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Evidence-based Treatment of Panic Disorder

Abstract

Panic disorder is an anxiety disorder characterized by the presence of autonomic arousal symptoms in unexpected situations (panic attacks), which are accompanied by anticipatory anxiety regarding possible future attacks. Its prevalence rate is reported to be 1–4% worldwide and it ranks 11th among all diseases in terms of years lived with disability. Numerous studies have been conducted in the past 30 years and empirically validated cognitive behavior therapy for panic disorder has been developed based on the results of such studies. To this end, this review will focus on providing a brief clinical description and etiology of panic disorder, followed by an overview of the specific nature of evidence-based treatment for panic disorder. What are the core components of evidence-based treatment for panic disorder according to Korean and foreign treatment effectiveness studies and/or meta-analyses? What are the moderating or mediating factors that affect treatment effectiveness and outcomes? Furthermore, this review will summarize the current status of the effectiveness of computer- and internetbased treatment programs for panic disorder. Finally, a summary of treatment guidelines for panic disorder will be provided based on the treatment guidelines recommended by different related disciplines and organizations.

keywords
근거기반치료, 심리장애, 공황장애, evidence-based treatment, psychological disorders, panic disorder

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