM-III Personality Disorders received a mean of 18 individual cognitive therapy sessions. Patients with personality disorder or depression required a longer duration of treatment to become symptom-free. As measured by a self-report weekly panic log, the mean number of panic attacks was reduced significantly to zero at the end of treatment. There was a concomitant reduction in self-report measures of depression and anxiety. Further, there was a significant reduction on a measure of cognitive dysfunction during panic attacks. Treatment results were maintained at 12-month follow-up.

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Cite This Study

Sokol et al. (1989) studied this question.

synapsesocial.com/papers/6a16804f727d4653a85d49f2https://doi.org/10.1097/00005053-198912000-00001
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