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Journal of Clinical Psychology in Medical Settings

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11-05-2022 | Panic Disorder

Cognitive-Behavioral Therapy for Panic Disorder in Patients with Stable Coronary Artery Disease: A Feasibility Study

Authors: Marie-Andrée Tremblay, Isabelle Denis, Stéphane Turcotte, Michel DeGrâce, Phillip J. Tully, Guillaume Foldes-Busque

Published in: Journal of Clinical Psychology in Medical Settings | Issue 1/2023

Abstract

Implementing cognitive-behavioral therapy (CBT), the first-line psychological treatment for panic disorder (PD), may be challenging in patients with comorbid coronary artery disease (CAD).This study aimed at assessing the feasibility and acceptability of a CBT for PD protocol that was adapted to patients suffering from comorbid CAD. It also aimed at evaluating the efficacy of the intervention to reduce PD symptomatology and psychological distress and improve quality of life. This was a single-case experimental design with pre-treatment, post-treatment and 6-month follow-up measures. Patients with PD and stable CAD received 14 to 17 individual, 1-h sessions of an adapted CBT for PD protocol. They completed interviews and questionnaires at pre-treatment, post-treatment and at a 6-month follow-up assessing intervention acceptability, PD symptomatology, psychological distress and quality of life. A total of 6 patients out of 7 completed the intervention and 6-month follow-up, indicating satisfactory feasibility. Acceptability was high (medians of ≥ 8.5 out of 9 and ≥ 80%) both at pre and post treatment. Remission rate was of 83% at post-treatment and 6-month follow-up. The intervention appeared to have positive effects on comorbid anxiety and depression symptoms and quality of life. The intervention appeared feasible and acceptable in patients with comorbid CAD. The effects of the adapted CBT protocol on PD symptoms, psychological distress and quality of life are promising and were maintained at the 6-month follow-up. Further studies should aim at replicating the present results in randomized-controlled trials

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Title: Cognitive-Behavioral Therapy for Panic Disorder in Patients with Stable Coronary Artery Disease: A Feasibility Study
Authors: Marie-Andrée Tremblay
Isabelle Denis
Stéphane Turcotte
Michel DeGrâce
Phillip J. Tully
Guillaume Foldes-Busque
Publication date: 11-05-2022
Publisher: Springer US
Keywords: Panic Disorder
Arterial Diseases
Anxiety
Published in: Journal of Clinical Psychology in Medical Settings / Issue 1/2023
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-022-09876-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Cognitive-Behavioral Therapy for Panic Disorder in Patients with Stable Coronary Artery Disease: A Feasibility Study

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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