Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
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Korean Guidelines for the Treatment of Panic Disorder 2018 : Psychosocial Treatment Strategies

2018 한국형 공황장애 치료지침서 : 정신사회적 치료전략

  • Gim, Minsook (Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Kim, Min-Kyoung (Department of Psychiatry, CHA University School of Medicine) ;
  • Lee, Jae-Hon (Department of Psychiatry, National Rehabilitation Center) ;
  • Kim, Won (Department of Psychiatry, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Moon, Eunsoo (Department of Psychiatry, Pusan National University School of Medicine) ;
  • Seo, Ho-Jun (Department of Psychiatry, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Koo, Bon-Hoon (Department of Psychiatry, College of Medicine, Yeungnam University) ;
  • Yang, Jong-Chul (Department of Psychiatry, Chonbuk National University Hospital) ;
  • Lee, Kang Soo (Department of Psychiatry, CHA University School of Medicine) ;
  • Lee, Sang-Hyuk (Department of Psychiatry, CHA University School of Medicine) ;
  • Kim, Chan-Hyung (Department of Psychiatry, Yonsei University College of Medicine, Severance Hospital) ;
  • Yu, Bum-Hee (Dr. Yu's Psychiatric Clinic) ;
  • Suh, Ho-Suk (Department of Psychiatry, CHA University School of Medicine)
  • 김민숙 (인제대학교 의과대학 상계백병원 정신건강의학교실) ;
  • 김민경 (차의과학대학교 정신건강의학교실) ;
  • 이재헌 (국립재활병원 정신건강의학과) ;
  • 김원 (인제대학교 의과대학 서울백병원 정신건강의학교실) ;
  • 문은수 (부산대학교 의과대학 정신건강의학교실) ;
  • 서호준 (가톨릭대학교 의과대학 성빈센트병원 정신건강의학교실) ;
  • 구본훈 (영남대학교 의과대학 정신건강의학교실) ;
  • 양종철 (전북대학교병원 정신건강의학교실) ;
  • 이강수 (차의과학대학교 정신건강의학교실) ;
  • 이상혁 (차의과학대학교 정신건강의학교실) ;
  • 김찬형 (연세대학교 의과대학 정신건강의학교실) ;
  • 유범희 (유범희정신건강의학과의원) ;
  • 서호석 (차의과학대학교 정신건강의학교실)
  • Received : 2018.09.21
  • Accepted : 2018.12.26
  • Published : 2019.04.30
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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.

Keywords

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