Therapy-refractory panic: current research areas as possible perspectives in the treatment of anxiety

被引:13
作者
Diemer, J. [1 ]
Vennewald, N. [1 ]
Domschke, K. [1 ]
Zwanzger, P. [1 ]
机构
[1] Univ Munster, Mood & Anxiety Res Unit, Dept Psychiat, D-48149 Munster, Germany
关键词
Agoraphobia; Cognitive-behavioural therapy; Combined treatment; Pharmacological treatment; Transcranial magnetic stimulation; Virtual reality; TRANSCRANIAL MAGNETIC STIMULATION; COGNITIVE-BEHAVIORAL THERAPY; VIRTUAL-REALITY; SELECTIVE ATTENTION; FOLLOW-UP; DISORDER; FEAR; AGORAPHOBIA; AMYGDALA; RTMS;
D O I
10.1007/s00406-010-0143-9
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Panic disorder (PD) is characterized by recurrent panic attacks that are defined as distinct episodes of intense fear, accompanied by symptoms related to physical arousal. Because most patients interpret these symptoms as signs of serious somatic disease (e.g., a heart attack), utilization of healthcare services is high in PD sufferers. PD can become debilitating, interfering significantly with patients' lives. Fortunately, effective treatments are available, but a considerable proportion of patients do not respond sufficiently. The aim of this paper is to outline some promising research strategies aimed at improving established treatments.
引用
收藏
页码:S127 / S131
页数:5
相关论文
共 54 条
[31]  
Kapfhammer HP, 2008, NEUROPSYCHIATRIE, V22, P51
[32]  
Karasu T.B., 2000, PRACTICE GUIDELINE T
[33]  
Katon W, 1996, J CLIN PSYCHIAT, V57, P11
[34]   The epidemiology of panic attacks, panic disorder, and agoraphobia in the National Comorbidity Survey Replication [J].
Kessler, RC ;
Chiu, WT ;
Jin, R ;
Ruscio, AM ;
Shear, K ;
Walters, EE .
ARCHIVES OF GENERAL PSYCHIATRY, 2006, 63 (04) :415-424
[35]  
LEDOUX JE, 1990, J NEUROSCI, V10, P1062
[36]   Repetitive Transcranial Magnetic Stimulation (rTMS) in the treatment of Panic Disorder (PD) with comorbid major depression [J].
Mantovani, Antonio ;
Lisanby, Sarah H. ;
Pieraccini, Fulvio ;
Ulivelli, Monica ;
Castrogiovanni, Paolo ;
Rossi, Simone .
JOURNAL OF AFFECTIVE DISORDERS, 2007, 102 (1-3) :277-280
[37]   TREATMENT OF PANIC AND AGORAPHOBIA - AN INTEGRATIVE REVIEW [J].
MATTICK, RP ;
ANDREWS, G ;
HADZIPAVLOVIC, D ;
CHRISTENSEN, H .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1990, 178 (09) :567-576
[38]  
McIntosh A., 2004, CLIN GUIDELINES EVID
[39]   One-session virtual reality exposure treatment for fear of flying:: 1-year follow-up and graduation flight accompaniment effects [J].
Mühlberger, A ;
Weik, A ;
Pauli, P ;
Wiedemann, G .
PSYCHOTHERAPY RESEARCH, 2006, 16 (01) :26-40
[40]   The cognitive control of emotion [J].
Ochsner, KN ;
Gross, JJ .
TRENDS IN COGNITIVE SCIENCES, 2005, 9 (05) :242-249