Prats Eva, Domínguez Elisabet, Rosado Silvia, Pailhez Guillem, Bulbena Antoni, Fullana Miquel A
Institut de Neuropsiquiatria i Addiccions, Hospital del Mar, Barcelona.
Universitat Autònoma de Barcelona.
Actas Esp Psiquiatr. 2014 Jul-Aug;42(4):176-84. Epub 2014 Jul 1.
The efficacy of cognitive-behavior therapy for panic disorder (PD) with or without agoraphobia is well established, but few data exist on its effectiveness using a group format. The goal of the present study was to assess the effectiveness of group CBT in a sample of PD patients in a specialized unit.
Treatment consisted of nine weekly group sessions. Patients with PD (n=56) were assessed at baseline, after the treatment and in one and three-months followups.
There were significant reductions in panic/agoraphobia symptoms and related variables between baseline and post-treatment, and these reductions were maintained in three-month follow-up. No differences were observed between those patients who received only CBT and those who received pharmacological treatment as well as CBT. Only initial panic/agoraphobia symptoms were significant predictors of treatment response at the end of treatment (a greater severity was associated with a worse response to CBT).
Our results show that group CBT in a specialized unit is effective for PD patients.
认知行为疗法对伴有或不伴有广场恐惧症的惊恐障碍（PD）的疗效已得到充分证实，但关于其在团体形式下的有效性的数据却很少。本研究的目的是评估在一个专门单位中，团体认知行为疗法对惊恐障碍患者样本的有效性。
治疗包括为期九周的团体治疗课程。对56名惊恐障碍患者在基线、治疗后以及治疗后1个月和3个月的随访中进行评估。
在基线和治疗后，惊恐/广场恐惧症症状及相关变量有显著降低，且这些降低在3个月的随访中得以维持。仅接受认知行为疗法的患者与同时接受药物治疗和认知行为疗法的患者之间未观察到差异。仅初始惊恐/广场恐惧症症状是治疗结束时治疗反应的显著预测因素（症状越严重，对认知行为疗法的反应越差）。
我们的结果表明，在专门单位中进行的团体认知行为疗法对惊恐障碍患者有效。
