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Related Experiment Videos

Early intervention in panic: pragmatic randomised controlled trial.

Peter Meulenbeek1, Godelief Willemse, Filip Smit

  • 1GGNet, PO Box 2003, 7230 GC Warnsveld, The Netherlands. p.meulenbeek@compaqnet.nl

The British Journal of Psychiatry : the Journal of Mental Science
|April 2, 2010
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

Panic Disorder01:27

Panic Disorder

Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...

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An early cognitive-behavioural group intervention significantly reduced panic disorder symptoms in adults. This brief, accessible treatment proved effective and maintained benefits at six months.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Public Health

Background:

  • Subthreshold and mild panic disorder affect many individuals.
  • These individuals are at risk of developing more severe panic disorder.
  • Early intervention is crucial for managing panic disorder and preventing escalation.

Purpose of the Study:

  • To evaluate the effectiveness of an early group intervention.
  • The intervention is based on cognitive-behavioural principles.
  • The goal is to reduce panic disorder symptomatology in individuals with subthreshold or mild conditions.

Main Methods:

  • Recruitment of participants with subthreshold or mild panic disorder from the general population.
  • Randomization to either an early intervention group (n=109) or a waiting-list control group (n=108).

Related Experiment Videos

  • Intervention delivered through 17 community mental health centers.

    • Main Results:

    • 39% of the intervention group showed clinically significant improvement on the Panic Disorder Severity Scale-Self Report (PDSS-SR), compared to 16% in the control group (OR=3.49, P=0.001).
    • The intervention positively impacted DSM-IV panic disorder status (OR=1.96, P=0.037).
    • Symptom reduction was substantial (SMD=0.68) and effects were maintained at 6-month follow-up.

    Conclusions:

    • A brief, early cognitive-behavioural group intervention is beneficial for individuals with subthreshold and mild panic disorder.
    • This intervention effectively reduces panic disorder symptoms and improves diagnostic status.
    • The positive outcomes are sustained over a 6-month period, highlighting the intervention's lasting impact.