Cognitive-behavioral treatment combined with asthma education for adults with asthma and coexisting panic disorder
Abstract
This study tested the efficacy of a nurse-administered 8-week group treatment program for adults with asthma suffering from coexisting panic disorder. The program consisted of cognitive behavioral treatment (CBT) for panic disorder combined with asthma education (AE). Forty-eight women with a confirmed diagnosis of asthma and panic disorder were randomly allocated to a treatment condition (n=25) and a wait-list control condition (n=23). Twenty-five participants--15 in the treatment group and 10 in the wait-list control group--completed treatment. Repeated measures ANOVA procedures were used to compare the groups on panic and asthma outcomes at posttreatment and 6-month follow-up. The results demonstrate that the CBT-AE program is capable of producing substantial and durable antipanic and antianxiety treatment effects and led to substantial but nonsustained improvement in morning peak-flow expiratory rate and asthma-related quality of life. Implications of these findings for this clinical population are addressed.
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Most trials of CBT for asthma and anxiety have specifically studied asthma patients with a comorbid panic disorder using an established panic disorder protocol.
“Most trials have specifically studied asthma patients with a comorbid panic disorder (Feldman et al., 2016; Lehrer et al., 2008; Parry et al., 2012; Ross et al., 2005) using an established panic disorder protocol (Barlow & Barlow and Craske, 2000).”
From Targeting excessive avoidance behavior to reduce anxiety related to asthma: A feasibility study of an exposure-based treatment delivered online (2021) · cites this paper as Ross et al., 2005
Some success on panic disorder symptoms and medical adherence was observed in modified panic disorder protocols for asthma.
“Some success on panic disorder symptoms (Ross et al., 2005) and medical adherence (Feldman et al., 2016) was observed.”
From Targeting excessive avoidance behavior to reduce anxiety related to asthma: A feasibility study of an exposure-based treatment delivered online (2021) · cites this paper as Ross et al., 2005
The CBT investigated have mainly targeted panic disorder and do not address the broader range of increased anxiety related to asthma.
“Furthermore, the CBT investigated have mainly targeted panic disorder and does not address the broader range of increased anxiety related to asthma (Feldman, Matte, Interian et al., 2016;Lehrer, Karavidas, Lu et al., 2008;Ross, Davis & Macdonald, 2005), which has been suggested to be important (Thoren & Petermann, 2000).”
From Exposure‐based cognitive behavior therapy for anxiety related to asthma: A feasibility study with multivariate baseline design. (2020) · cites this paper as Ross, Davis & Macdonald, 2005
Ross et al. (2005) saw a reduction in panic anxiety that remained stable at follow up after treating comorbid asthma and panic disorder.
“Ross et al. (2005) saw a reduction in panic anxiety that remained stable at follow up after treating comorbid asthma and panic disorder.”
From Exposure‐based cognitive behavior therapy for anxiety related to asthma: A feasibility study with multivariate baseline design. (2020) · cites this paper as Ross et al. (2005)
Our results are consistent with previous studies on CBT for anxiety-related asthma.
“Our results are consistent with previous studies on CBT for anxiety-related asthma.”
From Exposure‐based cognitive behavior therapy for anxiety related to asthma: A feasibility study with multivariate baseline design. (2020) · cites this paper as Ross et al. (2005)
Previous studies evaluating the effectiveness of individual CBT in the general asthma population have found the AQLQ to be sensitive to change.
“Previous studies evaluating the effectiveness of individual CBT in the general asthma population have found the AQLQ [10,11, 33, 34] to be sensitive to change.”
From A randomised controlled feasibility trial of Group Cognitive Behavioural Therapy for people with severe asthma (2017) · cites this paper as [34]
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- Authors
- Ross, C. J. M., Davis, T. M. A., & Macdonald, G. F.
- Affiliations
- University of Alberta (CA)
- Venue
- Clinical Nursing Research
- Publisher
- SAGE Publications
- Published
- 2005-05
- Volume
- 14
- Issue
- 2
- Pages
- 131-157
- ISSN
- 1054-7738 (ISSN-L)
- 1552-3799
- OpenAlex
- W2057496909
- Cited by
- 59
- References
- 60
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 1 · 2018: 2 · 2017: 4 · 2016: 5 · 2015: 5 · 2014: 2 · 2013: 2 · 2012: 4
- FWCI
- 4.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Nursing Research (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- asthma, panic disorder, cognitive behavioral therapy, asthma education, anxiety comorbidity, peak expiratory flow, asthma quality of life, women
- MeSH terms
- Adolescent, Adult, Asthma, Combined Modality Therapy, Female, Humans, Middle Aged, Patient Education as Topic, Cognitive Behavioral Therapy, Panic Disorder
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