Cognitive-behavior therapy for Japanese patients with panic disorder: acute phase and one-year follow-up results

Psychiatry Clin Neurosci. 2008 Jun;62(3):313-21. doi: 10.1111/j.1440-1819.2008.01799.x.

Abstract

Aim: The aim of this paper is to report the outcomes and follow-up data of our cognitive behavioral therapy program for Japanese patients with panic disorder and to examine the baseline predictors of their outcomes.

Methods: Seventy outpatients with panic disorder with or without agoraphobia were treated with manualized group cognitive behavioral therapy.

Results: Fourteen patients (20%) did not complete the program. Among the completers, the average Panic Disorder Severity Scale score fell from 12.8 at baseline to 7.1 post-therapy (44.7% reduction). This effectiveness was sustained for 1 year. While controlling for the baseline severity, the duration of illness and the baseline social dysfunction emerged as significant predictors of the outcome.

Conclusions: Our data suggest that group cognitive behavioral therapy for panic disorder can bring about as much symptom reduction among Japanese patients with panic disorder as among Western patients.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Agoraphobia / diagnosis
  • Agoraphobia / ethnology
  • Agoraphobia / psychology
  • Agoraphobia / therapy*
  • Antidepressive Agents / therapeutic use
  • Asian People / psychology*
  • Cognitive Behavioral Therapy*
  • Combined Modality Therapy
  • Comorbidity
  • Cross-Cultural Comparison*
  • Female
  • Follow-Up Studies
  • Humans
  • Japan
  • Male
  • Middle Aged
  • Panic Disorder / diagnosis
  • Panic Disorder / ethnology
  • Panic Disorder / psychology
  • Panic Disorder / therapy*
  • Personality Inventory / statistics & numerical data
  • Prognosis
  • Psychometrics
  • Social Adjustment
  • Treatment Outcome

Substances

  • Antidepressive Agents