Agoraphobia With and Without Panic Disorder A 20-Year Follow-up of Integrated Exposure and Psychodynamic Therapy

作者：Hoffart Asle^*; Hedley Liv M; Svanoe Karol; Langkaas Tomas Formo; Sexton Harold

来源：Journal of Nervous and Mental Disease, 2016, 204(2): 100-107.

DOI：10.1097/NMD.0000000000000419

• Panic disorder with agoraphobia
• agoraphobia without panic disorder
• exposure
• psychodynamic therapy
• long-term follow-up

The aim of the current study was to compare the 20-year outcome in panic disorder with agoraphobia (PD with AG) and agoraphobia without panic disorder (AG without PD) patients after inpatient psychological treatment. Of 53 eligible patients having completed a medication-free integrated exposure and psychodynamic treatment, 38 (71.7%)25 PD with AG and 13 AG without PD patientsattended 20-year follow-up. AG without PD patients improved less than PD with AG patients did on primary outcome measures. In the PD with AG group, there were large uncontrolled effect sizes (<-2.30). More of the AG without PD patients had avoidant personality disorder at pretreatment, but the presence of this disorder did not predict outcome. The follow-up results support that PD with AG and AG without PD are two different disorders. The results also suggest that the very long-term outcome in PD with AG patients is excellent for this integrated treatment.

• 出版日期2016-2