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.

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.

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

The Impact of Cognitive Interventions in Treating Depressed Breast Cancer Patients

2010 ◽  
Vol 24 (4) ◽  
pp. 314-328 ◽  
Author(s):  
Derek R. Hopko ◽  
Lindsey K. Colman
Keyword(s):  
Breast Cancer ◽  
Treatment Outcome ◽  
Cancer Patients ◽  
Behavioral Treatment ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Breast Cancer Patients ◽  
Cognitive Interventions ◽  
Treatment Gains ◽  
The Impact

In behavioral medicine, there is adequate support for behavior modification strategies in reducing depression and anxiety in medical patients. There is comparably less support for cognitive interventions with these patients. Treatment outcome studies with cancer patients generally support the efficacy of cognitive–behavioral interventions, but studies have significant methodological limitations. Additionally, cognitive–behavioral therapy for depression incorporates numerous treatment components, and when examining data with nomothetic statistics, important individual differences may go unrecognized. With reference to the sudden gain literature on significant session-by-session treatment gains, this paper highlights the cognitive–behavioral treatment of two breast cancer patients with clinical depression. In addition to positive treatment outcome in which depression was significantly reduced and quality of life and medical outcomes improved, session-based sudden change data suggest that for these cancer patients, cognitive interventions were most significant in accounting for treatment gains. Findings are reviewed in the context of mechanism of change issues in the cognitive–behavioral treatment of depression.

Sign in / Sign up

Export Citation Format

Share Document