In-situation safety behaviors among patients with panic disorder: Descriptive and correlational study

Autor:	Yuka Noguchi, Yumi Nakano, Yumiko Noda, Norio Watanabe, Sei Ogawa, Toshi A. Furukawa, Jianfeng Chen, Tadashi Funayama
Rok vydání:	2013
Předmět:	medicine.medical_specialty General Neuroscience Panic disorder Plastic bottle Panic General Medicine medicine.disease boats.hull_material behavioral disciplines and activities humanities Occupational safety and health boats Psychiatry and Mental health Neurology mental disorders medicine Derealization Safety behaviors Anxiety Neurology (clinical) medicine.symptom Psychiatry Psychology Anxiety disorder Clinical psychology
Zdroj:	Psychiatry and Clinical Neurosciences. 67:332-339
ISSN:	1323-1316
DOI:	10.1111/pcn.12061
Popis:	Aim In-situation safety behaviors play an important role in the maintenance of anxiety because they prevent patients from experiencing unambiguous disconfirmation of their unrealistic beliefs about feared catastrophes. Strategies for identifying particular safety behaviors, however, have not been sufficiently investigated. The aims of the present study were to (i) develop a comprehensive list of safety behaviors seen in panic disorder and to examine their frequency; and (ii) correlate the safety behaviors with panic attack symptoms, agoraphobic situations and treatment response. Methods The subjects consisted of 46 consecutive patients who participated in group cognitive behavioral treatment (CBT) for panic disorder. All the patients completed a Safety Behavior List that was developed based on experiences with panic disorder patients. Results Carrying medications, distracting attention, carrying a plastic bottle, and drinking water were reported by more than half of the patients. The strongest correlations between panic symptoms and safety behaviors were found between symptoms of derealization and listening to music with headphones, paresthesia and pushing a cart while shopping, and nausea and squatting down. The strongest association between agoraphobic situations and safety behaviors was found between the fear of taking a bus or a train alone and moving around. Staying still predicted response to the CBT program, while concentrating on something predicted lack of response. Conclusion An approximate guideline has been developed for identifying safety behaviors among patients with panic disorder and should help clinicians use CBT more effectively for these patients.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::09c5a0db3bd0624533610aad23e5c64c https://doi.org/10.1111/pcn.12061 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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