Multicenter Collaborative Panic Disorder Severity Scale

Shear, M. Katherine; Brown, Timothy A.; Barlow, David H.; Money, Roy; Sholomskas, Diane E.; Woods, Scott W.; Gorman, Jack M.; Papp, Laszlo A.

doi:10.1176/ajp.154.11.1571

Cited by 813 publications

(599 citation statements)

References 13 publications

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“…Participants who appeared eligible based on an initial telephone screen were invited for diagnostic interview (First et al, 1994) conducted by a trained clinical psychologist and confirmed by a psychiatrist. The diagnostic interview was followed by the clinician administered Panic Disorder Severity Scale (PDSS, Shear et al, 1997), which was repeated at posttreatment and follow-up by two independent raters for each patient (κ= .65-. 90).…”

Section: Recruitment and Patientsmentioning

confidence: 99%

“…It included the PDSS (Shear et al, 1997), a clinician-rated scale of PD severity and the Clinical Global Impression Scale (CGI; Guy, 1976) (both assessed by independent raters). Secondary measures were the Anxiety Sensitivity Index (ASI; Reiss et al, 1996), Sheehan Disability Scale (SDS; Sheehan et al, 1996), Mobility Inventory for Agoraphobia (MI-AAL; Chambless et al, 1984), and the Beck Depression Inventory (BDI; Beck et al, 1961).…”

Section: Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

Feedback of end-tidal pCO2 as a therapeutic approach for panic disorder

Meuret¹,

Wilhelm²,

Ritz³

et al. 2008

Journal of Psychiatric Research

145

124

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Background-Given growing evidence that respiratory dysregulation is a central feature of panic disorder (PD) interventions for panic that specifically target respiratory functions could prove clinically useful and scientifically informative. We tested the effectiveness of a new, brief, capnometry-assisted breathing therapy (BRT) on clinical and respiratory measures in PD.Methods-Thirty-seven participants with PD with or without agoraphobia were randomly assigned to BRT or to a delayed-treatment control group. Clinical status, respiration rate, and end-tidal pCO 2 were assessed at baseline, posttreatment, 2-month and 12-month follow-up. Respiratory measures were also assessed during homework exercises using a portable capnometer as a feedback device.Results-Significant improvements (in PD severity, agoraphobic avoidance, anxiety sensitivity, disability, and respiratory measures) were seen in treated but not untreated patients, with moderate to large effect sizes. Improvements were maintained at follow-up. Treatment compliance was high for session attendance and homework exercises; dropouts were few.Conclusions-The data provide preliminary evidence that raising end-tidal pCO 2 by means of capnometry feedback is therapeutically beneficial for panic patients. Replication and extension will be needed to verify this new treatment's efficacy and determine its mechanisms.

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Section: Recruitment and Patientsmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

Feedback of end-tidal pCO2 as a therapeutic approach for panic disorder

Meuret¹,

Wilhelm²,

Ritz³

et al. 2008

Journal of Psychiatric Research

145

124

View full text Add to dashboard Cite

show abstract

“…The Panic Disorder Severity Scale (Shear et al, 1997) profiles panic attacks in terms of both distress and frequency (scored on a 0-4 Likert-type scale). At our clinic, we use a Panic Attack Severity Scale (PASS) to assess the severity of orthostatic panic (O-PASS), neck-focused panic (N-PASS), and gastrointestinal panic (G-PASS) (Hinton, Chhean, Pich, Um, et al, 2006;Hinton, Pich, et al, 2004).…”

Section: Panic Attack Subtypesmentioning

confidence: 99%

Symptom Presentation and Symptom Meaning Among Traumatized Cambodian Refugees: Relevance to a Somatically Focused Cognitive-Behavior Therapy

Hinton

Otto

2006

Cognitive and Behavioral Practice

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Among psychologically distressed Cambodian refugees, somatic complaints are particularly prominent. Cambodians interpret anxiety-related somatic sensations in terms of "Wind" (khyâl), an ethnophysiology that gives rise to multiple catastrophic interpretations; and they have prominent trauma-memory associations to anxiety-related somatic symptoms. In this article, we detail some of the common sensation-related dysphoric networks of Cambodian refugees, focusing on catastrophic cognitions and trauma associations. We argue that delineating symptom-related dysphoric networks is crucial to successfully adapt cognitive-behavioral interventions to treat panic disorder and posttraumatic stress disorder among Cambodian refugees, and that such an approach may be useful for the culturally sensitive adaptation of cognitive-behavior therapy for other traumatized nonWestern groups.The Current Article discusses how a somatic-focused cognitive-behavior therapy can be applied to the treatment of traumatized Cambodian refugees and, more generally, to nonEnglish-speaking traumatized refugees. The article demonstrates that such a treatment approach must be based on a complex model of the generation of somatic symptoms among trauma victims.

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“…The Panic Disorder Severity Scale (PDSS) measures the severity of core symptoms of PD. The PDSS is a fivepoint Likert scale that includes the frequency of panic attacks and limited symptom episodes, the anguish caused by these attacks, anticipatory anxiety, fear, agoraphobic avoidance, social impairment, and loss of productivity in work activities caused by panic attacks 11 (A). This scale has better diagnostic capacity for patients with agoraphobia, a sensitivity of 99%, and a specificity of 98%, yielding a LR+ of , increasing the diagnostic certainty from 5% (prevalence/ pretest probability) to 72%.…”

Section: Resultsmentioning

confidence: 99%

Brazilian Medical Association guidelines for the diagnosis and differential diagnosis of panic disorder

Levitan

Chagas

Linares

et al. 2013

Rev. Bras. Psiquiatr.

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Objective: To present the most relevant findings regarding the Brazilian Medical Association guidelines for the diagnosis and differential diagnosis of panic disorder. Methods: We used the methodology proposed by the Brazilian Medical Association for the Diretrizes Project. The MEDLINE (PubMed), Scopus, Web of Science, and LILACS online databases were queried for articles published from 1980 to 2012. Searchable questions were structured using the PICO format (acronym for ''patient'' [or population], ''intervention'' [or exposure], ''comparison'' [or control], and ''outcome''). Results: We present data on clinical manifestations and implications of panic disorder and its association with depression, drug abuse, dependence and anxiety disorders. In addition, discussions were held on the main psychiatric and clinical differential diagnoses. Conclusions: The guidelines are proposed to serve as a reference for the general practitioner and specialist to assist in and facilitate the diagnosis of panic disorder.

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Multicenter Collaborative Panic Disorder Severity Scale

Cited by 813 publications

References 13 publications

Feedback of end-tidal pCO2 as a therapeutic approach for panic disorder

Feedback of end-tidal pCO2 as a therapeutic approach for panic disorder

Symptom Presentation and Symptom Meaning Among Traumatized Cambodian Refugees: Relevance to a Somatically Focused Cognitive-Behavior Therapy

Brazilian Medical Association guidelines for the diagnosis and differential diagnosis of panic disorder

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