Cognitive-Behavioral Group Therapy Techniques in Panic Disorder Patients with Residual Symptoms: 2-Year Follow-Up

Detalhes bibliográficos
Autor(a) principal: Heldt, Elizeth
Data de Publicação: 2008
Outros Autores: Blaya, Carolina, Kipper, Letícia, Salum, Giovanni, Manfro, Gisele Gus
Tipo de documento: Artigo
Idioma: por
Título da fonte: Clinical and Biomedical Research
Texto Completo: https://seer.ufrgs.br/index.php/hcpa/article/view/2039
Resumo: Objective: To evaluate the techniques learned by patients with panic disorder (PD) and residual symptoms after cognitive-behavioral group therapy (CBGT) up to a 2-year follow-up. Methods: Sixty-four PD patients were treated with a 12-session CBGT and 62 (97%) were followed for 2 years after the end of the treatment. Outcomes were evaluated by Clinical Global Impression (CGI), Panic Inventory, and Hamilton Anxiety Scale. The tools used by patients were assessed through a semi-structured interview and classified as follows: (a) diaphragmatic breathing, (b) muscle relaxation; (c) cognitive technique; and (d) exposure. Results: Of the 62 patients assessed at the follow-up, 39 (63%) met the remission criteria (CGI ? 2 and no panic attacks) in the first year and 35 (57%) in the second year of follow-up. Despite meeting the remission criteria, 87% of patients kept using the tools learned in CBGT up to 2 years after the treatment. Diaphragmatic breathing was the most used technique in both periods. Conclusion: The results of the present study suggest that CBGT is efficacious for patients with residual symptoms of PD. The techniques learned during the 12 therapy sessions are used by the patients up to 2 years after the treatment, suggesting long-term benefits of the skills learned at CBGT protocols.
id UFRGS-20_a5432285f5c84717fc1ef22ce026fac7
oai_identifier_str oai:seer.ufrgs.br:article/2039
network_acronym_str UFRGS-20
network_name_str Clinical and Biomedical Research
repository_id_str
spelling Cognitive-Behavioral Group Therapy Techniques in Panic Disorder Patients with Residual Symptoms: 2-Year Follow-UpUtilização de Técnicas da Terapia Cognitivo-Comportamental em Grupo para Pacientes com Sintomas Residuais do Transtorno de Pânico: Seguimento de 2 AnosTranstorno de pânicoterapia cognitivo-comportamental em gruporespiração diafragmáticaseguimentoEnfermagem em Saúde MentalObjective: To evaluate the techniques learned by patients with panic disorder (PD) and residual symptoms after cognitive-behavioral group therapy (CBGT) up to a 2-year follow-up. Methods: Sixty-four PD patients were treated with a 12-session CBGT and 62 (97%) were followed for 2 years after the end of the treatment. Outcomes were evaluated by Clinical Global Impression (CGI), Panic Inventory, and Hamilton Anxiety Scale. The tools used by patients were assessed through a semi-structured interview and classified as follows: (a) diaphragmatic breathing, (b) muscle relaxation; (c) cognitive technique; and (d) exposure. Results: Of the 62 patients assessed at the follow-up, 39 (63%) met the remission criteria (CGI ? 2 and no panic attacks) in the first year and 35 (57%) in the second year of follow-up. Despite meeting the remission criteria, 87% of patients kept using the tools learned in CBGT up to 2 years after the treatment. Diaphragmatic breathing was the most used technique in both periods. Conclusion: The results of the present study suggest that CBGT is efficacious for patients with residual symptoms of PD. The techniques learned during the 12 therapy sessions are used by the patients up to 2 years after the treatment, suggesting long-term benefits of the skills learned at CBGT protocols.Objetivo: Avaliar a utilização das técnicas aprendidas durante a terapia cognitivo-comportamental em grupo (TCCG) para pacientes com transtorno de pânico (TP) que apresentam sintomas residuais em até 2 anos após o término do tratamento. Méto-dos: Um total de 64 pacientes completou o protocolo de 12 sessões de TCCG, e 62 (97%) foram encontrados para avaliação 2 anos após o término da terapia. As medidas de desfecho foram avaliadas pelos seguintes instrumentos: Impressão Global Clínica (CGI), Inventário de Pânico e Escala Hamilton para Ansiedade. O uso das técnicas foi avaliado através de entrevista semi-estruturada nas avaliações de seguimento, sendo classificadas em: (a) respiração diafragmática; (b) relaxamento muscular; (c) técnica cognitiva; e (d) exposição. Resultados: Considerando os 62 pacientes avaliados no seguimento, 39 (63%) preencheram o critério de remissão (CGI ? 2 e ausência de ataques de pânico) no primeiro ano e 35 (57%) no segundo ano de seguimento. A despeito dos critérios de remissão, um número grande de pacientes (87%) continuava a utilizar as técnicas aprendidas durante a terapia 1 a 2 anos após o término do protocolo. A técnica mais utilizada em ambos os períodos de seguimento foi a respiração diafragmática. Conclusões: Os resultados sugerem que a TCCG é eficaz para pacientes com sintomas residuais de TP. O uso das técnicas aprendidas durante as 12 sessões foi evidenciado em até 2 anos após o término do tratamento, sugerindo benefícios em longo prazo das habilidades desenvolvidas na TCCG.HCPA/FAMED/UFRGS2008-05-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed ArticleAvaliado por Paresapplication/pdfhttps://seer.ufrgs.br/index.php/hcpa/article/view/2039Clinical & Biomedical Research; Vol. 28 No. 1 (2008): Revista HCPAClinical and Biomedical Research; v. 28 n. 1 (2008): Revista HCPA2357-9730reponame:Clinical and Biomedical Researchinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSporhttps://seer.ufrgs.br/index.php/hcpa/article/view/2039/2183Heldt, ElizethBlaya, CarolinaKipper, LetíciaSalum, GiovanniManfro, Gisele Gusinfo:eu-repo/semantics/openAccess2020-01-16T16:15:43Zoai:seer.ufrgs.br:article/2039Revistahttps://www.seer.ufrgs.br/index.php/hcpaPUBhttps://seer.ufrgs.br/index.php/hcpa/oai||cbr@hcpa.edu.br2357-97302357-9730opendoar:2020-01-16T16:15:43Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS)false
dc.title.none.fl_str_mv Cognitive-Behavioral Group Therapy Techniques in Panic Disorder Patients with Residual Symptoms: 2-Year Follow-Up
Utilização de Técnicas da Terapia Cognitivo-Comportamental em Grupo para Pacientes com Sintomas Residuais do Transtorno de Pânico: Seguimento de 2 Anos
title Cognitive-Behavioral Group Therapy Techniques in Panic Disorder Patients with Residual Symptoms: 2-Year Follow-Up
spellingShingle Cognitive-Behavioral Group Therapy Techniques in Panic Disorder Patients with Residual Symptoms: 2-Year Follow-Up
Heldt, Elizeth
Transtorno de pânico
terapia cognitivo-comportamental em grupo
respiração diafragmática
seguimento
Enfermagem em Saúde Mental
title_short Cognitive-Behavioral Group Therapy Techniques in Panic Disorder Patients with Residual Symptoms: 2-Year Follow-Up
title_full Cognitive-Behavioral Group Therapy Techniques in Panic Disorder Patients with Residual Symptoms: 2-Year Follow-Up
title_fullStr Cognitive-Behavioral Group Therapy Techniques in Panic Disorder Patients with Residual Symptoms: 2-Year Follow-Up
title_full_unstemmed Cognitive-Behavioral Group Therapy Techniques in Panic Disorder Patients with Residual Symptoms: 2-Year Follow-Up
title_sort Cognitive-Behavioral Group Therapy Techniques in Panic Disorder Patients with Residual Symptoms: 2-Year Follow-Up
author Heldt, Elizeth
author_facet Heldt, Elizeth
Blaya, Carolina
Kipper, Letícia
Salum, Giovanni
Manfro, Gisele Gus
author_role author
author2 Blaya, Carolina
Kipper, Letícia
Salum, Giovanni
Manfro, Gisele Gus
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Heldt, Elizeth
Blaya, Carolina
Kipper, Letícia
Salum, Giovanni
Manfro, Gisele Gus
dc.subject.por.fl_str_mv Transtorno de pânico
terapia cognitivo-comportamental em grupo
respiração diafragmática
seguimento
Enfermagem em Saúde Mental
topic Transtorno de pânico
terapia cognitivo-comportamental em grupo
respiração diafragmática
seguimento
Enfermagem em Saúde Mental
description Objective: To evaluate the techniques learned by patients with panic disorder (PD) and residual symptoms after cognitive-behavioral group therapy (CBGT) up to a 2-year follow-up. Methods: Sixty-four PD patients were treated with a 12-session CBGT and 62 (97%) were followed for 2 years after the end of the treatment. Outcomes were evaluated by Clinical Global Impression (CGI), Panic Inventory, and Hamilton Anxiety Scale. The tools used by patients were assessed through a semi-structured interview and classified as follows: (a) diaphragmatic breathing, (b) muscle relaxation; (c) cognitive technique; and (d) exposure. Results: Of the 62 patients assessed at the follow-up, 39 (63%) met the remission criteria (CGI ? 2 and no panic attacks) in the first year and 35 (57%) in the second year of follow-up. Despite meeting the remission criteria, 87% of patients kept using the tools learned in CBGT up to 2 years after the treatment. Diaphragmatic breathing was the most used technique in both periods. Conclusion: The results of the present study suggest that CBGT is efficacious for patients with residual symptoms of PD. The techniques learned during the 12 therapy sessions are used by the patients up to 2 years after the treatment, suggesting long-term benefits of the skills learned at CBGT protocols.
publishDate 2008
dc.date.none.fl_str_mv 2008-05-06
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
Avaliado por Pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://seer.ufrgs.br/index.php/hcpa/article/view/2039
url https://seer.ufrgs.br/index.php/hcpa/article/view/2039
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://seer.ufrgs.br/index.php/hcpa/article/view/2039/2183
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv HCPA/FAMED/UFRGS
publisher.none.fl_str_mv HCPA/FAMED/UFRGS
dc.source.none.fl_str_mv Clinical & Biomedical Research; Vol. 28 No. 1 (2008): Revista HCPA
Clinical and Biomedical Research; v. 28 n. 1 (2008): Revista HCPA
2357-9730
reponame:Clinical and Biomedical Research
instname:Universidade Federal do Rio Grande do Sul (UFRGS)
instacron:UFRGS
instname_str Universidade Federal do Rio Grande do Sul (UFRGS)
instacron_str UFRGS
institution UFRGS
reponame_str Clinical and Biomedical Research
collection Clinical and Biomedical Research
repository.name.fl_str_mv Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS)
repository.mail.fl_str_mv ||cbr@hcpa.edu.br
_version_ 1799767051211898880