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Cognitive-behavioural group treatment of panic attacks disorder: a description of the results obtained in a public mental health service

Published online by Cambridge University Press:  11 October 2011

Daniela Leveni ,
Damiano Mazzoleni  and
Daniele Piacentini
Daniela Leveni*
Affiliation:
Azienda Ospedaliera Treviglio-Caravaggio, Unità Operativa Psichiatrica n. 14, Centro Psico Sociale di Zogno (Bergamo)
Damiano Mazzoleni
Affiliation:
Azienda Ospedaliera Treviglio-Caravaggio, Unità Operativa Psichiatrica n. 14, Centro Psico Sociale di Zogno (Bergamo)
Daniele Piacentini
Affiliation:
Azienda Ospedaliera Treviglio-Caravaggio, Unità Operativa Psichiatrica n. 14, Centro Psico Sociale di Zogno (Bergamo)
*
Indirizzo per la corrispondenza: Dr. D. Piacentini, Centro Psico Sociale, viale Martiri della Liberta 6, 24019 Zogno (Bergamo). Fax: +39-035-249.773
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Summary

Objective - This article describes the short-term and at 6 months follow-up results of an intensive cognitive-behavioural group treatment on subjects affected by Panic Disorder with or without Agoraphobia (DSM IV criteria). Design and Setting - We studied a group of 22 subjects treated in the public Centro Psico Sociale of Zogno (Bergamo) and valuated them with self-rated instruments inherent the life satisfaction (SF/36) and symptoms and ament (PAAAS; MSPS, STAI-X1, STAI-X2). The results indicate significant improvements at the end of treatment and at a 6 months follow up. Conclusions - We are studying the long-term results with others follow up valuations. The most important result, anyway, is the demonstration that also in an Italian public mental health centre, as in many foreign countries, is possible to treat patients affected by Anxiety Disorders with effectual and relatively low cost tecniques and that is possible to introduce objective results indicators in the routinary clinical activity.

Riassunto

Scopo - In questo lavoro vengono presentati i risultati, a breve termine e dopo sei mesi di follow-up, ottenuti con un trattamento intensivo di tipo cognitivo-comportamentale di gruppo in soggetti affetti da Disturbo da Attacchi di Panico con o senza Agorafobia secondo i criteri del DSM IV. Disegno e Setting - I risultati si riferiscono ad un campione di 22 soggetti trattati presso il Centro Psico Sociale di Zogno (BG) e valutati attraverso strumenti obiettivi di autovalutazione, inerenti sia la soddisfazione di vita (SF/36) che l'and amento sintomatologico (PAAAS, MSPS, STAI-X1, STAI-X2). I dati ottenuti sono indicativi di significativi miglioramenti al termine del trattamento. Sono in corso ulteriori follow-up per valutare il mantenimento nel tempo dei risultati raggiunti. Conclusioni -Il risultato più importante appare comunque la dimostrazione che anche in un Servizio pubblico italiano di salute mentale, come in molti paesi esteri, è stato possibile trattare pazienti affetti da Disturbi d'Ansia con tecniche di dimostrata efficacia e relativamente a basso costo e soprattutto che è possibile introdurre nell'attività clinica routinaria indicatori obiettivi di esito.

Keywords

panic attacks disordercognitive-behavioural treatment.disturbo da attacchi di panicoterapia cognitivo-comportamentale.
Type
Articles
Information
Epidemiology and Psychiatric Sciences , Volume 8 , Issue 4 , December 1999 , pp. 270 - 275
Copyright
Copyright © Cambridge University Press 1999

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References

Bibliografia

American Psychiatric Association (1980). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). American Psychiatric Association: Washington D.C.Google Scholar
American Psychiatric Association (1998). Practice guideline for the treatment of patients with panic disorder. Work Group on Panic Disorder. American Psychiatric Association. American Journal of Psychiatry. 155, suppl. 5, 1–34.Google Scholar
Andrews, G. (1996). Talk that works: the rise of cognitive-behaviour therapy. British Medical Journal 313, 1501–1502.CrossRefGoogle ScholarPubMed
Andrews, G., Crino, R., Hunt, C., Lampe, L. & Page, A. (1994). The Treatment of Anxiety Disorders. Cambridge University Press: New York.Google Scholar
Andrews, G., Crino, R., Hunt, C., Lampe, L. & Page, A. (1996). A list of essential psychotherapies. Tenth World Congress of Psychiatry, Madrid.Google Scholar
Barlow, D.H., Craske, M.G., Cerney, J.A. & Klosko, J.S. (1989). Behavioural treatment of panic disorder. Behavioural Therapy 20, 261–282.CrossRefGoogle Scholar
Brown, T.A. & Barrow, D.H. (1995). Long term outcame of cognitive- behavioural treatment of panic disorder. Journal of Consulting and Clinical Psychology 63, 754–765.CrossRefGoogle Scholar
Craske, M.G., Brown, T.A. & Barlow, D.H. (1991). Behavioural treatment of panic disorder: a two year follow-up. Behaviour Therapy 22, 289–304.CrossRefGoogle Scholar
Faravelli, C., Guerrini degl'Innocenti, B. & Giardinelli, L. (1989). Epidemiology of anxiety disorders in Florence. Acta Psychiatrica Scandinavica 79, 308–312.Google Scholar
Fava, G.A., Lielezny, M., Savron, G. & Grandi, S. (1995). Long term effects of behavioural treatment for panic disorder with agoraphobia. British Journal of Psychiatry 166, 87–92.Google Scholar
Hollifield, M., Wayne, K., Skipper, B., Chapman, T., Ballenger, J.C., Mannuzzo, S. & Fyer, A. J. (1997). Panic disorder and quality of life: variables predictive of functional impairment. American Journal of Psychiatry 154(6), 766–772.Google ScholarPubMed
Horwath, E., Johnson, J. & Hornig, C.D. (1993). Epidemiology of panic disorder in African-Americans. American Journal of Psychiatry 150, 465–469.Google ScholarPubMed
Katerndahl, D.A. & Realini, J.P. (1993). Lifetime prevalence of panic state. American Journal of Psychiatry 150, 246–249.Google Scholar
Keller, M.B. & Hanks, D.L. (1993). Course and outcome in panic disorder. Progress in Neuro-Psychopharmacology and Biological Psychiatry 17, 551–570.Google Scholar
Klerman, G.L., Weissman, M.M., Ouellette, R., Johnson, J. & Greenwald, S. (1991). Panic attacks in the community: social morbidity and health care utilization. Journal of American Medical Association 265, 742–746.CrossRefGoogle ScholarPubMed
Leon, A.C., Olfson, M. & Portera, L. (1997). Service utilization and expenditures for the treatment of panic disorder. General Hospital Psychiatry 19, 82–88.CrossRefGoogle ScholarPubMed
Markowitz, J.S., Weissman, M.M., Ouellette, R., Lish, J.D. & Klerman, G.L. (1989). Quality of life in panic disorder. Archives of General Psychiatry 46, 984–992.CrossRefGoogle ScholarPubMed
Pollack, M.H., Otto, M.W., Kaspi, S.P., Hammerness, P.G. & Rosenbaum, J.F. (1994). Cognitive-behaviour therapy for treatment- refractory panic disorder. Journal of Clinical Psychiatry 55, 200–205.Google Scholar
Sanavio, E., Bertolotti, G., Michielin, P., Vidotto, G. & Zotti, A.M. (1986). CBA 2.0 Scale Primarie. O.S.: Firenze.Google Scholar
Shear, K. & Maser, J.D. (1994). Standardized assessment for panic disorder research. A conference report. Archives of General Psychiatry 51, 346–354.Google Scholar
Telch, M.J., Lucas, J., Schmidt, N.B., Hanna, H.H., Jaimez, T.L. & Lucas, R.A. (1993). Group cognitive-behavioural treatment of panic disorder. Behavioural Research and Therapy 31, 279–287.Google Scholar
Weissman, M.M., Klerman, G.L., Markowitz, J.S. & Ouellette, R. (1989). Suicidal ideation and suicide attempts in panic disorder and attacks. New England Journal of Medicine 321, 1209–1214.CrossRefGoogle ScholarPubMed
Weissman, M.M., Bland, R.C., Canino, G.J., Faravelli, C., Greenwald, S., Hwu, H.G, Joyce, P.R., Karam, E.G., Lee, C.K., Lelluch, J., Lepine, J.P., Newman, S., Oakley-Browne, M.A., Rubio-Stipec, M., Wells, J.E., Wickramaratne, P.J., Wittchen, H.U. & Yeh, E.K. (1997). The cross-national epidemiology of panic disorder. Archives of General Psychiatry 54, 305–309.CrossRefGoogle ScholarPubMed