Anxiety Mood.  2019 Apr;15(1):13-19. 10.24986/anxmod.2019.15.1.13.

Korean Guidelines for the Treatment of Panic Disorder 2018: Psychosocial Treatment Strategies

Affiliations
  • 1Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
  • 2Department of Psychiatry, CHA University School of Medicine, Seoul, Korea. freud@cha.ac.kr
  • 3Department of Psychiatry, National Rehabilitation Center, Seoul, Korea.
  • 4Department of Psychiatry, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
  • 5Department of Psychiatry, Pusan National University School of Medicine, Busan, Korea.
  • 6Department of Psychiatry, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.
  • 7Department of Psychiatry, College of Medicine, Yeungnam University, Daegu, Korea.
  • 8Department of Psychiatry, Chonbuk National University Hospital, Jeonju, Korea.
  • 9Department of Psychiatry, Yonsei University College of Medicine, Severance Hospital, Seoul, Korea.
  • 10Dr. Yu's Psychiatric Clinic, Seoul, Korea.

Abstract


OBJECTIVE
The purpose of this study was to investigate consensus relative to treatment strategies for psychosocial treatment in panic disorder, that represents one subject addressed by the Korean guidelines for treatment of panic disorder 2018.
METHODS
The executive committee developed questionnaires relative to treatment strategies for patients with panic disorder based on guidelines, algorithms, and clinical trials previously published in foreign countries and Korea. Seventy-two (61.0%) of 112 experts on a committee reviewing panic disorder responded to the questionnaires. We classified the consensus of expert opinions into three categories (first-line, second-line, and third-line treatment strategies), and identified treatment of choice using the Chi-square test and 95% confidence intervals.
RESULTS
For psychosocial treatment of panic disorder, individual and group cognitive behavior therapy (CBT) were recommended treatments of choice, and mindfulness based cognitive therapy (MBCT) was recommended as first line strategy. There was statistically significant consensus among experts regarding usefulness of each component of CBT and MBCT, for treatment of patients with panic disorder.
CONCLUSION
Results, that reflect recent studies and clinical experiences, may provide the guideline for psychosocial treatment strategies for panic disorder.

Keyword

Panic disorder; Treatment guideline; Cognitive behavior therapy; Mindfulness-based cognitive therapy; Psychosocial treatment

MeSH Terms

Cognitive Therapy
Consensus
Expert Testimony
Humans
Korea
Mindfulness
Panic Disorder*
Panic*
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