{"id":4240,"date":"2012-06-29T08:33:11","date_gmt":"2012-06-29T12:33:11","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=4240"},"modified":"2012-06-29T19:34:36","modified_gmt":"2012-06-29T23:34:36","slug":"study-looks-at-effect-of-psychotherapy-on-panic-with-co-occurring-depression","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2012\/06\/study-looks-at-effect-of-psychotherapy-on-panic-with-co-occurring-depression\/","title":{"rendered":"Study looks at effect of psychotherapy on panic with co-occurring depression"},"content":{"rendered":"<p>From the <em>Journal of Psychotherapy and Psychosomatics<\/em> press release via AlphaGalileo:<\/p>\n<blockquote><p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignright\" title=\"therapy\" src=\"http:\/\/therapytoronto.ca\/images\/blogpics\/Therapy.jpg\" alt=\"\" width=\"299\" height=\"200\" \/>A new study that is published in the current issue of <em>Psychotherapy and Psychosomatics<\/em> examines <strong>the role of a specific form of psychotherapy, cognitive behavioral therapy (CBT), when depression aggravates panic<\/strong>.<\/p>\n<p>Controversy surrounds the questions whether co-occurring depression has negative effects on CBT outcomes in patients with panic disorder (PD) and agoraphobia (AG) and whether treatment for PD and AG (PD\/AG) also reduces depressive symptomatology. Post-hoc analyses of randomized clinical trial data of 369 outpatients with primary PD\/AG (DSM-IV-TR criteria) treated with a 12-session manualized CBT (n = 301) and a waitlist control group (n =68). Patients with comorbid depression (DSM-IV-TR major depression, dysthymia, or both: 43.2% CBT, 42.7% controls) were compared to patients without depression regarding anxiety and depression outcomes (Clinical Global Impression Scale [CGI], Hamilton Anxiety Rating Scale [HAM-A], number of panic attacks, Mobility Inventory [MI], Panic and Agoraphobia Scale, Beck Depression Inventory) at post-treatment and follow-up (categorical).<\/p>\n<p>Further, the role of severity of depressive symptoms on anxiety\/depression outcome measures was examined (dimensional). Comorbid depression did not have a significant overall effect on anxiety outcomes at post-treatment and follow-up, except for slightly diminished post-treatment effect sizes for clinician-rated CGI (p = 0.03) and HAM-A (p = 0.008) when adjusting for baseline anxiety severity. In the dimensional model, higher baseline depression scores were associated with lower effect sizes at post-treatment (except for MI), but not at follow-up (except for HAM-A). Depressive symptoms improved irrespective of the presence of depression. Exposure-based CBT for primary PD\/AG effectively reduces anxiety and depressive symptoms, irrespective of comorbid depression or depressive symptomatology.<\/p><\/blockquote>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the Journal of Psychotherapy and Psychosomatics press release via AlphaGalileo: A new study that is published in the current issue of Psychotherapy and Psychosomatics examines the role of a specific form of psychotherapy, cognitive behavioral therapy (CBT), when depression aggravates panic. Controversy surrounds the questions whether co-occurring depression has negative effects on CBT outcomes&hellip;&nbsp;<!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"rop_custom_images_group":[],"rop_custom_messages_group":[],"rop_publish_now":"initial","rop_publish_now_accounts":[],"rop_publish_now_history":[],"rop_publish_now_status":"pending","neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[5],"tags":[47,48,14,51,50],"class_list":["post-4240","post","type-post","status-publish","format-standard","hentry","category-emotions","tag-cbt","tag-cognitive-behavioral-therapy","tag-depression","tag-psychotherapy","tag-therapy"],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/4240","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=4240"}],"version-history":[{"count":3,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/4240\/revisions"}],"predecessor-version":[{"id":4254,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/4240\/revisions\/4254"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=4240"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=4240"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=4240"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}