scholarly journals A Randomized Effectiveness Trial of Cognitive-Behavioral Therapy and Medication for Primary Care Panic Disorder

2005 ◽  
Vol 62 (3) ◽  
pp. 290 ◽  
Author(s):  
Peter P. Roy-Byrne ◽  
Michelle G. Craske ◽  
Murray B. Stein ◽  
Greer Sullivan ◽  
Alexander Bystritsky ◽  
...  
2005 ◽  
Vol 35 (11) ◽  
pp. 1645-1654 ◽  
Author(s):  
MICHELLE G. CRASKE ◽  
DANIELA GOLINELLI ◽  
MURRAY B. STEIN ◽  
PETER ROY-BYRNE ◽  
ALEXANDER BYSTRITSKY ◽  
...  

Background.Randomized clinical trials indicate a benefit from combining medications with cognitive behavioral therapy (CBT) relative to medication alone for panic disorder. Using an as-treated analysis, we evaluated whether the addition of CBT enhanced outcomes for panic disorder relative to medications alone in the primary-care setting.Method.Primary-care patients with panic disorder reported on their receipt of CBT and medications over the 3 months following baseline assessment. The degree to which outcomes for those who used anti-panic medications were enhanced by the receipt of at least one component of CBT was analyzed using a propensity score model that took into account observable baseline patient characteristics influencing both treatment selection and outcomes.Results.The addition of CBT resulted in statistically and clinically significant improvements at 3 months on anxiety sensitivity, social avoidance, and disability. Also, patients receiving CBT in the first 3 months of the study were more improved at 12 months than patients who took medications only during the first 3 months of the study.Conclusions.The clinical utility of the findings are discussed in terms of the importance of primary-care physicians encouraging their panic disorder patients to receive CBT as well as medications.


2021 ◽  
Vol 78 ◽  
pp. 102345
Author(s):  
Olivia E. Bogucki ◽  
Julia R. Craner ◽  
Summer L. Berg ◽  
Megan K. Wolsey ◽  
Stephanie J. Miller ◽  
...  

2018 ◽  
Vol 87 (6) ◽  
pp. 350-365 ◽  
Author(s):  
André Wittmann ◽  
Florian Schlagenhauf ◽  
Anne Guhn ◽  
Ulrike Lueken ◽  
Manja Elle ◽  
...  

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