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KMID : 1143820190150010013
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Anxiety and Mood
2019 Volume.15 No. 1 p.13 ~ p.19
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Korean Guidelines for the Treatment of Panic Disorder 2018 : Psychosocial Treatment Strategies
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Gim Min-Sook
Kim Min-Kyoung
Lee Jae-Hon
Kim Won
Moon Eun-Soo
Seo Ho-Jun
Koo Bon-Hoon
Yang Jong-Chul
Lee Kang-Soo
Lee Sang-Hyuk
Kim Chan-Hyung
Yu Bum-Hee
Suh Ho-Suk
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Abstract
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Objective : The purpose of this study was to investigate consensus relative to treatment strategies for psychosocial treatment in panic disorder, that represents one subject addressed by the Korean guidelines for treatment of panic disorder 2018.
Methods : The executive committee developed questionnaires relative to treatment strategies for patients with panic disorder based on guidelines, algorithms, and clinical trials previously published in foreign countries and Korea. Seventy-two (61.0%) of 112 experts on a committee reviewing panic disorder responded to the questionnaires.
We classified the consensus of expert opinions into three categories (first-line, second-line, and third-line treatment strategies), and identified treatment of choice using the Chi-square test and 95% confidence intervals.
Results : For psychosocial treatment of panic disorder, individual and group cognitive behavior therapy (CBT) were recommended treatments of choice, and mindfulness based cognitive therapy (MBCT) was recommended as first line strategy. There was statistically significant consensus among experts regarding usefulness of each component of CBT and MBCT, for treatment of patients with panic disorder.
Conclusion : Results, that reflect recent studies and clinical experiences, may provide the guideline for psychosocial treatment strategies for panic disorder.
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KEYWORD
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Panic disorder, Treatment guideline, Cognitive behavior therapy, Mindfulness-based cognitive therapy, Psychosocial treatment
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