Cognitive Behavioral Treatment of Panic Disorder in Elderly Adults: Two Case Studies

1996 ◽  
Vol 10 (4) ◽  
pp. 271-280 ◽  
Author(s):  
Jill H. Rathus ◽  
William C. Sanderson
Keyword(s):  
Panic Disorder ◽  
Elderly Patients ◽  
Behavioral Treatment ◽  
White Male ◽  
Panic Attacks ◽  
Cognitive Behavioral ◽  
White Female ◽  
Cognitive Behavioral Treatment ◽  
History Of

Cognitive behavioral treatment (CBT) has been repeatedly proven efficacious in the treatment of panic disorder (PD); however, information about the efficacy of this treatment with geriatric patients is lacking. The current paper outlines treatment course and outcome for two elderly PD patients receiving CBT. J. B. was a 70-year-old White male with a 51-year history of PD; A. B. was a 69-year-old White female with a 25-year history of PD. Diagnoses were made on the basis of the Structured Clinical Interview for DSM-III-R patient version (SCID-P). Both subjects received manual-driven CBT. Four primary treatment components consisted of psychoeducation, cognitive restructuring, breathing retraining, and systematic exposure. Subjects completed symptom measures before and after treatment and at a follow-up evaluation. Results support the efficacy of the treatment for both patients, as panic attacks, fear and avoidance, and general symptomatology were substantially reduced at post- and follow-up assessments. Results are discussed in terms of the utility of CBT with elderly patients and the nuances of treating elderly patients with this treatment procedure.

Efficacy of Two Cognitive-Behavioral Treatment Modalities for Panic Disorder With Nocturnal Panic Attacks

2013 ◽  
Vol 37 (5) ◽  
pp. 680-704 ◽  
Author(s):  
Lyne Marchand ◽  
André Marchand ◽  
Pierre Landry ◽  
Andrée Letarte ◽  
Joane Labrecque
Keyword(s):  
Panic Disorder ◽  
Behavioral Treatment ◽  
Panic Attacks ◽  
Cognitive Behavioral ◽  
Treatment Modalities ◽  
Cognitive Behavioral Treatment

Cognitive-Behavioral Treatment of Panic in Patients With Schizophrenia: Preliminary Findings

2000 ◽  
Vol 14 (4) ◽  
pp. 381-392 ◽  
Author(s):  
Stefan G. Hofmann ◽  
Lynn F. Bufka ◽  
Stephen M. Brady ◽  
Curtiss Du Rand ◽  
Donald C. Goff
Keyword(s):  
Panic Disorder ◽  
Behavioral Treatment ◽  
Treatment Protocol ◽  
Cognitive Behavioral ◽  
Control Treatment ◽  
Psychotic Symptoms ◽  
Controlled Clinical Trial ◽  
Cognitive Behavioral Treatment ◽  
Treatment Gains

Many patients with schizophrenia suffer from panic disorder. Although Panic Control Treatment (PCT), a cognitive-behavioral intervention for panic disorder, has been found efficacious in a number of controlled studies with careful selection criteria for participants, little is known about the utility of this treatment for patients with schizophrenia who also suffer from panic disorder. Four patients with schizophrenia received 15-17 individual sessions of PCT for their panic disorder. After treatment, clinicians rated all patients’ panic disorder as less severe than at pretreatment, and three of the patients no longer met diagnostic criteria for panic disorder. Positive psychotic symptoms seem to improve as a result of treatment in some patients. Furthermore, a 6-month follow-up assessment of one patient suggests good maintenance of treatment gains. Although a modification of the treatment protocol seems necessary, the results point to the clinical utility of PCT for treating panic disorder in patients with schizophrenia. These findings suggest that a controlled clinical trial may be warranted.

Group cognitive-behavioral treatment of panic disorder

1993 ◽  
Vol 31 (3) ◽  
pp. 279-287 ◽  
Author(s):  
Michael J. Telch ◽  
John A. Lucas ◽  
Norman B. Schmidt ◽  
Henry H. Hanna ◽  
T.LaNae Jaimez ◽  
...  
Keyword(s):  
Panic Disorder ◽  
Behavioral Treatment ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment

Preliminary Investigation of Associations of Illness Schemata and Treatment-Induced Reduction in Headaches

1998 ◽  
Vol 82 (1) ◽  
pp. 299-307 ◽  
Author(s):  
Karen J. Narduzzi ◽  
Robert P. Nolan ◽  
Kenneth Reesor ◽  
Todd Jackson ◽  
Nicholas P. Spaños ◽  
...  
Keyword(s):  
Behavioral Treatment ◽  
Preliminary Investigation ◽  
Tension Headache ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Reciprocal Relations ◽  
Control Subjects ◽  
Treatment Responder ◽  
And Control

This study examined how illness schemata—ways people organize information about illness—change over the course of cognitive-behavioral treatment of chronic headache and the extent to which such changes predict reduction of headache. 73 subjects with chronic migraine, mixed migraine and tension, or tension headache were classified on the basis of outcome from imagery-based treatment as Treatment-responders ( n = 24), Treatment-nonresponders ( n = 27), and Monitoring Controls ( n = 22). Self-reported illness schemata related to the seriousness and changeability of headache were assessed at pretreatment and 8-wk. follow-up. While groups did not differ on pretreatment measures of illness schemata, at follow-up the Treatment-responder group reported higher Changeability scores than Treatment-nonresponders and Control subjects and lower Seriousness scores than Control subjects. Headache reduction at follow-up was related to follow-up Changeability scores, in-session changes in systolic blood pressure and reported posttreatment expectations of headache activity, but not pretreatment measures of illness schemata. Findings indicate that improvements in headache activity are not influenced by the severity of headaches and may change prior to cognitive-behavioral treatment. Rather, among individuals who show decreases in headache activity, changes in beliefs about illness and headache reduction may have reciprocal relations both of which result from cognitive-behavioral treatment.

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