Comparing Two Brief Psychological Interventions to Usual Care in Panic Disorder Patients Presenting to the Emergency Department with Chest Pain
| Autor: | Guillaume Foldes-Busque, Jean-Marc Chauny, Alain Vadeboncoeur, Marie-Ève Pelland, André Marchand, Richard P. Fleet, Geneviève Belleville, Gilles Dupuis, Kim L. Lavoie, Julien Poitras, Marie-Josée Lessard |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Chest Pain medicine.medical_specialty Population Psychological intervention Chest pain behavioral disciplines and activities law.invention Cohort Studies Hospitals University Young Adult Randomized controlled trial law Interview Psychological medicine Humans education Agoraphobia Aged Neurocirculatory Asthenia Aged 80 and over education.field_of_study Cognitive Behavioral Therapy business.industry Panic disorder Quebec Panic General Medicine Emergency department Middle Aged medicine.disease Clinical Psychology Emergency medicine Panic Disorder Psychotherapy Brief Female medicine.symptom Emergency Service Hospital business Follow-Up Studies Cohort study |
| Zdroj: | Behavioural and Cognitive Psychotherapy. 40:129-147 |
| ISSN: | 1469-1833 1352-4658 |
| Popis: | Background: Panic disorder (PD) is a common, often unrecognized condition among patients presenting with chest pain to the emergency departments (ED). Nevertheless, psychological treatment is rarely initiated. We are unaware of studies that evaluated the efficacy of brief cognitive-behavioural therapy (CBT) for this population.Aim: Evaluate the efficacy of two brief CBT interventions in PD patients presenting to the ED with chest pain.Method: Fifty-eight PD patients were assigned to either a 1-session CBT-based panic management intervention (PMI) (n= 24), a 7-session CBT intervention (n= 19), or a usual-care control condition (n= 15). A structured diagnostic interview and self-reported questionnaires were administered at pre-test, post-test, 3- and 6-month follow-ups.Results:Statistical analysis showed significant reduction in PD severity following both interventions compared to usual care control condition, but with neither showing superiority compared to the other.Conclusions: CBT-based interventions as brief as a single session initiated within 2 weeks after an ED visit for chest pain appear to be effective for PD. Given the high prevalence of PD in emergency care settings, greater efforts should be made to implement these interventions in the ED and/or primary care setting. |
| Databáze: | OpenAIRE |
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