Cognitive behavioral treatment of panic disorder in elderly adults: Two case studies.

摘要: Cognitive behavioral treatment (CBT) has been repeatedly proven efficacious in the of panic disorder (PD); however, information about efficacy this with geriatric patients is lacking. The current paper outlines course and outcome for two elderly PD receiving CBT. J.B. was a 70-year-old White male 51-year history PD; A.B. 69-year-old female 25-year PD. Diagnoses were made on basis Structured Clinical Interview DSM-III-R patient version (SCID-P). Both subjects received manual-driven Four primary components consisted psychoeducation, cognitive restructuring, breathing retraining, systematic exposure. Subjects completed symptom measures before after at follow-up evaluation. Results support both patients, as attacks, fear avoidance, general symptomatology substantially reduced post- assessments. are discussed terms utility CBT nuances treating procedure. without agoraphobia (PD) (e.g., Barlow, Craske, Cerny, & Klosko, 1989). However, While there no reports prevalence based DSM-IV criteria, anxiety symptoms appear to be highly prevalent among older community adults. One study found that 17% men, 21.5% women had severe enough warrant (Himmelfarb Murrell, 1986). Further, Epidemiological Catchment Area revealed phobia most common over age 65, second men 65 (Myers et al., 1984). In mental health care settings, adults appears quite prominent Lindesay, Briggs, Murphy, 1989; Luchins Rose, 1989), one from large service reporting rate 9.4% (Raj, Corvea, Dagon, 1993). addition, disproportionate rates benzodiazepine use have reported, studies revealing between 50% settings (Salzman, 1991). Although recent work documented positive response particular phobias, obsessive-compulsive checking, (GAD) worries), these generally types: (1) case applying isolated techniques, e.g., progressive muscle relaxation, vivo exposure) anxious nonpanic disorders, or (2) controlled focused nonanxiety targets headaches, depression) which improve serendipitously (cf. Hersen Van Hasselt, 1992; McCarthy, Katz, Foa, 1990). To date, specifically address patients. fact, exclude an unfortunate omission, given growing proportion country. Given many risks pharmacotherapy elderly, it particularly important identify effective psychotherapies group paper, we present planned studies, outlining treatment, pre-, post-, data CBT, discuss issues arose using standardized our research area still its nascent stages, such approach especially useful generating hypotheses subsequent (Hersen, METHOD Two meeting criteria participated study: J. …