Author:
Nagata Shinobu,Seki Yoichi,Shibuya Takayuki,Yokoo Mizue,Murata Tomokazu,Hiramatsu Yoichi,Yamada Fuminori,Ibuki Hanae,Minamitani Noriko,Yoshinaga Naoki,Kusunoki Muga,Inada Yasushi,Kawasoe Nobuko,Adachi Soichiro,Oshiro Keiko,Matsuzawa Daisuke,Hirano Yoshiyuki,Yoshimura Kensuke,Nakazato Michiko,Iyo Masaomi,Nakagawa Akiko,Shimizu Eiji
Abstract
Abstract
Objective
Mental defeat and cognitive flexibility have been studied as explanatory factors for depression and posttraumatic stress disorder. This study examined mental defeat and cognitive flexibility scores in patients with panic disorder (PD) before and after cognitive behavioral therapy (CBT), and compared them to those of a gender- and age-matched healthy control group.
Results
Patients with PD (n = 15) received 16 weekly individual CBT sessions, and the control group (n = 35) received no treatment. Patients completed the Mental Defeat Scale and the Cognitive Flexibility Scale before the intervention, following eight CBT sessions, and following 16 CBT sessions, while the control group did so only prior to receiving CBT (baseline). The patients’ pre-CBT Mental Defeat and Cognitive Flexibility Scale scores were significantly higher on the Mental Defeat Scale and lower on the Cognitive Flexibility Scale than those of the control group participants were. In addition, the average Mental Defeat Scale scores of the patients decreased significantly, from 22.2 to 12.4, while their average Cognitive Flexibility Scale scores increased significantly, from 42.8 to 49.5. These results suggest that CBT can reduce mental defeat and increase cognitive flexibility in patients with PD
Trial registration The study was registered retrospectively in the national UMIN Clinical Trials Registry on June 10, 2016 (registration ID: UMIN000022693).
Publisher
Springer Science and Business Media LLC
Subject
General Biochemistry, Genetics and Molecular Biology,General Medicine
Reference47 articles.
1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5). 5th ed. Washington DC: American Psychiatric Association; 2013.
2. Ayusuo-Mateos JL. Global burden of panic disorder in the year 2000. Geneva: World Health Organization; 2000.
3. Naganuma Y, Tachimori H, Kawakami N, Takeshima T, Ono Y, Uda H, et al. Twelve-month use of mental health services in four areas in Japan: findings from the World Mental Health Japan Survey 2002–2003. Psychiatry Clin Neurosci. 2006;60:240–8.
4. Ministry of Health, Labor and Welfare. Panic Disorder/Anxiety Disorder. 2016. http://www.mhlw.go.jp/kokoro/speciality/detail_panic.html. Accessed 12 Nov 2016.
5. Kohn R, Saxena S, Levav I, Saraceno B. The treatment gap in mental health care. Bull World Health Organ. 2004;82(11):858–66.
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