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Difference effect between the psychotherapeutic and chemotherapeutic treatment in treating the panic disorder

Published online by Cambridge University Press:  15 April 2020

O. Benelmouloud*
Affiliation:
EHS de psychiatrie, faculté de médecine, université de Constantine 3, Constantine, Algeria
M. Benabbas
Affiliation:
HMRUC/5e RM, Constantine, Algeria
*
*Auteur correspondant. Adresse e-mail :benelmouloudouafia@gmail.com (O. Benelmouloud)

Abstract

Objectives

The use of CBT remains the recent techniques in Algeria and its introduction in the therapeutic arsenal field; already insufficient, finds resistances from the part of some practitioners. It is about the study showing the interest of cognitive and behavioural treatment in the panic disorder with agoraphobia.

Methodology

It is about the comparative study of the two types of the population presenting the diagnosis of a panic disorder with agoraphobia. The first group will be treated by antidepressors and the others by the cognitive behavioural treatment. The first population estimated to 50 patients receive only the antidepressors (anafranil) and the other of 50 patients receive the technique of cognitive and behavioural treatment. The two populations will be selected according to the randomisation principle. The study duration is of 3 months and the assessment is done at a day 0, 7, 14, 30 and 90 according to Cottraux anxiety scale and file automatic thought of Beek. The data (given in formation) of scales of two groups will be compared before the first day and the end of the medical care. This comparison will be done by statistical inductive tools for each group 5 to determine if it has a therapeutic effects or not) and between two groups to determine if the psychotherapic access (approach) possess equal therapeutic effects better than chemotherapy.

Conclusion

The CBT widely finds its place in Algeria because it offers others characteristics: less onerous, limited in time, easy to practise, variability of techniques. The contribution of the patient in his therapeutic project with an active way. All the patients can be benefited whatever is their associeted organic defects, in reverse the medicines or the indesirable effects and the contra-indications limit its utilization. In Algeria, the practice of this structured psychotherapy is rare and it will be wished that short cycles of formation must be prodigal for the treated personal with psychiatry (nurses, psychologists, students, psychiatrists and general practitioners). To think of introducing a specialized psychotherapy courses for the medical students at the end of the cycle in frame of medical psychology module.

Type
Congrès français de psychiatrie: Rencontres avec l’expert
Copyright
Copyright © European Psychiatric Association 2015

Disclosure of interest

The authors declare that they have no competing interest.

References

Further reading

Marks, IMSwinson, RPBa–o–lu, M et al. Alprazolam and exposure alone and combined in panic disorder with agoraphobia. A controlled study in London and Toronto. Br J Psychiatry 1993;162(6):776–87 (PMID 8101126, DOI 10.1192/bjp.162.6.776).CrossRefGoogle ScholarPubMed
Milrod, BLLeon, ACBarber, JPMarkowitz, JCGraf, E. Do comorbid personality disorders moderate panic-focused psychotherapy? An exploratory examination of the American Psychiatric Association practice guideline. J Clin Psychiatry 2007;68(6):88591.CrossRefGoogle ScholarPubMed
Barlow, DHGorman, JMShear, MKWoods, SW. Cognitive-behavioral therapy, imipramine, or their combination for panic disorder: A randomized controlled trial. JAMA 2000;283(19):2529–36.CrossRefGoogle ScholarPubMed
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