The effects of comorbid personality disorders on cognitive behavioral treatment for panic disorder

被引：32

作者：

Telch, Michael J. ^{[1
]}

Kamphuis, Jan H. ^{[2
]}

Schmidt, Norman B. ^{[3
]}

机构：

[1] Univ Texas Austin, Dept Psychol, Lab Study Anxiety Disorders, Austin, TX 78712 USA

[2] Univ Amsterdam, Dept Clin Psychol, NL-1018 WB Amsterdam, Netherlands

[3] Florida State Univ, Dept Psychol, Tallahassee, FL 32306 USA

来源：

JOURNAL OF PSYCHIATRIC RESEARCH | 2011年 / 45卷 / 04期

关键词：

Panic disorder; Cognitive-behavioral treatment; Personality disorders; Predictors of treatment outcome; THERAPY; ANXIETY; PSYCHOTHERAPY; PREDICTORS; IMPACT; IMIPRAMINE; DEPRESSION; QUALITY;

D O I：

10.1016/j.jpsychires.2010.08.008

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

The present study investigated the influence of personality pathology assessed both dimensionally and categorically on acute clinical response to group cognitive-behavioral treatment in a large sample of panic disorder patients (N = 173) meeting DSMIII-R criteria for panic disorder with or without agoraphobia. Nearly one-third of the sample met for one or more personality disorders, with the majority meeting for a Cluster C diagnosis. Patients with one or more comorbid personality disorders displayed higher baseline and higher post treatment scores across multiple indices of panic disorder severity compared to those without personality disorders. After controlling for panic disorder severity at baseline, the presence of both Cluster C and Cluster A Pets-Os predicted a poorer outcome, whereas when assessed dimensionally, only Cluster C symptoms predicted a poorer treatment response. However, the influence of personality pathology was modest relative to that of baseline panic disorder severity. (C) 2011 Published by Elsevier Ltd.

引用

页码：469 / 474

页数：6

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