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KMID : 0981220040040020045
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Congnitive Behavior Therapy in Korea
2004 Volume.4 No. 2 p.45 ~ p.59
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The Influence of Marital Dissatisfaction on the Severity and Outcome of Cognitive Behavioral Therapy in Patients with Panic Disorder
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Lee Eun-Jung
Choi Young-Hee
Choi Sung-Mi
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Abstract
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The purpose of this research was to find the influence of marital dissatisfaction on the outcome of cognitive behavioral therapy (CBT) in patients (men=25, women=27) with panic disorder who participated in CBT. For demographic data, there was no significant differences between groups that scored low on marital dissatisfaction (L-GDS, n=30) and scored high (H-GDS, n=22). H-GDS group got significantly higher level of depression score in pre-treatment symptom severity. So, we explored which features in panic symptom had a interactional effect with marital dissatisfaction when except effect of depression severity difference. And then, it was found that their, all clinical features besides agoraphobic cognition, was a difference in treatment effect according to marital dissatisfaction. Between pre-treatment and post-treatment, both H-GDS and L-GDS group has improved in symptoms and L-GDS group showed lower level of panic symptom severity than H-GDS at post-treatment. The findings that patients who were also under the severe life stress could gain some benefit from CBT was supported by this result. The results showed that there might be differences in the degree of improving symptoms depending on the level of marital dissatisfaction. Therefore, the level of marital dissatisfaction could be a predictor for the outcome of CBT.
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KEYWORD
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Marital dissatisfaction, Panic disorder, Cognitive behavioral therapy
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