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Psychother Psychosom. 2000 Mar-Apr;69(2):70-8.

Cognitive behavior therapy in panic disorder and comorbid major depression. A naturalistic study.

Author information

1
Center for Behavioral Medicine Roseneck, Prien a. Ch., University of Munich, Germany. WRIEF@Schoen-Kliniken.de

Abstract

BACKGROUND:

There is a lack of evidence about the effectiveness of cognitive behavior therapies (CBT) in settings of routine clinical care as well as in the treatment of panic and comorbid disorders.

METHODS:

We investigated a group-oriented CBT approach for 80 patients with panic disorder including 35 patients with current comorbid major depression. Assessments took place 6 months before treatment, at the beginning and end of treatment, and 1 year later. Structured interviews and multiple clinical self-rating scales were used.

RESULTS:

Panic patients with comorbid major depression showed higher anxiety-specific and nonspecific pathology. The most striking benefits were in reducing avoidance behavior, while improvements concerning catastrophic beliefs were smaller, but still significant. For most self-rating scale results, patients with and without comorbid depression improved to a comparable degree. However, the end-state functioning of patients with panic disorder and current comorbid depression at admission is significantly lower than for patients with panic disorder alone.

CONCLUSIONS:

The results point to the necessity to develop and improve treatment approaches for patients with comorbidity of panic disorder and current major depression.

PMID:
10671827
DOI:
12369
[Indexed for MEDLINE]
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