Wesner Ana Cristina, Gomes Juliana Braga, Detzel Tatiana, Guimarães Luciano S P, Heldt Elizeth
Federal University of Rio Grande do Sul and Hospital de Clínicas de Porto Alegre,Brazil.
Behav Cogn Psychother. 2015 Sep;43(5):513-25. doi: 10.1017/S1352465814000289. Epub 2014 Jun 10.
Panic disorder (PD) has a chronic nature, especially as a result of maladaptive coping strategies to deal with stressful events.
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.
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.
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.
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.
惊恐障碍（PD）具有慢性特征，尤其是由于应对压力事件的适应不良应对策略所致。
评估采用认知技术的强化治疗对先前接受过标准认知行为团体治疗（CBGT）的PD患者的应对策略、心理韧性和生活质量（QoL）的影响。
一项对照临床试验，纳入44例PD患者（干预组 = 20例；对照组 = 24例），这些患者先前已完成12周的CBGT方案。在基线以及强化治疗后1、6和12个月评估PD、焦虑和抑郁严重程度症状。分别通过应对策略量表（CSI）、心理韧性量表和世界卫生组织生活质量简表（WHOQOL-BREF）评估应对策略、心理韧性和生活质量。
随着时间推移，两组的PD和抑郁症状均有显著改善。考虑到时间/组间交互作用，强化治疗组的生活质量社会关系领域有显著提高。强化治疗后应对策略和其他生活质量领域未发生变化。心理韧性的变化取决于症状强度，呈负相关但无统计学意义。
两组PD和抑郁症状的改善可能是干预的团体形式所致。CBGT后的团体强化治疗有助于维持CBGT所获得的益处。
