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    Agoraphobia

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    Farah Akhwanis
    This study compared the 20-year outcomes of patients treated for panic disorder with agoraphobia (PD with AG) and agoraphobia without panic disorder (AG without PD). Patients received an 11-week inpatient treatment including exposure therapy and psychodynamic therapy. Results found that PD with AG patients improved more than AG without PD patients. The poorer outcomes of AG without PD patients could not be fully explained. A limitation was that some patients did not attend the long-term follow up.

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    Agoraphobia

    Uploaded by

    Farah Akhwanis
    206 views11 pages
    This study compared the 20-year outcomes of patients treated for panic disorder with agoraphobia (PD with AG) and agoraphobia without panic disorder (AG without PD). Patients received an 11-week inpatient treatment including exposure therapy and psychodynamic therapy. Results found that PD with AG patients improved more than AG without PD patients. The poorer outcomes of AG without PD patients could not be fully explained. A limitation was that some patients did not attend the long-term follow up.

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    This study compared the 20-year outcomes of patients treated for panic disorder with agoraphobia (PD with AG) and agoraphobia without panic disorder (AG without PD). Patients received an 11-week inpatient treatment including exposure therapy and psychodynamic therapy. Results found that PD with AG patients improved more than AG without PD patients. The poorer outcomes of AG without PD patients could not be fully explained. A limitation was that some patients did not attend the long-term follow up.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    206 views11 pages

    Agoraphobia

    Uploaded by

    Farah Akhwanis
    This study compared the 20-year outcomes of patients treated for panic disorder with agoraphobia (PD with AG) and agoraphobia without panic disorder (AG without PD). Patients received an 11-week inpatient treatment including exposure therapy and psychodynamic therapy. Results found that PD with AG patients improved more than AG without PD patients. The poorer outcomes of AG without PD patients could not be fully explained. A limitation was that some patients did not attend the long-term follow up.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 11
    At a glance
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    The key takeaways are that exposure therapy is an effective treatment for panic disorder with agoraphobia and that agoraphobia without panic disorder may have a poorer treatment outcome.

    The aim of the study was to compare the 20-year outcome in patients with panic disorder with agoraphobia and agoraphobia without panic disorder after inpatient psychological treatment.

    The treatment methods used were an 11-week inpatient program consisting of 5 weeks of exposure therapy followed by 6 weeks of psychodynamic therapy.

    Agoraphobia With and Without

    Panic Disorder
    A 20-Year Follow-up of Integrated Exposure and Psychodynamic
    Therapy

    Asle Hoffart, PhD,*† Liv M. Hedley, PhD,* Karol Svanøe,


    MSW,‡ Tomas Formo Langkaas, CandPsychol,*† and
    Harold Sexton, MD*

    Reviewed by Professor Knut Hagtvet

    The Journal of Nervous and Mental Disease • Volume 204, Number 2, February 2016
    The aim
    To compare the 20-year outcome in panic disorder with
    agoraphobia (PD with AG) and agoraphobia without panic
    disorder (AG without PD) patients after inpatient psychological
    treatment
    Methods
    • Participants  patients who had been treated at a Norwegian inpatient clinic
    from January 1989 to November 1990 in an open trial according to following
    inclusion criteria:
    • a) satisfied DSM-III-R criteria for PD with AG or AG without PD,
    • b) the patients considered the symptoms of AG as their main problem
    • c) were 20 to 65 years old.

    completed treatment?

    Included in the present study


    of long-term outcome
    FIGURE 1. Flow of PD
    with AG and AG
    without PD patients
    through the study.
    • Treatment

    Partisipants

    First 5-week phase


    consisted of exposure
    11-week inpatient, therapy
    standardized, and
    medication-free
    treatment Second 6-week phase
    of psychodynamic
    therapy
    ... 1st 5 week
    exposure phase

    1st week 2nd-4th week 5th

    Returned home
    half an hour to test their
    Education
    planning session newly acquired
    skills

    Discontinued Wrote down their Reactions during


    Psychotropic the exposure and rated their
    medication anxiety level (0–10) over time
    ...
    second 6-week psychodynamic phase

    Life problems & inner conflicts

    Addressed during group sessions & individual


    sessions according to psychodynamic
    principles
    PARS-
    Sep
    BDI MI-AAL

    STAI-Y2 Measure BSQ

    ACQ-
    STAI-Y1
    Physical
    ACQ-
    control
    RESULT
    Conclusion
    • PD with AG and AG without PD are two different disorders
    • AG without PD patients improved less than PD with AG patients
    • Exposure is the best documented treatment for PD with AG
    Strength/surplus
    WEAKNESS ?
    • Higher frequency of • A very long-term
    avoidant personality follow-up study
    disorder among the AG
    without PD patients
    could not explain the
    poorer outcome
    • 28.3% of the included
    patients did not attend
    long-term follow-
    upgroup
    • Do not know the
    nonattendants' end
    status.

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