• 대한불안의학회지
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• 제12권1호
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• pp.47-55
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• 2016

30% of patients with panic disorder (PD) show treatment-resistant and chronic waxing and waning course. Therefore, adequate treatment strategies for PD by evidence based pharmacotherapy and combined cognitive behavioral therapy (CBT) are recommended. Regarding how and why CBT for PD works, three hypotheses include the cognitive theory, anxiety control theory, and behavioral theory were discussed. The recent findings that the altered activation in frontal lobe is normalized after CBT, suggest a reduction of an altered top-down fear processing in the neural correlates of CBT in PD. In order to improve accessibility to CBT, brief CBT and internet based CBT for PD were suggested. Despite limitations of sample sizes and study design, most of studies suggest that brief CBT is more effective than control conditions, and even as equally effective as standard CBT. The evidences suggest that internet based CBT may not be significantly different from face-to-face CBT in reducing anxiety. Several advances within the field of third-wave CBT for PD have led to the development of new techniques based on mindfulness, such as mindfulness-based cognitive therapy and acceptance and commitment therapy. Based on Korean algorithm project for panic disorder, especially the psychological education and cognitive reconstruction components were recommended in CBT with PD.

• 대한불안의학회지
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• 제20권2호
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• pp.65-71
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• 2024

Objective : This study aimed to establish a consensus on treatment strategies for psychological therapy in generalized anxiety disorder (GAD) as outlined in the 2024 Korean guidelines for treating GAD. Methods : The executive committee developed questionnaires on treatment strategies for patients with GAD based on previous treatment guidelines and academic articles published internationally and in Korea. Sixty-two experts responded to questionnaires developed. The consensus of expert opinions was classified into three categories (first-line, second-line, and third-line choices) using chi-square test and 95% confidence intervals. Results : Findings of this study suggest that individual cognitive behavioral therapy (CBT), group CBT, mindfulness-based cognitive therapy (MBCT), acceptance and commitment therapy (ACT), and applied relaxation are appropriate psychotherapies for GAD. Additionally, it is recommended to initiate CBT early when treating GAD, with eight treatment sessions being the most preferred for both individual and group CBT. Conclusion : This expert consensus survey reflected clinical experiences of Korean practitioners. Results of this study provide valuable insights for Korean clinicians when implementing psychotherapy for GAD.