Abstract:
BACKGROUND:Panic disorder (PD) is a common, often unrecognized condition among patients presenting with chest pain to the emergency departments (ED). Nevertheless, psychological treatment is rarely initiated. We are unaware of studies that evaluated the efficacy of brief cognitive-behavioural therapy (CBT) for this population. AIM:Evaluate the efficacy of two brief CBT interventions in PD patients presenting to the ED with chest pain. METHOD:Fifty-eight PD patients were assigned to either a 1-session CBT-based panic management intervention (PMI) (n = 24), a 7-session CBT intervention (n = 19), or a usual-care control condition (n = 15). A structured diagnostic interview and self-reported questionnaires were administered at pre-test, post-test, 3- and 6-month follow-ups. RESULTS:Statistical analysis showed significant reduction in PD severity following both interventions compared to usual care control condition, but with neither showing superiority compared to the other. CONCLUSIONS:CBT-based interventions as brief as a single session initiated within 2 weeks after an ED visit for chest pain appear to be effective for PD. Given the high prevalence of PD in emergency care settings, greater efforts should be made to implement these interventions in the ED and/or primary care setting.
journal_name
Behav Cogn Psychotherjournal_title
Behavioural and cognitive psychotherapyauthors
Lessard MJ,Marchand A,Pelland MÈ,Belleville G,Vadeboncoeur A,Chauny JM,Poitras J,Dupuis G,Fleet R,Foldes-Busque G,Lavoie KLdoi
10.1017/S1352465811000506subject
Has Abstractpub_date
2012-03-01 00:00:00pages
129-47issue
2eissn
1352-4658issn
1469-1833pii
S1352465811000506journal_volume
40pub_type
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