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Does the addition of cognitive behavioral therapy improve panic disorder treatment outcome relative to medication alone in the primary-care setting?
| Content Provider | Scilit |
|---|---|
| Author | Craske, Michelle G. Golinelli, Daniela Stein, Murray B. Roy-Byrne, Peter Bystritsky, Alexander Sherbourne, Cathy |
| Copyright Year | 2005 |
| Description | Background.Randomized clinical trials indicate a benefit from combining medications with cognitive behavioral therapy (CBT) relative to medication alone for panic disorder. Using an as-treated analysis, we evaluated whether the addition of CBT enhanced outcomes for panic disorder relative to medications alone in the primary-care setting.Method.Primary-care patients with panic disorder reported on their receipt of CBT and medications over the 3 months following baseline assessment. The degree to which outcomes for those who used anti-panic medications were enhanced by the receipt of at least one component of CBT was analyzed using a propensity score model that took into account observable baseline patient characteristics influencing both treatment selection and outcomes.Results.The addition of CBT resulted in statistically and clinically significant improvements at 3 months on anxiety sensitivity, social avoidance, and disability. Also, patients receiving CBT in the first 3 months of the study were more improved at 12 months than patients who took medications only during the first 3 months of the study.Conclusions.The clinical utility of the findings are discussed in terms of the importance of primary-care physicians encouraging their panic disorder patients to receive CBT as well as medications. |
| Related Links | https://www.cambridge.org/core/services/aop-cambridge-core/content/view/7EC1817F35E94E98367F1ECE64F9375B/S003329170500557Xa.pdf/div-class-title-does-the-addition-of-cognitive-behavioral-therapy-improve-panic-disorder-treatment-outcome-relative-to-medication-alone-in-the-primary-care-setting-div.pdf |
| Ending Page | 1654 |
| Page Count | 10 |
| Starting Page | 1645 |
| ISSN | 00332917 |
| e-ISSN | 14698978 |
| DOI | 10.1017/s003329170500557x |
| Journal | Psychological Medicine |
| Issue Number | 11 |
| Volume Number | 35 |
| Language | English |
| Publisher | Cambridge University Press (CUP) |
| Publisher Date | 2005-07-15 |
| Access Restriction | Open |
| Subject Keyword | Psychological Medicine Psychiatry and Mental Health Clinical Psychology Cognitive Behavioral Therapy Primary Care Panic Disorder Treatment Outcome Clinical Trials |
| Content Type | Text |
| Resource Type | Article |
| Subject | Applied Psychology Psychiatry and Mental Health |
