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KMID : 0981220040040020073
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Congnitive Behavior Therapy in Korea
2004 Volume.4 No. 2 p.73 ~ p.83
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Comparison of the Effectiveness between Combined Therapy and Pharmacotherapy for Panic Disorder
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Cho Woo-Yeon
Park Kee-Hwan
Choi Young-Hee
Kwak Uk-Hwan
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Abstract
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The authors compared the relative efficacy and effectiveness of combined therapy and pharmacotherapy for panic disorder. Eighty panic patients were assigned to the combined therapy or pharmacotherapy. 38 patients in combined therapy group received group cognitive-behavior therapy (GCBT) for 12 weeks with medication. 42 patients in pharmacotherapy group received medication with supportive therapy for 12 weeks. Medication was mainly maintained with paroxetine, and supplementary with clonazepam or alprazolam. along with dosing schedule. The effectiveness of therapy was measured by Frequency panic attacks per month, Spielberger State-Trait Anxiety Inventory(STAI), Beck Depression Inventory(BDI) Agoraphobic Cognition Questionnaire(ACQ), Body Sensation Questionnaire(BSQ), Anxiety Sensitivity
Index(ASI) at the pre-and post-treatment. In this study, Both groups significantly reduced on all outcome measures after 12 weeks. Combined therapy group was better reduced than pharmacotherapy group on ACQ, BSQ, ASI, but Panic Frequency, STAI, BDI did not differ significantly. In addition, 55% of combined therapy group discontinued medication after 12 weeks, but only 5% of pharmacotherapy group discontinued medication after 12 weeks. The results of this study suggest that although combined therapy and pharmacotherapy provide effective outcome for panic disorder, combined therapy is better effective for specific symptoms of panic disorder and discontinuing medication.
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KEYWORD
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panic disorder, combined therapy, pharmacotherapy, cognitive behavior therapy.
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