Effect of the Short-Term Treatment of Paroxetine on Psychological States in Panic Disorder

Lee, So Young; Kim, Ji Hae; Kim, Youl Ri; Kang, Eun Ho; Lee, Dong Soo; Yu, Bum Hee

Abstract

OBJECTIVES
This study was designed to evaluate clinical effect of paroxetine treatment and to explore psychological predictors of treatment response.
METHODS
Patients (n=26) who met DSM-IV criteria for panic disorder with or without agoraphobia were treated by paroxetine for 12 weeks. We assessed symptom improvement using Clinical Global Impression (CGI), and clinical characteristics using Anxiety Sensitivity Index (ASI), Anxious Thoughts and Tendencies (AT & T), Agoraphobic Cognition Questionnaire (ACQ), Body Sensation Questionnaire (BSQ), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI). T-test, correlation analysis, and stepwise multiple regression analysis were performed.
RESULTS
Panic patients showed significant improvement in severity of illness and each clinical characteristic after 12 weeks of paroxetine treatment. There were significant correlations among severity of illness, anxiety, and depression, and subjective severity was related with catastrophic thoughts. The more catastrophic thoughts and the higher sensitivity of body sensation, Patients had the worse symptom improvement they shorved. Multiple regression analysis showed that catastrophic thought related to agoraphobia was the best predictor of symptom improvement (22%).
CONCLUSION
This study suggests that short-term treatment of paroxetine is effective in panic disorder with or without agoraphobia, and that catastrophic thought could be a predictor of poor treatment response. Thus cognitive intervention on catastrohic thoughts may play an important role in symptom improvement in panic disorder.