Highlights
- •Cognitive behavioral group therapy for panic disorder is effective in reducing anxiety and depressive symptoms.
- •Quality of life of patients with panic disorder improves significantly after cognitive behavioral group therapy.
- •Additional resilience and coping strategy sessions to the standard therapy shows positive impact on resilience aspects.
Abstract
Background
Although resilience and coping are important factors associated with mental health,
they are rarely investigated in the treatment of patients with panic disorder (PD).
Objective
To evaluate the response to four resilience and coping strategy sessions added to
the standard cognitive behavioral group therapy (CBGT) protocol for PD.
Design
Controlled clinical trial.
Methods
The control group (n = 50) attended 12 CBGT sessions, while the intervention group (n = 50) received four additional resilience and coping strategy sessions, i.e., 16 in total. Symptom severity, resilience, coping strategies, and quality of life
were assessed at baseline and post-CBGT.
Results
Symptom severity and maladaptive coping strategies decreased significantly in both
groups. However, the intervention group had increased resilience and improvement in
the environment domain of quality of life.
Conclusions
Additional sessions have potential benefits for coping skills and resilience in PD
patients, but these benefits should be evaluated in further long-term studies.
Keywords
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References
Americam Psychiatric Association (2014). Manual Diagnóstico e Estatístico dos Transtornos Mentais: DSM-5. 5 ed. Porto Alegre: Artmed, 189-234.
- Mini International Neuropsychiatric Interview (MINI): Validation of a short strutured diagnostic psychiatric interview.Revista Brasileira de Psiquiatria. 2000; 22: 106-115https://doi.org/10.1590/S1516-44462000000300003
- Treatment of anxiety disorders.Dialogues in Clinical Neuroscience. 2017; 19: 93-107
Craske, M.G., Stein, M.B., Eley, T.C., Milad, M.R., Holmes, A., Rapee, R.M., and Wittchen, H.U. (2017). Anxiety disorders. Nature Reviews Disease Primers, 4;3:17024. doi: 10.1038/nrdp.2017.24.
- Resilience in common life: Introduction to the special issue.Journal of Personality. 2009; 77: 1637-1644https://doi.org/10.1111/j.1467-6494.2009.00595.x
- Mechanisms of change in cognitive behaviour therapy for panic disorder: The role of panic self-efficacy and catastrophic misinterpretations.Behaviour Research and Therapy. 2013; 51: 579-587https://doi.org/10.1016/j.brat.2013.06.002
- Application of the Portuguese version of the abbreviated instrument of quality life WHOQOL-bref.Revista de Saúde Pública. 2000; 32: 178-183https://doi.org/10.1590/S0034-89102000000200012
- Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes.Journal of Personality and Social Psychology. 1986; 50: 992-1003https://doi.org/10.1037/0022-3514.50.5.992
- Validation of a Portuguese version of the Beck depression inventory and the state-trait anxiety inventory in Brazilian subjects.Brazilian Journal of Medical and Biological Research. 1996; 29: 453-457
Guy, W., Hergueta, T., Baker, R., and Dunbar, G. (1998). Clinical Global Impressions. In: E.A. M.F. Psychopharmacology (Ed.), CGI (1976 ed.). Rockville (MD): US National Institute of Health, Psychopharmacology Research Branch.
- The assessment of anxiety states by rating.The British Journal of Medical Psychology. 1959; 32: 50-55https://doi.org/10.1111/j.2044-8341.1959.tb00467.x
- Quality of life and treatment outcome in panic disorder: Cognitive behavior group therapy effects in patients refractory to medication treatment.Psychotherapy and Psychosomatics. 2006; 75: 183-186https://doi.org/10.1159/000091776
- Predictors of relapse in the second follow-up year post cognitive-behavior therapy for panic disorder.Revista Brasileira de Psiquiatria. 2011; 33: 23-29https://doi.org/10.1590/S1516-44462010005000005
- Treating medication-resistant panic disorder: Predictors and outcome of cognitive-behavior therapy in a Brazilian public hospital.Psychotherapy and Psychosomatics. 2003; 72: 43-48https://doi.org/10.1159/000067188
- Psychological interventions for resilience enhancement in adults.Cochrane Database of Systematic Reviews. 2017; 2: 1-43https://doi.org/10.1002/14651858.CD012527
- The efficacy of cognitive behavioral therapy: A review of meta-analyses.Cognitive Therapy and Research. 2012; 36: 427-440https://doi.org/10.1007/s10608-012-9476-1
- Escalas de avaliação clínica: Transtorno de pânico.Revista de Psiquiatria Clínica. 1998; 25: 294-302
- Brazilian medical association guidelines for the diagnosis and differential diagnosis of panic disorder.Revista Brasileira de Psiquiatria. 2013; 35: 406-415https://doi.org/10.1590/1516-4446-2012-0860
- Patients' resilience and distress over time: Is resilience a prognostic indicator of treatment?.Comprehensive Psychiatry. 2016; 69: 88-99https://doi.org/10.1016/j.comppsych.2016.05.010
- Cross-cultural adaptation, reliability and validity of the resilience scale.Caderno de Saúde Pública. 2005; 21: 436-448https://doi.org/10.1590/S0102-311X2005000200010
- A systematic review of predictors and moderators of improvement in cognitive-behavioral therapy for panic disorder and agoraphobia.Clinical Psychology Review. 2015; https://doi.org/10.1016/j.cpr.2015.09.004
- Resilience as a dynamic concept.Development and Psychopathology. 2012; 24: 335-344https://doi.org/10.1017/S0954579412000028
- Adaptação do inventário de estratégias de coping de Folkman e Lazarus para o português.Revista de Psicologia da Universidade de São Paulo. 1996; 7: 183-201https://doi.org/10.1590/S1678-51771996000100009
- Stress and health: Psychological, behavioral, and biological determinants.Annual Review of Clinical Psychology. 2005; 1: 607-628https://doi.org/10.1146/annurev.clinpsy.1.102803.144141
- Multicenter collaborative panic disorder severity scale.The American Journal of Psychiatry. 1997; 154: 1571-1575https://doi.org/10.1176/ajp.154.11.1571
- Reliability and validity of a structured interview guide for the Hamilton Anxiety Rating Scale (SIGH-A).Depression and Anxiety. 2001; 13: 166-178https://doi.org/10.1002/da.1033
- A pilot evaluation of a strengths-based CBT intervention module with college students.Behavioural and Cognitive Psychotherapy. 2017; 45: 427-431https://doi.org/10.1017/S1352465816000552
- Effect of cognitive-behavioral group therapy for panic disorder in changing coping strategies.Comprehensive Psychiatry. 2014; 55: 87-92https://doi.org/10.1016/j.comppsych.2013.06.008
- Booster sessions after cognitive-behavioural group therapy for panic disorder: Impact on resilience, coping, and quality of life.Behavioural and Cognitive Psychotherapy. 2015; 43: 513-525https://doi.org/10.1017/S1352465814000289
Article info
Publication history
Published online: June 16, 2019
Accepted:
June 13,
2019
Received in revised form:
June 11,
2019
Received:
May 4,
2018
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.
