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Comparing Two Brief Psychological Interventions to Usual Care in Panic Disorder Patients Presenting to the Emergency Department with Chest Pain

Published online by Cambridge University Press:  20 September 2011

Marie-Josée Lessard ,
André Marchand ,
Marie-Ève Pelland ,
Geneviève Belleville ,
Alain Vadeboncoeur ,
Jean-Marc Chauny ,
Julien Poitras ,
Gilles Dupuis ,
Richard Fleet  and
Guillaume Foldes-Busque
...Show all authors
Marie-Josée Lessard
Affiliation:
University of Quebec at Montreal, Canada
André Marchand*
Affiliation:
University of Quebec at Montreal, Canada
Marie-Ève Pelland
Affiliation:
University of Quebec at Montreal, Canada
Geneviève Belleville
Affiliation:
University of Quebec at Montreal, Canada
Alain Vadeboncoeur
Affiliation:
Montreal Heart Institute, Canada
Jean-Marc Chauny
Affiliation:
Sacré-Coeur Hospital, Montreal, Canada
Julien Poitras
Affiliation:
Hôtel-Dieu de Lévis Hospital, Quebec, Canada
Gilles Dupuis
Affiliation:
University of Quebec at Montreal, Canada
Richard Fleet
Affiliation:
Hôtel-Dieu de Lévis Hospital, Quebec, Canada
Guillaume Foldes-Busque
Affiliation:
Hôtel-Dieu de Lévis Hospital, Quebec, Canada
Kim L. Lavoie
Affiliation:
University of Quebec at Montreal, Montreal Heart Institute and Sacré-Coeur Hospital, Montreal, Canada
*
Reprint requests to André Marchand, Department of Psychology, University of Quebec at Montreal, Quebec, CanadaH3C 3P8. E-mail: marchand.andre@uqam.ca
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Abstract

Background: Panic disorder (PD) is a common, often unrecognized condition among patients presenting with chest pain to the emergency departments (ED). Nevertheless, psychological treatment is rarely initiated. We are unaware of studies that evaluated the efficacy of brief cognitive-behavioural therapy (CBT) for this population. Aim: Evaluate the efficacy of two brief CBT interventions in PD patients presenting to the ED with chest pain. Method: Fifty-eight PD patients were assigned to either a 1-session CBT-based panic management intervention (PMI) (n = 24), a 7-session CBT intervention (n = 19), or a usual-care control condition (n = 15). A structured diagnostic interview and self-reported questionnaires were administered at pre-test, post-test, 3- and 6-month follow-ups. Results: Statistical analysis showed significant reduction in PD severity following both interventions compared to usual care control condition, but with neither showing superiority compared to the other. Conclusions: CBT-based interventions as brief as a single session initiated within 2 weeks after an ED visit for chest pain appear to be effective for PD. Given the high prevalence of PD in emergency care settings, greater efforts should be made to implement these interventions in the ED and/or primary care setting.

Keywords

Panic disordercognitive behavioural therapybrief CBTchest painemergency departmentefficacy
Type
Empirically Grounded Clinical Interventions
Information
Behavioural and Cognitive Psychotherapy , Volume 40 , Issue 2 , March 2012 , pp. 129 - 147
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2011

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