Brief treatment of emergency room patients with panic attacks
Abstract
Objective Most research on treatment for panic disorder has involved chronic forms of the illness. To determine the efficacy of early intervention, the authors examined the effects of treatment for patients with panic attacks who were seen in the emergency room, which is the first point of contact with the health delivery system for many persons with panic attacks. Method The subjects were 33 patients with panic attacks seen in two emergency rooms. The presence of panic attacks was confirmed with a modified version of the Structured Clinical Interview for DSM-III-R; approximately 40% of the patients met the DSM-III-R criteria for panic disorder with agoraphobia. The patients were randomly assigned to groups receiving reassurance (N = 16) or exposure instruction (N = 17). Scores on the Fear Questionnaire agoraphobia subscale, Mobility Inventory, and Beck Depression Inventory and the frequency of panic attacks were determined at baseline, 3 months, and 6 months. Results The subjects who received exposure instruction significantly improved over the 6-month period on depression, avoidance, and panic frequency. The reassurance subjects did not improve on any measure and eventually reported more agoraphobic avoidance. Conclusions These results suggest that early intervention with exposure instruction may reduce the long-term consequences of panic attacks. The exposure instruction was of value even though the subjects had relatively low levels of avoidance at the outset of the study…
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Subthreshold or mild panic disorder affects a sizeable population segment.
“Early intervention in subthreshold or mild panic disorder is of public interest because it affects a sizeable population segment, 1,2”
From Early intervention in panic: Pragmatic randomised controlled trial (2010) · cites this paper as [2]
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“For the indicated preventions, Gardenswartz and Craske (2001) and Smit et al. (2009) offered CBT workshops to people with panic attacks or mild PD symptomatology, whereas Swinson et al. (1992) offered psychoeducation to people who presented to the emergency room with panic attacks.”
McGuire, S., Safi, M. H., & Daniels, J. (2022) · Cognitive Behaviour Therapy · doi:10.1017/s1754470x22000472
“Swinson et al. (1992) Unclear Unclear High Unclear Unclear Low Low High”
BackgroundPanic Disorders: The Practitioner's Bole
Mars, R. C. D. (1996) · Journal of Applied Rehabilitation Counseling · doi:10.1891/0047-2220.27.4.11
Acta Psychiatrica Scandinavica: Bibliography
(1993) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1993.tb06506.x
Behavioral-Cognitive Management of Panic Disorder, An Update
Rangaswamy, K. (1992) · doi:10.1177/0975156419920211
- Authors
- Swinson, R. P., Soulios, C., Cox, B. J., & Kuch, K.
- ORCID
- Brian J. Cox
- Venue
- American Journal of Psychiatry
- Published
- 1992-07-01
- Volume
- 149
- Issue
- 7
- Pages
- 944-946
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2419026468
- Cited by
- 98
- References
- 0
- Citations by year
- 2026: 2 · 2024: 2 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 3 · 2017: 3 · 2016: 2 · 2015: 3 · 2014: 2 · 2013: 6 · 2012: 4
- FWCI
- 3.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- panic attacks, panic disorder, agoraphobia, emergency department patients, brief psychotherapy, reassurance, early intervention, agoraphobic avoidance, depression
- MeSH terms
- Adult, Agoraphobia, Desensitization, Psychologic, Emergency Service, Hospital, Female, Follow-Up Studies, Humans, Male, Middle Aged, Personality Inventory, Psychiatric Status Rating Scales, Panic Disorder
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