Panic Disorder in Primary Care.

Panic Disorder in Primary Care. Dtsch Arztebl Int. 2019 Mar 08;116(10):159-166 Authors: Gensichen J, Hiller TS, Breitbart J, Brettschneider C, Teismann T, Schumacher U, Lukaschek K, Schelle M, Schneider N, Sommer M, Wensing M, König HH, Margraf J Abstract BACKGROUND: We evaluated a team-based program of exercises for patients with panic disorder with or without agoraphobia (PDA) in primary care. METHODS: 419 patients with PDA (mean age 46.2 years, standard deviation 14.4 years; 74% female) were included in this cluster-randomized, controlled intervention trial. The patients were blinded with respect to their group assignment at baseline. Patients in the intervention group (36 primary-care practices, 230 patients) underwent a 23-week exercise program combined with case management, while patients in the control group (37 practices, 189 patients) received standard care. Symptoms of anxiety (according to the Beck Anxiety Inventory, BAI) at six months were the primary endpoint. Patients were followed up at six months (n = 338, 81%) and at twelve months (n = 318, 76%). The analysis was by intention to treat. RESULTS: Symptoms of anxiety improved to a significantly greater extent in the intervention group (p = 0.008). The intergroup dif- ference in the reduction of the BAI score (range: 0-63) was 3.0 points (95% confidence interval [-5.8; -0.2]) at six months and 4.0 points [-6.9; -1.2] at twelve months. In the intervention group, there was a signif...
Source: Deutsches Arzteblatt International - Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

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ConclusionThe VEMPs and vHIT tests demonstrated that there is no evidence of hypofunction of the semicircular canals in the high-frequency spectrum of VOR functioning. Nor are there any indications of impairment of the otolith system in patients with PD, regardless of their subjective vestibular sensations. The findings of the current study confirm the proposed link between anxiety, panic symptoms and postural instability in PD patients.
Source: European Archives of Oto-Rhino-Laryngology - Category: ENT & OMF Source Type: research
In this study, a preliminary model of ER in CBT for PD/A is proposed based on existing theories, and several propositions of the model are tested. We hypothesized that increases in cognitive reappraisal would precede decreases in biased cognitions, decreases in expressive suppression would follow decreases in biased cognitions, and a reduction in symptom severity would follow decreases in expressive suppression. Twenty-nine patients who received CBT for PD/A completed weekly self-report measures of symptom severity, anxiety sensitivity, reappraisal and expressive suppression. In addition, patients were compared to a matche...
Source: Behavior Therapy - Category: Psychiatry & Psychology Authors: Tags: Behav Ther Source Type: research
Discussion Human trafficking is estimated to be the second largest criminal activity in the world after illegal arms trafficking. It affects all nations with an estimated 27 million people of all ages worldwide but only a small number are identified. It is defined by the United Nations as “the recruitment, transfer, harboring, or receipt of persons by means of threat or use of force or other forms of coercions, abduction, fraud, deception, the abuse of power, or a position of vulnerability to achieve the consent of a person, having control over another person, for the purpose of exploitation.” It includes comme...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
DiscussionPatients completing panic-focused psychotherapies often experience meaningful remission for diagnoses of agoraphobia, MDD, GAD, and SAD, with no detectable differences between treatments, although sample sizes for the MDD and SAD comparisons were small. In addition, additional efforts may be needed to keep MDD-comorbid patients in treatment.
Source: Journal of Psychiatric Research - Category: Psychiatry Source Type: research
Authors: Sancassiani F, Romano F, Balestrieri M, Caraci F, Di Sciascio G, Drago F, Hardoy MC, Moro MF, Roncone R, Piras M, Preti A, Dell'Osso L, Faravelli C, Carta MG Abstract Introduction: The study aimed to see if a community survey conducted by clinical interviewers with semi-structured psychiatric interviews shows lifetime prevalence rates of Specific Phobia (SP) similar to those found by surveys carried out by lay interviewers and if the high level of impairment found in SP may be confirmed. Methods: This is a community survey on an Italian nationwide sample randomly selected from registers of municipaliti...
Source: Clinical Practice and Epidemiology in Mental Health - Category: Psychiatry Tags: Clin Pract Epidemiol Ment Health Source Type: research
Conclusion: The results obtained in this study show that the Spanish version of the ODSIS delivered online is an adequate tool to assess the depression-related severity and impairment in a brief and easy fashion. Introduction Among the emotional disorders, the most prevalent lifetime syndrome is a major depressive episode (1, 2). It is among the most common reasons for consulting a general practitioner (3–5). This happens not only in adult's population, but also among young people the major depressive disorder (MDD) is considered one of the leading causes of disability (6–9). In Spain, depressio...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
By Emma Young Most people find it easy to infer the emotional state underlying a scowl or beaming smile. But not all facial emotional signals are so obvious. Sensitivity to these less obvious emotional signals varies from one person to another and is a useful skill, improving relations with other people and benefiting psychological wellbeing. As well as varying between individuals, are there also shifts in this ability during a typical person’s life? And, if so, might these age-related changes be relevant to known high-risk periods for psychological problems and the onset of mental illness? A new study, published in ...
Source: BPS RESEARCH DIGEST - Category: Psychiatry & Psychology Authors: Tags: Developmental Emotion Source Type: blogs
Publication date: Available online 4 March 2019Source: Journal of Anxiety DisordersAuthor(s): Jennifer Lara Maria Mumm, Lena Pyrkosch, Jens Plag, Patrick Nagel, Moritz Bruno Petzold, Sophie Bischoff, Lydia Fehm, Thomas Fydrich, Andreas StröhleAbstractPatients with anxiety disorders have a lower heart rate variability (HRV) than healthy controls. Low HRV is associated with cardiovascular disease and dysfunction of the autonomic nervous system (ANS). The aim of the present study was to investigate if HRV in patients with agoraphobia with or without panic disorder can be influenced by cognitive behavioral therapy (CBT). ...
Source: Journal of Anxiety Disorders - Category: Psychiatry Source Type: research
AbstractCognitive vulnerability research has focused on cognitive variables that are hypothesized to confer risk to specific disorders within the mood and anxiety spectrum, while transdiagnostic research has emphasized common risk factors across disorders. The purpose of the present study was to test specific versus common cognitive predictors of treatment response across three treatment groups. Participants (N  = 373) with major depressive disorder (MDD; N = 187, panic disorder with/without agoraphobia (PD/A; N = 85), and obsessive compulsive disorder (OCD; N = 101) ...
Source: Cognitive Therapy and Research - Category: Psychiatry & Psychology Source Type: research
This study aimed to investigate whether two theoretically derived moderators of treatment, degree of worry and avoidance at pretreatment, moderated anxiety from pretreatment to posttreatment in a randomized controlled trial comparing metacognitive therapy (MCT) and cognitive behavioral therapy (CBT). Personality problems, degree of comorbidity, and demographic characteristics (work status and education) were also investigated. Seventy-four patients with a primary diagnosis of Post Traumatic Stress Disorder, Social Phobia, or Panic Disorder with and without agoraphobia were analyzed using multilevel modeling. There were no ...
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research
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