Psychological treatment of comorbid asthma and panic disorder: A pilot study
Section snippets
Methods
The study was approved by the Institutional Review Board of UMDNJ-Robert Wood Johnson Medical School. In both protocols, each session lasted approximately 60-min.
Results
In the 14-session protocol, of the 54 participants who met criteria for PD in the initial screening session and appeared to have a positive history of asthma (prior to the pulmonologist visit), 31 (57%) said that they were not interested in treatment or did not return telephone calls. Thirteen did not meet either DSM-IV criteria for panic disorder or pulmonologist screening criteria for asthma. Of ten participants who began, only five (50%) completed all 14 sessions. These subjects also
Discussion
The effects of both protocols were large and clinically meaningful. Panic symptomatology, as reflected in PDSS scores, dropped by more than 50% and remained low during the follow-up period. Asthma symptoms also decreased during treatment, along with decreases in albuterol use in the 14-session protocol, consistent with better and more appropriate asthma control (National Heart Lung and Blood Institute, 1997, National Heart Lung and Blood Institute, 2002). This decrease did not compromise
Acknowledgements
This work was supported by Grant #R21MH58196 from the National Institute for Mental Health. The authors are indebted to Anthony Scardella, M.D., Mahmood Siddique, M.D., and Stuart Hockron, M.D., for evaluation of asthma, and to Jim Lewellis for help in developing the treatment manual.
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