کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3237764 1205686 2012 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Treatment of panic in chest pain patients from emergency departments: efficacy of different interventions focusing on panic management
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
پیش نمایش صفحه اول مقاله
Treatment of panic in chest pain patients from emergency departments: efficacy of different interventions focusing on panic management
چکیده انگلیسی

ObjectiveThe aim was to assess the efficacy of two brief cognitive–behavioral therapy (CBT)-based interventions (7×1-h sessions and 1×2-h session) and a pharmacological treatment (paroxetine), compared to supportive usual care, initiated in the emergency department (ED) for individuals suffering from panic disorder (PD) with a chief complain of noncardiac chest pain (NCCP). We hypothesized that the interventions would be more efficacious than supportive usual care on all outcomes.MethodA 12-month follow-up study of patients who received a diagnosis of NCCP in the ED and who met diagnostic criteria for PD (n= 71) was performed. Assessments included several psychological questionnaires and a structured interview. A series of repeated-measures analyses of variances, using a split-plot design, were conducted, as well as planned comparisons to examine the differences.ResultsThe seven-session CBT (n= 19), one-session panic management (n= 24) and pharmacotherapy (n= 13) led to greater improvements in PD severity (primary outcome) compared to supportive usual care (n= 15) at posttest, and no significant difference was noted between the three active interventions. On the other measures, patients improved in all conditions, and the therapeutic gains were maintained up to 1 year following the visit to the ED.ConclusionsThese results suggests that early intervention, in particular seven sessions of CBT, one session of PM or pharmacotherapy (generic paroxetine), should be considered for the treatment of PD patients consulting the ED with a discharge diagnosis of NCCP.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: General Hospital Psychiatry - Volume 34, Issue 6, November–December 2012, Pages 671–680
نویسندگان
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