Skip to main content
×
Home
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 19
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Stangier, Ulrich 2016. New Developments in Cognitive-Behavioral Therapy for Social Anxiety Disorder. Current Psychiatry Reports, Vol. 18, Issue. 3,


    Aho, Kristin M. Pickett, Scott M. and Hamill, Timothy S. 2014. Cognitive behavioural therapy for anxiety disorders and insomnia: a commentary on future directions. The Cognitive Behaviour Therapist, Vol. 7,


    Powers, Mark B. Kauffman, Brooke Y. Diamond, Allison and Smits, Jasper A.J. 2014. Social Anxiety.


    Craske, Michelle G. and Simos, Gregoris 2013. CBT for Anxiety Disorders.


    Telch, Michael J. Cobb, Adam R. and Lancaster, Cynthia L. 2013. The Wiley Handbook of Cognitive Behavioral Therapy.


    Archer, Janine Bower, Peter Gilbody, Simon Lovell, Karina Richards, David Gask, Linda Dickens, Chris Coventry, Peter and Archer, Janine 2012. Cochrane Database of Systematic Reviews.


    Arch, Joanna J. and Craske, Michelle G. 2011. Addressing Relapse in Cognitive Behavioral Therapy for Panic Disorder: Methods for Optimizing Long-Term Treatment Outcomes. Cognitive and Behavioral Practice, Vol. 18, Issue. 3, p. 306.


    Hoifodt, R. S. Strom, C. Kolstrup, N. Eisemann, M. and Waterloo, K. 2011. Effectiveness of cognitive behavioural therapy in primary health care: a review. Family Practice, Vol. 28, Issue. 5, p. 489.


    Alexander, Cynthia L. Arnkoff, Diane B. and Glass, Carol R. 2010. Bringing Psychotherapy to Primary Care: Innovations and Challenges. Clinical Psychology: Science and Practice, Vol. 17, Issue. 3, p. 191.


    Noordik, Erik van der Klink, Jac JL Klingen, Elmer F Nieuwenhuijsen, Karen and van Dijk, Frank JH 2010. Exposure-in-vivo containing interventions to improve work functioning of workers with anxiety disorder: a systematic review. BMC Public Health, Vol. 10, Issue. 1,


    Pontoski, Kristin E. and Heimberg, Richard G. 2010. The Myth of the Superiority of Concurrent Combined Treatments for Anxiety Disorders. Clinical Psychology: Science and Practice, Vol. 17, Issue. 2, p. 107.


    Powers, Mark B. C. Capozzoli, Michelle Handelsman, Pamela and Smits, Jasper A.J. 2010. Social Anxiety.


    McHugh, R. Kathryn Smits, Jasper A.J. and Otto, Michael W. 2009. Empirically Supported Treatments for Panic Disorder. Psychiatric Clinics of North America, Vol. 32, Issue. 3, p. 593.


    Baker, Timothy B. McFall, Richard M. and Shoham, Varda 2008. Current Status and Future Prospects of Clinical Psychology: Toward a Scientifically Principled Approach to Mental and Behavioral Health Care. Psychological Science in the Public Interest, Vol. 9, Issue. 2, p. 67.


    Starcevic, Vladan 2008. Treatment of panic disorder: recent developments and current status. Expert Review of Neurotherapeutics, Vol. 8, Issue. 8, p. 1219.


    Ferrero, Andrea Pierò, Andrea Fassina, Simona Massola, Tiziana Lanteri, Antonello Daga, Giovanni Abbate and Fassino, Secondo 2007. A 12-month comparison of brief psychodynamic psychotherapy and pharmacotherapy treatment in subjects with generalised anxiety disorders in a community setting. European Psychiatry, Vol. 22, Issue. 8, p. 530.


    Shearer, Steven L. 2007. Recent Advances in the Understanding and Treatment of Anxiety Disorders. Primary Care: Clinics in Office Practice, Vol. 34, Issue. 3, p. 475.


    Bystritsky, A 2006. Treatment-resistant anxiety disorders. Molecular Psychiatry, Vol. 11, Issue. 9, p. 805.


    Demertzis, Kristen Hope and Craske, Michelle G. 2006. Anxiety in primary care. Current Psychiatry Reports, Vol. 8, Issue. 4, p. 291.


    ×

Does the addition of cognitive behavioral therapy improve panic disorder treatment outcome relative to medication alone in the primary-care setting?

  • MICHELLE G. CRASKE (a1), DANIELA GOLINELLI (a2), MURRAY B. STEIN (a3), PETER ROY-BYRNE (a4), ALEXANDER BYSTRITSKY (a5) and CATHY SHERBOURNE (a2)
  • DOI: http://dx.doi.org/10.1017/S003329170500557X
  • Published online: 15 July 2005
Abstract

Background.Randomized clinical trials indicate a benefit from combining medications with cognitive behavioral therapy (CBT) relative to medication alone for panic disorder. Using an as-treated analysis, we evaluated whether the addition of CBT enhanced outcomes for panic disorder relative to medications alone in the primary-care setting.

Method.Primary-care patients with panic disorder reported on their receipt of CBT and medications over the 3 months following baseline assessment. The degree to which outcomes for those who used anti-panic medications were enhanced by the receipt of at least one component of CBT was analyzed using a propensity score model that took into account observable baseline patient characteristics influencing both treatment selection and outcomes.

Results.The addition of CBT resulted in statistically and clinically significant improvements at 3 months on anxiety sensitivity, social avoidance, and disability. Also, patients receiving CBT in the first 3 months of the study were more improved at 12 months than patients who took medications only during the first 3 months of the study.

Conclusions.The clinical utility of the findings are discussed in terms of the importance of primary-care physicians encouraging their panic disorder patients to receive CBT as well as medications.

Copyright
Corresponding author
Departments of Psychology and Psychiatry & Biobehavioral Sciences, UCLA, 405 Hilgard Avenue, Los Angeles, CA 90095-1563, USA. (Email: craske@psych.ucla.edu)
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×