Early intervention in panic: pragmatic randomised controlled trial.
نویسندگان
چکیده
BACKGROUND Many people suffer from subthreshold and mild panic disorder and are at risk of developing more severe panic disorder. AIMS This study (trial registration: ISRCTN33407455) was conducted to evaluate the effectiveness of an early group intervention based on cognitive-behavioural principles to reduce panic disorder symptomatology. METHOD Participants with subthreshold or mild panic disorder were recruited from the general population and randomised to the intervention (n = 109) or a waiting-list control group (n = 108). The course was offered by 17 community mental health centres. RESULTS In the early intervention group, 43/109 (39%) participants presented with a clinically significant change on the Panic Disorder Severity Scale-Self Report (PDSS-SR) v. 17/108 (16%) in the control group (odds ratio (OR) for favourable treatment response 3.49, 95% CI 1.77-6.88, P = 0.001). The course also had a positive effect on DSM-IV panic disorder status (OR = 1.96, 95% CI=1.05-3.66, P = 0.037). The PDSS-SR symptom reduction was also substantial (between-group standardised mean difference of 0.68). The effects were maintained at 6-month follow-up. CONCLUSIONS People presenting with subthreshold and mild panic disorder benefit from this brief intervention.
منابع مشابه
Low-intensity treatment for panic symptoms – A pragmatic randomised controlled trial of an internet-based guided self-help intervention
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Early intervention in panic: a pragmatic randomised controlled trial
Background. Many people suffer from subthreshold and mild panic disorder (PD) and are at risk of developing more severe PD. Aims. This study was conducted to evaluate the effectiveness of an early group intervention based on cognitive behavioural principles to reduce panic disorder symptomatology. Method. Participants with subthreshold or mild PD were recruited from the general population and r...
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عنوان ژورنال:
- The British journal of psychiatry : the journal of mental science
دوره 196 4 شماره
صفحات -
تاریخ انتشار 2010