Symptom trajectories in patients with panic disorder in a primary care intervention: Results from a randomized controlled trial (PARADISE)
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Symptom trajectories in patients with panic disorder in a primary care intervention: Results from a randomized controlled trial (PARADISE). / Lukaschek, Karoline; Hiller, Thomas S; Schumacher, Ulrike; Teismann, Tobias; Breitbart, Jörg; Brettschneider, Christian; König, Hans-Helmut; Margraf, Jürgen; Gensichen, Jochen.
in: SCI REP-UK, Jahrgang 9, Nr. 1, 09.05.2019, S. 7170.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Symptom trajectories in patients with panic disorder in a primary care intervention: Results from a randomized controlled trial (PARADISE)
AU - Lukaschek, Karoline
AU - Hiller, Thomas S
AU - Schumacher, Ulrike
AU - Teismann, Tobias
AU - Breitbart, Jörg
AU - Brettschneider, Christian
AU - König, Hans-Helmut
AU - Margraf, Jürgen
AU - Gensichen, Jochen
PY - 2019/5/9
Y1 - 2019/5/9
N2 - This analysis aims to identify and characterize symptom trajectories in primary care patients with panic disorder with/without agoraphobia (PD/AG) who participated in a primary care team based training involving elements of cognitive behavioural therapy (CBT). Growth Mixture Modeling was used to identify different latent classes of change in patients with PD/AG (N = 176) who underwent treatment including CBT elements. We identified three patient classes with distinct similar trajectories. Class 1 (n = 58, mean age: 46.2 years ± 13.4 years, 81% women) consisted of patients with an initially high symptom burden, but symptoms declined constantly over the intervention period. Symptoms of patients in class 2 (n = 89, mean age: 44.2 years ± 14.5 years, 67.4% women) declined rapidly at the beginning, then patients went into a plateau-phase. The third class (n = 29, mean age: 47.0 years ± 12.4 years, 65.5% women) was characterized by an unstable course and had the worse outcome. Our findings show that only a minority did not respond to the treatment. To identify this minority and refer to a specialist would help patients to get intensive care in time.
AB - This analysis aims to identify and characterize symptom trajectories in primary care patients with panic disorder with/without agoraphobia (PD/AG) who participated in a primary care team based training involving elements of cognitive behavioural therapy (CBT). Growth Mixture Modeling was used to identify different latent classes of change in patients with PD/AG (N = 176) who underwent treatment including CBT elements. We identified three patient classes with distinct similar trajectories. Class 1 (n = 58, mean age: 46.2 years ± 13.4 years, 81% women) consisted of patients with an initially high symptom burden, but symptoms declined constantly over the intervention period. Symptoms of patients in class 2 (n = 89, mean age: 44.2 years ± 14.5 years, 67.4% women) declined rapidly at the beginning, then patients went into a plateau-phase. The third class (n = 29, mean age: 47.0 years ± 12.4 years, 65.5% women) was characterized by an unstable course and had the worse outcome. Our findings show that only a minority did not respond to the treatment. To identify this minority and refer to a specialist would help patients to get intensive care in time.
KW - Journal Article
U2 - 10.1038/s41598-019-43487-x
DO - 10.1038/s41598-019-43487-x
M3 - SCORING: Journal article
C2 - 31073189
VL - 9
SP - 7170
JO - SCI REP-UK
JF - SCI REP-UK
SN - 2045-2322
IS - 1
ER -