Interoceptive hypersensitivity as prognostic factor among patients with panic disorder who have received cognitive behavioral therapy.
The efficacy of cognitive behavioral therapy (CBT) in the acute-phase treatment of panic disorder is well established. However, there are data to show CBT may not always be able to prevent recurrence after treatment. The central cognitive component of panic disorder psychopathology is thought to be hypersensitivity to physical sensations. The present study reports that some aspects of interoceptive hypersensitivity, gastrointestinal fears in particular, were predictive of the course of panic disorder after end of CBT. Clinically it is suggested that new interoceptive tasks related to gastrointestinal fears are needed.
Ogawa
Sei
S
Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan. seiogawa1964@nifty.com
Furukawa
Toshiaki A
TA
Nakano
Yumi
Y
Funayama
Tadashi
T
Watanabe
Norio
N
Noguchi
Yuka
Y
Sasaki
Megumi
M
D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005239:Fear; D005260:Female; D006801:Humans; D008297:Male; D016584:Panic Disorder / Q000175:diagnosis* / Q000628:therapy; D011379:Prognosis; D011569:Psychiatric Status Rating Scales; D012720:Severity of Illness Index