Quality of Life and Treatment Outcome in Panic Disorder: Cognitive Behavior Group Therapy Effects in Patients Refractory to Medication Treatment

2006 ◽  
Vol 75 (3) ◽  
pp. 183-186 ◽  
Author(s):  
Elizeth Heldt ◽  
Carolina Blaya ◽  
Luciano Isolan ◽  
Leticia Kipper ◽  
Betina Teruchkin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Treatment Outcome ◽  
Group Therapy ◽  
Panic Disorder ◽  
Cognitive Behavior ◽  
Medication Treatment

Changes in quality of life following cognitive-behavioral group therapy for panic disorder

2010 ◽  
Vol 25 (1) ◽  
pp. 8-14 ◽  
Author(s):  
M. Rufer ◽  
R. Albrecht ◽  
O. Schmidt ◽  
J. Zaum ◽  
U. Schnyder ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Group Therapy ◽  
Panic Disorder ◽  
Well Being ◽  
Panic Attacks ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Group Therapy ◽  
Sf 36 ◽  
Behavioral Group

AbstractBackgroundData about quality of life (QoL) are important to estimate the impact of diseases on functioning and well-being. The present study was designed to assess the association of different aspects of panic disorder (PD) with QoL and to examine the relationship between QoL and symptomatic outcome following brief cognitive-behavioral group therapy (CBGT).MethodsThe sample consisted of 55 consecutively recruited outpatients suffering from PD who underwent CBGT. QoL was assessed by the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) at baseline, post-treatment and six months follow-up. SF-36 baseline scores were compared with normative data obtained from a large German population sample.ResultsAgoraphobia, disability, and worries about health were significantly associated with decreased QoL, whereas frequency, severity and duration of panic attacks were not. Treatment responders showed significantly better QoL than non-responders. PD symptom reduction following CBGT was associated with considerable improvement in emotional and physical aspects of QoL. However, the vitality subscale of the SF-36 remained largely unchanged over time.ConclusionsOur results are encouraging for cognitive-behavior therapists who treat patients suffering from PD in groups, since decrease of PD symptoms appears to be associated with considerable improvements in QoL. Nevertheless, additional interventions designed to target specific aspects of QoL, in particular vitality, may be useful to enhance patients’ well-being.

Booster Sessions after Cognitive-Behavioural Group Therapy for Panic Disorder: Impact on Resilience, Coping, and Quality Of Life

2014 ◽  
Vol 43 (5) ◽  
pp. 513-525 ◽  
Author(s):  
Ana Cristina Wesner ◽  
Juliana Braga Gomes ◽  
Tatiana Detzel ◽  
Luciano S. P. Guimarães ◽  
Elizeth Heldt
Keyword(s):  
Quality Of Life ◽  
Group Therapy ◽  
Panic Disorder ◽  
Coping Strategies ◽  
Stressful Events ◽  
Depression Symptoms ◽  
Cognitive Behavioural ◽  
Booster Sessions ◽  
The Impact

Background:Panic disorder (PD) has a chronic nature, especially as a result of maladaptive coping strategies to deal with stressful events.Aims:To evaluate the impact of booster sessions with cognitive techniques on coping strategies, resilience, and quality of life (QoL) in patients previously submitted to standard cognitive-behavioural group therapy (CBGT) for PD.Method:A controlled clinical trial with 44 patients with PD (intervention = 20; control = 24) who had previously completed a 12-week CBGT protocol. PD, anxiety, and depression severity symptoms were assessed at baseline and 1, 6, and 12 months after the booster sessions. Coping strategies, resilience, and QoL were assessed by Coping Strategies Inventory (CSI), Resilience Scale, and WHOQOL-BREF respectively.Results:Over time, a significant improvement in PD and depression symptoms was observed in both groups. A significant increase in the QoL social relations domain was found in the booster group, considering a time/group interaction. Coping and other QoL domains did not change after the booster sessions. Changes in resilience were dependent on the intensity of symptoms, with negative but non-significant correlations.Conclusions:The improvement in PD and depression symptoms for both groups may be a result of the group format of the intervention. Group booster sessions after CBGT are useful to maintain the benefits obtained with CBGT.

Pharmacologic Treatment of Panic Disorder

CNS Spectrums ◽  
2005 ◽  
Vol 10 (S12) ◽  
pp. 25-31
Author(s):  
Julie C. Stevens ◽  
Mark H. Pollack
Keyword(s):  
Quality Of Life ◽  
Treatment Outcome ◽  
Panic Disorder ◽  
Selective Serotonin Reuptake Inhibitors ◽  
Panic Attacks ◽  
Pharmacologic Treatment ◽  
Comorbid Conditions ◽  
Anticipatory Anxiety ◽  
Norepinephrine Reuptake

AbstractPanic disorder, frequently complicated by agoraphobia in the clinical setting, is a relatively common disorder that is associated with significant morbid burden and dysfunction in affected individuals. PD treatment is focused on the reduction of panic attacks, avoidance behavior, and anticipatory anxiety, as well as the resolution of comorbid conditions, with the goal of normalizing function and improving overall quality of life. Antidepressants, including the selective serotonin reuptake inhibitors and serotonin norepinephrine reuptake inhibitors, as well as benzodiazepines, are commonly used as primary pharmacotherapies for the treatment of PD, with a variety of other novel interventions potentially useful as well, to optimize treatment outcome.

Efficacy of cognitive behaviour group therapy with Portuguese breast cancer survivors

2011 ◽  
Vol 26 (S2) ◽  
pp. 1690-1690 ◽  
Author(s):  
A. Torres ◽  
A. Pereira ◽  
S. Monteiro
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Group Therapy ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Self Concept ◽  
Cognitive Behavior ◽  
European Context ◽  
A Priority

IntroductionBreast Cancer is the most frequent cause of death by cancer in Women. Therefore Breast Cancer is a priority of the Portuguese Health Ministry. Mental illness, as Depression, is also a priority of that Ministry and breast cancer presents higher psychopathology comorbidity than general population. These both facts emphasize the relevance of the studies about interventions to promote mental health of Portuguese breast cancer women. Simultaneously, there are little studies about the applicability and efficiency of Cognitive Behavior Group Therapy in the European context and in Portugal in particular.ObjectivesWe purpose to develop a group cognitive behavior therapy (CBT) program to breast cancer survivors and implement it in a Portuguese group.MethodsAfter a proper review of cognitive behavior group therapy programs to oncologic patients, we will adapt them to the Portuguese population. Then, a study will be made with a group of breast cancer survivors. We intent to assess them before and after the therapy in respect to the following psychological variables: self-concept, optimism, coping, quality of life and psychopathology.ResultsWe expect to improve the knowledge about the applicability of Cognitive Behavior Group Therapy in Portuguese (and European) context.ConclusionsIn sum, we expect to contribute with efficient psychological interventions to Breast Cancer Women survivors, in respect to self-concept, optimism, coping, quality of life and psychopathology.

Dynamics of quality of life of patients as a method of evaluating surgical treatment outcome in oral and oropharyngeal cancer

2021 ◽  
Vol 59 (1) ◽  
pp. 31-35
Author(s):  
N. Trizna ◽  
Z. Kaliadich ◽  
E. Zhaleika ◽  
A. Evmenenko
Keyword(s):  
Quality Of Life ◽  
Treatment Outcome ◽  
Physical Functioning ◽  
Oropharyngeal Cancer ◽  
Individual Therapy ◽  
Quality Of Life Indicators ◽  
Eortc Qlq C30 ◽  
Oral And Oropharyngeal Cancer ◽  
Eortc Qlq

Study of the quality of life indicators is an important part of a comprehensive analysis of new diagnosis, treatment, and prevention methods. It can serve as an additional criterion for selecting individual therapy or rehabilitation, examining the ability to work, and identifying psychological problems. Purpose of the study: The authors took a clinical case to demonstrate the use of внтфьшс monitoring of the quality of life indicators for the assessment of surgical and reconstructive treatment outcome for oral and oropharyngeal cancer. Results: The anticancer treatment effects were reflected in the physical functioning score according to the EORTC QLQ-C30 questionnaire (reduced to 80 points) and some symptomatic scores according to the EORTC QLQ-C30 and EORTC QLQ-H & N35 questionnaires. Medical rehabilitation measures resulted in positive dynamics of physical functioning scores according to the EORTC QLQ-C30 questionnaire (increase to 93.3 points) and symptomatic scores according to the EORTC QLQ-H & N35 questionnaire related to nutrition. At that, the patient has stopped having difficulty eating in public places; his body weight increased. The absence of pain and refusal to take analgesics also testified to successful treatment and improved quality of life. Conclusion: A subjective assessment of the various quality of life aspects in a particular patient provides valuable information about the individual response to the conducted treatment.

scholarly journals Quality of life in patients with mental and behavioural disorders after application of group therapy

2020 ◽  
Vol 49 (2) ◽  
Author(s):  
Maja Brkić ◽  
Ranko Kovačević ◽  
Dženita Hrvić ◽  
Zihnet Selimbašić ◽  
Esmina Avdibegović
Keyword(s):  
Quality Of Life ◽  
Group Therapy ◽  
Interpersonal Relations ◽  
Total Sample ◽  
Physical And Mental Health ◽  
Behavioural Disorders ◽  
Mean Values ◽  
Significant Difference ◽  
Communications Skills

Background: People with mental and behavioural disorders have low satisfaction of quality of life, due to numerous symptoms, as well as poor interpersonal relations, communications skills, low tolerance on frustration.Aim: The aim of this paper was to evaluate whether there has been an improvement in satisfaction with the quality of life after the application of group therapyMethods: The study included 100 patients who attended group therapy, for a period of 6-12 weeks. The instruments used at the beginning and at the end of the treatment were Outcome Questionnaire-45 which measured symptoms distress, interpersonal relations, and social roles, and MANSA questionnaire that measured satisfaction with the quality of life. Results: In total sample (N = 100) there was approximately equal number of women and men (51% vs. 49%). The average age of the subjects was 48.11 ± 7.91. Majority of respondents had depressive disorder (45%). Measuring the mean values obtained on the OQ-45 questionnaire, it was found that after the application of group therapy a significant reduction of the level of dysfunction was achieved. A statistically significant difference was found in the areas of satisfaction with physical and mental health, and the overall score of the MANSA questionnaire.Conclusion: Results show that patients reported lower symptoms distress and higher satisfaction with quality of life after attending group therapy, better interpersonal relations, lower risk of suicidal behaviour and substance abuse. Group therapy is successful intervention which helps patients improve quality of life.

scholarly journals STRUCTURAL RELATIONSHIP BETWEEN PSYCHOLOGICAL DISORDERS, QUALITY OF LIFE AND COPING STYLES AMONG BRAIN DISORDER PATIENTS

2018 ◽  
Vol 1 (1) ◽  
pp. 15-19
Author(s):  
Priscilla Das
Keyword(s):  
Quality Of Life ◽  
Health Status ◽  
Panic Disorder ◽  
Positive Relationship ◽  
Emotional Functioning ◽  
Coping Styles ◽  
Negative Relationship ◽  
Brain Disorder ◽  
And Coping

Objective: Brain and nervous system cancer incidence was one of the ten most common cancers in Malaysia. The study intends to model the structural relationship of MDD, anxiety disorders, other psychiatric disorders, quality of life, coping styles and their associated factors among neurological disorder (brain tumour / brain disorder) patients. Methods: The EORTC-Quality of Life, Brief COPE, Single Item Social Support, MINI International Neuropsychiatric Interview and Patient Health Questionnaires were utilised in the study. Results: The multivariate normality kurtosis was 6.174 with c.r = 2.440 obtained in this SEM model. Chi-square normalized by degrees of freedom, (χ̰2 /df) =1.086, p= 0.353. The RMSEA was 0.03, TLI = 0.988 and CFI =0.999 were obtained in the study. All 8 paths out of 10 paths were significant with p-values less than 0.05 (two-tailed) with R2 values ranging from 0.48 to 0.55 which indicates that the variance explained ranged from 48% for emotional functioning to 55% for severity of depression. The severity of MDD has positive relationship with insomnia and panic disorder lifetime and negative relationship with self distraction coping styles. Meanwhile emotional functioning had negative relationship with fatigue, venting and panic disorder lifetime and positive relationship with global health status. The emotional functioning also was correlated negatively with the severity of MDD (p < 0.005).  Conclusion: Therefore based on the path analysis, the main contributing factors of MDD severity were emotional functioning, insomnia, self distraction coping and panic disorder lifetime. The emotional functioning of the patients were influenced by the fatigue, global health status, venting coping styles and panic disorder lifetime and this increased the severity of MDD among the patients.  Therefore the role of quality of life and coping styles on depression and anxiety should not be neglected. The clinician, health psychologist, psychiatrist, and counselor in this country need to implement better treatments for the effected patients.

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