Panic and generalized anxiety disorders: Nature and treatment
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Abstract
Eleven patients meeting DSM-III criteria for panic disorder and nine meeting the criteria for generalized anxiety disorder were assessed comprehensively and divided into a treatment and a wait list control group. The assessment revealed significant differences between PD and GAD patients, with PD patients showing higher somatic responding on both questionnaire and psychophysiological assessment measures. Treatment consisted of somatically oriented (EMG biofeedback and relaxation) and cognitive treatments. Five GAD and five PD patients were treated, with the remainder assigned to the wait list control group. Compared to controls, treated patients improved on not only clinical ratings of improvement, but also psychophysiological measures, daily self-monitored measures of background anxiety and panic, and questionnaire measures of anxiety. GAD and PD patients responded equally well to treatment; the wait list group did not improve. At follow-up, the treated group continued to improve.
