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One-year follow-up...
One-year follow-up of pharmacotherapy-resistant patients with panic disorder treated with cognitive-behavior ...
E. Heldt
,
G. Gus Manfro
, ...
Elsevier
, 2006 - 8 pages
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This digital document is a journal article
from
Behaviour
Research
and
Therapy
, published by Elsevier in 2006. The article is delivered in HTML format and is available in your Amazon.com Media Library immediately after purchase. You can view it with any web browser.
Description:
Non-response to
pharmacotherapy
for
panic
disorder
(PD) is a well-documented problem. However, little information exists to guide next-step strategies for these non-responders. In addition to pharmacologic augmentation strategies, several studies support the efficacy of
cognitive
-
behavior
therapy (CBT) for these
patients
, although data on long-term
outcome
s has been lacking. In this study, we provide
one
-
year
outcomes on a sample of 63 patients who completed group CBT for PD after failing to respond adequately to previous pharmacotherapy. Sustained significant benefit was found for all dimensional outcome scores, and nearly two-thirds of the sample met
remission
criteria. This occurred with reductions in medication use over the
follow
-up period. Negative
predictors
of remission status included comorbid dysthymia, social phobia, and generalized anxiety disorder. These results provide additional evidence for the efficacy of CBT for medication non-responders with PD.
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