1. Effects of cognitive-behavioral therapy for panic disorder on comorbid conditions: replication and extension
- Author
-
Tsao, Jennie C.I., Mystkowski, Jayson L., Zucker, Bonnie G., and Craske, Michelle G.
- Subjects
Panic attacks -- Care and treatment ,Panic disorders ,Cognitive therapy -- Analysis ,Psychology and mental health - Abstract
Replicating and extending our prior work (Tsao, Lewin, & Craske, 1998), the present study examined the impact of cognitive-behavioral treatment (CBT) for principal panic disorder/agoraphobia (PDA) on the frequency and severity of comorbid conditions in 51 principal PDA patients diagnosed using the Anxiety Disorders Interview Schedule for DSM-IV (ADIS-IV; Brown, Di Nardo, & Barlow, 1994). Patients with at least 1 additional diagnosis of clinical severity declined from 60.8% (n = 31) at pretreatment to 37.3% (n = 19) at posttreatment, and 35.3% (n = 18) at follow-up. ADIS-IV severity ratings for comorbid generalized anxiety disorder (GAD), depression, and specific phobia also declined significantly following treatment. Reductions in comorbidity were maintained at 6-month follow-up. Baseline comorbidity was not associated with increased severity of PDA at pretreatment and did not adversely impact outcome for PDA immediately posttreatment or at follow-up. Possible mechanisms, as well as implications for clinical practice and policy decisions, are discussed.
- Published
- 2002