Effects of Cognitive Behavioral Treatment on Physical Health Status in Patients With Panic Disorder

Authors

Norman B. Schmidt, Ohio State University
Beth T. McCreary, Johns Hopkins Bloomberg School of Public Health
John J. Trakowski, Uniformed Services University of the Health Sciences
Helen T. Santiago, Uniformed Services University of the Health Sciences
Kelly Woolaway-Bickel, Ohio State University
Nicholas Ialongo, Johns Hopkins Bloomberg School of Public Health

Date of this Version

2003

Comments

Published in Behavior Therapy 34, 49-63, 2003.

Abstract

The relationship between panic disorder and nonpsychiatric medical illness is complex, but some evidence suggests that panic disorder increases risk for a variety of nonpsychiatric medical conditions. Given the demonstrated efficacy of cognitive behavioral therapy (CBT) for panic disorder, we were interested in evaluating the effects of CBT for panic disorder on nonpsychiatric medical symptoms among these patients. Patients were randomized to a 12-week group-administered CBT protocol (n = 22) or a delayedtreatment conlrol (n = 24). Treated patients showed marked improvement in both anxiety symptoms and physical health symptom ratings that were evident at midtreatment and were maintained through a 6-month follow-up period. Despite comparable rates of change, changes in anxiety symptoms did not appear to mediate the relationship between treatment and improved physical health ratings. These findings indicate that CBT appears to have an immediate and long-term beneficial impact on physical health and that this effect is independent from its impact on anxiety symptoms.