ISSN 2586-0151 (Print)
ISSN 2586-0046 (Online)
Volume 15, Number 1 (1/2019)
Original Article <page. 13-9 >

Korean Guidelines for the Treatment of Panic Disorder 2018 : Psychosocial Treatment Strategies

Minsook Gim, MD, PhD1;Min-Kyoung Kim, MD, PhD2;Jae-Hon Lee, MD, PhD3;Won Kim MD, PhD4;Eunsoo Moon MD, PhD5;Ho-Jun Seo, MD, PhD6;Bon-Hoon Koo MD, PhD7;Jong-Chul Yang, MD, PhD8;Kang Soo Lee, MD, PhD2;Sang-Hyuk Lee, MD, PhD2;Chan-Hyung Kim, MD, PhD9;Bum-Hee Yu, MD, PhD10; and Ho-Suk Suh, MD, PhD2;

1;Department of Psychiatry1, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, 2;Department of Psychiatry, CHA University School of Medicine, Seoul, 3;Department of Psychiatry, National Rehabilitation Center, Seoul, 4;Department of Psychiatry, Seoul Paik Hospital, Inje University College of Medicine, Seoul, 5;Department of Psychiatry, Pusan National University School of Medicine, Busan, 6;Department of Psychiatry, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, 7;Department of Psychiatry, College of Medicine, Yeungnam University, Daegu, 8;Department of Psychiatry, Chonbuk National University Hospital, Jeonju, 9;Department of Psychiatry, Yonsei University College of Medicine, Severance Hospital, Seoul, 10;Dr. Yu's Psychiatric Clinic, Seoul, Korea

Objective : The purpose of this study was to investigate consensus relative to treatment strategies for psychosocial treatment in panic disorder, that represents one subject addressed by the Korean guidelines for treatment of panic disorder 2018.

Methods : The executive committee developed questionnaires relative to treatment strategies for patients with panic disorder based on guidelines, algorithms, and clinical trials previously published in foreign countries and Korea. Seventy-two (61.0%) of 112 experts on a committee reviewing panic disorder responded to the questionnaires. We classified the consensus of expert opinions into three categories (first-line, second-line, and third-line treatment strategies), and identified treatment of choice using the Chi-square test and 95% confidence intervals.

Results : For psychosocial treatment of panic disorder, individual and group cognitive behavior therapy (CBT) were recommended treatments of choice, and mindfulness based cognitive therapy (MBCT) was recommended as first line strategy. There was statistically significant consensus among experts regarding usefulness of each component of CBT and MBCT, for treatment of patients with panic disorder.

Conclusion : Results, that reflect recent studies and clinical experiences, may provide the guideline for psychosocial treatment strategies for panic disorder.


Key words : Panic disorder;Treatment guideline;Cognitive behavior therapy;Mindfulness-based cognitive therapy;Psychosocial treatment.

Anxiety and Mood

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