The Effectiveness and Attrition of Brief Group Cognitive Behavior Therapy for Outpatients with Panic Disorder: A Retrospective Study

門診恐慌症短期認知行為團體治療之成效與流失因素的探討：一種回溯性研究

溫錦真(Chin-Chen Wen) ； 蘇筱雯(Hsiao-Wen Su) ； 林美珠(Meei-Ju Lin) ； 王迺燕(Nai-Yen Wang)

《台灣精神醫學》 26卷4期 (2012/12) Pp. 290-300

https://doi.org/10.29478/TJP.201212.0007

並列摘要

Objectives: In this study, the authors did a retrospective study to examine effectiveness and attrition of brief group cognitive behavior therapy (CBT) for panic disorder (PD) routinely practiced in the psychiatric outpatient clinic at a general hospital. Methods: A total of 53 patients (37 females and 16 males, with mean age of 44.72 years) had accepted the 8-weekly 1.5 hour group CBT separately during 2005-2010. The data of effectiveness and dropout variables were reviewed from documents of patients' medical and group records as well as their psychological measures. Results: The brief group CBT was found to have significant improvements in patients' disaster belief and anxiety level at the end of treatment (p ＜ 0.01), and to decrease their severity of panic attacks (p ＜ 0.01), agoraphobic avoidance (p ＜ 0.01), fear of body sensation (p ＜ 0.05), and depression symptoms (p ＜ 0.05) at 6-month follow-up. But high attrition rate of 45.3% was found. The significant negative predictor of attrition was recent panic attacks recorded before the first group sessions (p ＜ 0.05). Recent panic attacks motivated them to complete group sessions. Reasons of their discontinuing treatment included practice problems and treatment being not needed. Conclusion: These study results suggest the brief group CBT for PD is an effective and feasible treatment in the psychiatric outpatient clinic. Strategies to prevent and to reduce attrition, such as setting up recruitment criteria, doing orientation interview, or adapting alternative modes of delivering CBT should be considered in the future.

並列關鍵字

attrition ； cognitive behavior therapy ； effectiveness of treatment ； panic disorder

參考文獻

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