Sei Ogawa, Masaki Kondo, Keiko Ino, Risa Imai, Toshitaka Ii, Toshi A Furukawa, Tatsuo Akechi
{"title":"认知行为治疗后惊恐障碍患者精神病理广义维度的预测因素。","authors":"Sei Ogawa, Masaki Kondo, Keiko Ino, Risa Imai, Toshitaka Ii, Toshi A Furukawa, Tatsuo Akechi","doi":"10.1155/2018/5183834","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Many patients with panic disorder meet criteria for at least one other diagnosis, most commonly other anxiety or mood disorders. Cognitive-behavioral therapy is the best empirically supported psychotherapy for panic disorder. There is now evidence indicating that cognitive-behavioral therapy for panic disorder yields positive benefits upon comorbid disorders.</p><p><strong>Objectives: </strong>The present study aimed to examine the predictors of broad dimensions of psychopathology in panic disorder after cognitive-behavioral therapy.</p><p><strong>Methods: </strong>Two hundred patients affected by panic disorder were treated with manualized group cognitive-behavioral therapy. We examined if the baseline personality dimensions of NEO Five Factor Index predicted the subscales of Symptom Checklist-90 Revised at endpoint using multiple regression analysis based on the intention-to-treat principle.</p><p><strong>Results: </strong>Conscientiousness score of NEO Five Factor Index at baseline was a predictor of four Symptom Checklist-90 Revised subscales including obsessive-compulsive (<i>β</i> = -0.15, <i>P</i> < 0.01), depression (<i>β</i> = -0.13, <i>P</i> < 0.05), phobic anxiety (<i>β</i> = -0.15, <i>P</i> < 0.05), and Global Severity Index (<i>β</i> = -0.13, <i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Conscientiousness at baseline may predict several dimensions of psychopathology in patients with panic disorder after cognitive-behavioral therapy. For the purpose of improving a wide range of psychiatric symptoms with patients affected by panic disorder, it may be useful to pay more attention to this personal trait at baseline.</p>","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2018-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/5183834","citationCount":"2","resultStr":"{\"title\":\"Predictors of Broad Dimensions of Psychopathology among Patients with Panic Disorder after Cognitive-Behavioral Therapy.\",\"authors\":\"Sei Ogawa, Masaki Kondo, Keiko Ino, Risa Imai, Toshitaka Ii, Toshi A Furukawa, Tatsuo Akechi\",\"doi\":\"10.1155/2018/5183834\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Many patients with panic disorder meet criteria for at least one other diagnosis, most commonly other anxiety or mood disorders. Cognitive-behavioral therapy is the best empirically supported psychotherapy for panic disorder. There is now evidence indicating that cognitive-behavioral therapy for panic disorder yields positive benefits upon comorbid disorders.</p><p><strong>Objectives: </strong>The present study aimed to examine the predictors of broad dimensions of psychopathology in panic disorder after cognitive-behavioral therapy.</p><p><strong>Methods: </strong>Two hundred patients affected by panic disorder were treated with manualized group cognitive-behavioral therapy. We examined if the baseline personality dimensions of NEO Five Factor Index predicted the subscales of Symptom Checklist-90 Revised at endpoint using multiple regression analysis based on the intention-to-treat principle.</p><p><strong>Results: </strong>Conscientiousness score of NEO Five Factor Index at baseline was a predictor of four Symptom Checklist-90 Revised subscales including obsessive-compulsive (<i>β</i> = -0.15, <i>P</i> < 0.01), depression (<i>β</i> = -0.13, <i>P</i> < 0.05), phobic anxiety (<i>β</i> = -0.15, <i>P</i> < 0.05), and Global Severity Index (<i>β</i> = -0.13, <i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Conscientiousness at baseline may predict several dimensions of psychopathology in patients with panic disorder after cognitive-behavioral therapy. For the purpose of improving a wide range of psychiatric symptoms with patients affected by panic disorder, it may be useful to pay more attention to this personal trait at baseline.</p>\",\"PeriodicalId\":30537,\"journal\":{\"name\":\"Psychiatry Journal\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2018-03-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1155/2018/5183834\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychiatry Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1155/2018/5183834\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2018/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychiatry Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/2018/5183834","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2018/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2
摘要
背景:许多惊恐障碍患者至少符合一种其他诊断标准,最常见的是其他焦虑或情绪障碍。认知行为疗法是经验支持的治疗恐慌症的最佳疗法。现在有证据表明,对惊恐障碍的认知行为疗法对共病障碍有积极的益处。目的:本研究旨在探讨认知行为治疗后惊恐障碍患者精神病理各维度的预测因素。方法:对200例惊恐障碍患者进行分组认知行为治疗。采用基于意向治疗原则的多元回归分析,检验了NEO五因素指数的基线人格维度是否预测了症状检查表-90修订版在终点的分量表。结果:NEO五因子指数尽责性评分可预测强迫症(β = -0.15, P < 0.01)、抑郁(β = -0.13, P < 0.05)、恐惧焦虑(β = -0.15, P < 0.05)和整体严重程度指数(β = -0.13, P < 0.05)四个症状量表。结论:认知行为治疗后惊恐障碍患者的责任心可以预测其心理病理的多个维度。为了改善惊恐障碍患者的广泛精神症状,在基线时更多地关注这一个人特征可能是有用的。
Predictors of Broad Dimensions of Psychopathology among Patients with Panic Disorder after Cognitive-Behavioral Therapy.
Background: Many patients with panic disorder meet criteria for at least one other diagnosis, most commonly other anxiety or mood disorders. Cognitive-behavioral therapy is the best empirically supported psychotherapy for panic disorder. There is now evidence indicating that cognitive-behavioral therapy for panic disorder yields positive benefits upon comorbid disorders.
Objectives: The present study aimed to examine the predictors of broad dimensions of psychopathology in panic disorder after cognitive-behavioral therapy.
Methods: Two hundred patients affected by panic disorder were treated with manualized group cognitive-behavioral therapy. We examined if the baseline personality dimensions of NEO Five Factor Index predicted the subscales of Symptom Checklist-90 Revised at endpoint using multiple regression analysis based on the intention-to-treat principle.
Results: Conscientiousness score of NEO Five Factor Index at baseline was a predictor of four Symptom Checklist-90 Revised subscales including obsessive-compulsive (β = -0.15, P < 0.01), depression (β = -0.13, P < 0.05), phobic anxiety (β = -0.15, P < 0.05), and Global Severity Index (β = -0.13, P < 0.05).
Conclusion: Conscientiousness at baseline may predict several dimensions of psychopathology in patients with panic disorder after cognitive-behavioral therapy. For the purpose of improving a wide range of psychiatric symptoms with patients affected by panic disorder, it may be useful to pay more attention to this personal trait at baseline.