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Objective : The purpose of this study was to investigate consensus relative to treatment strategies for psychosocial treatment in panic disorder, that represents one subject addressed by the Korean guidelines for treatment of panic disorder 2018.
Methods : The executive committee developed questionnaires relative to treatment strategies for patients with panic disorder based on guidelines, algorithms, and clinical trials previously published in foreign countries and Korea. Seventy-two (61.0%) of 112 experts on a committee reviewing panic disorder responded to the questionnaires. We classified the consensus of expert opinions into three categories (first-line, second-line, and third-line treatment strategies), and identified treatment of choice using the Chi-square test and 95% confidence intervals.
Results : For psychosocial treatment of panic disorder, individual and group cognitive behavior therapy (CBT) were recommended treatments of choice, and mindfulness based cognitive therapy (MBCT) was recommended as first line strategy. There was statistically significant consensus among experts regarding usefulness of each component of CBT and MBCT, for treatment of patients with panic disorder.
Conclusion : Results, that reflect recent studies and clinical experiences, may provide the guideline for psychosocial treatment strategies for panic disorder.번호 | 참고문헌 | 국회도서관 소장유무 |
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1 | American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5);2013. | 미소장 |
2 | Kessler RC, Chiu WT, Jin R, Ruscio AM, Shear K, Walters EE. The epidemiology of panic attacks, panic disorder, and agoraphobia in the national comorbidity survey replication. Archives of General Psychiatry 2006;63:415-424. | 미소장 |
3 | King M, Nazareth I, Levy G, Walker C, Morris R, Weich S, et al. Prevalence of common mental disorders in general practice attendees across Europe. British Journal of Psychiatry 2008;192:362-367. | 미소장 |
4 | Batelaan NM, Van Balkom AJ, Stein DJ. Evidence-based pharmacotherapy of panic disorder: an update. Int J Neuropsychopharmacol 2012;15:403-415. | 미소장 |
5 | National Institute for Health and Care Excellence. Generalised anxiety disorder and panic disorder in adults: Management;2011. | 미소장 |
6 | Pompoli A, Furukawa TA, Imai H, Tajika A, Efthimiou O, Salanti G. Psychological therapies for panic disorder with or without agoraphobia in adults: a network meta-analysis. 2016 Cochrane Database of Systematic Reviews 4, CD011004. | 미소장 |
7 | American Psychiatric Association. Practice guideline for the Treatment of Patients with Panic Disorder 2010. | 미소장 |
8 | National Institute for Health and Care Excellence. Panic disorder overview; 2016. | 미소장 |
9 | Katzman MA, Bleau P, Blier P, Chokka P, Kjernisted K, Van Ameringen M, et al. Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders. BMC Psychiatry 2014;14 Suppl 1:S1. | 미소장 |
10 | Baldwin DS, Anderson IM, Nutt DJ, Allgulander C, Bandelow B, den Boer JA, et al. Evidence-based pharmacological treatment of anxiety disorders, post-traumatic stress disorder and obsessive-compulsive disorder: a revision of the 2005 guidelines from the British Association for Psychopharmacology. J Psychopharmacol 2014;28:403-439. | 미소장 |
11 | Tsao JCI, Mystkowski J, Zucker B, Craske MG. Effects of cognitive behavioral therapy for panic disorder on comorbid conditions: replication and extension. Behav Ther 2002; 33:493–509. | 미소장 |
12 | Tsao JC, Mystkowski JL, Zucker BG, Craske MG. Impact of cognitive- behavioral therapy for panic disorder on comorbidity: a controlled investigation. Behav Res Ther 2005;43:959-970. | 미소장 |
13 | David H. Barlow & Michelle G. Craske. Mastery of your anxiety and panic, 4th ed. Oxford university press;2007. | 미소장 |
14 | Pompoli A, Furukawa TA, Efthimiou O, Imai H, Tajika A, Salanti G. Dismantling cognitive-behaviour therapy for panic disorder: a systematic review and component network meta-analysis. Psychological Medicine 2018;48:1945-1953. | 미소장 |
15 | Parikh SV, Quilty LC, Ravitz P, Rosenbluth M, Pavlova B, Grigoriadis S, et al. Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder: Section 2. Psychological Treatments. Canadian J of Psychiatry 2016;61:524-539. | 미소장 |
16 | Kim MK, Lee KS, Kim B, Choi TK, Lee SH. Impact of Mindfulness- Based Cognitive Therapy on Intolerance of Uncertainty in Patients with Panic Disorder. Psychiatry Investig 2016;13:196-202. | 미소장 |
17 | Kim B, Cho SJ, Lee KS, Lee JY, Choe AY, Lee JE, et al. Factors associated with treatment outcomes in mindfulness-based cognitive therapy for panic disorder. Yonsei Med J 2013;54:1454-1462. | 미소장 |
18 | Kim B, Lee SH, Kim YW, Choi TK, Yook K, Suh SY, et al. Effectiveness of a mindfulness-based cognitive therapy program as an adjunct to pharmacotherapy in patients with panic disorder. J Anxiety Disord 2010;24:59-55. | 미소장 |
19 | Kim YW, Lee SH, Choi TK, Suh SY, Kim B, Kim CM, et al. Effectiveness of mindfulness-based cognitive therapy as an adjuvant to pharmacotherapy in patients with panic disorder or generalized anxiety disorder. Depress Anxiety 2009;26:601-606. | 미소장 |
20 | Segel ZV, Williams JMG, Teasdale JD. Mindfulness based cognitive therapy for depression, 2nd ed. Guilford 2012. | 미소장 |
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