A Randomized Controlled Clinical Trial of Psychoanalytic Psychotherapy for Panic Disorder
| Autor: | Barbara Milrod, M. Katherine Shear, Fredric N. Busch, B.A. Jed J. Teres, Elizabeth Graf, John F. Clarkin, Marie G. Rudden, E. Toby Klass, Michael Schwalberg, Meriamne B. Singer, Andrew Aronson, Andrew C. Leon, Wendy Turchin |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Psychotherapist Comorbidity Relaxation Therapy Severity of Illness Index behavioral disciplines and activities law.invention Cohort Studies Randomized controlled trial law mental disorders medicine Humans Psychoanalytic theory Psychiatry Agoraphobia Psychiatric Status Rating Scales Psychodynamic psychotherapy Relaxation (psychology) Panic disorder Panic Psychodynamics medicine.disease Psychoanalytic Therapy Diagnostic and Statistical Manual of Mental Disorders Clinical trial Psychiatry and Mental health Treatment Outcome Panic Disorder Female New York City medicine.symptom Psychology Anxiety disorder |
| Zdroj: | FOCUS. 6:496-504 |
| ISSN: | 1541-4108 1541-4094 |
| DOI: | 10.1176/foc.6.4.foc496 |
| Popis: | The purpose of this study was to determine the efficacy of panic-focused psychodynamic psychotherapy relative to applied relaxation training, a credible psychotherapy comparison condition. Despite the widespread clinical use of psychodynamic psychotherapies, randomized controlled clinical trials evaluating such psychotherapies for axis I disorders have lagged. To the authors' knowledge, this is the first efficacy randomized controlled clinical trial of panic-focused psychodynamic psychotherapy, a manualized psychoanalytical psychotherapy for patients with DSM-IV panic disorder.This was a randomized controlled clinical trial of subjects with primary DSM-IV panic disorder. Participants were recruited over 5 years in the New York City metropolitan area. Subjects were 49 adults ages 18-55 with primary DSM-IV panic disorder. All subjects received assigned treatment, panic-focused psychodynamic psychotherapy or applied relaxation training in twice-weekly sessions for 12 weeks. The Panic Disorder Severity Scale, rated by blinded independent evaluators, was the primary outcome measure.Subjects in panic-focused psychodynamic psychotherapy had significantly greater reduction in severity of panic symptoms. Furthermore, those receiving panic-focused psychodynamic psychotherapy were significantly more likely to respond at treatment termination (73% versus 39%), using the Multicenter Panic Disorder Study response criteria. The secondary outcome, change in psychosocial functioning, mirrored these results.Despite the small cohort size of this trial, it has demonstrated preliminary efficacy of panic-focused psychodynamic psychotherapy for panic disorder. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|