PMID- 12107865
OWN - NLM
STAT- MEDLINE
DCOM- 20020918
LR  - 20220330
IS  - 0010-440X (Print)
IS  - 0010-440X (Linking)
VI  - 43
IP  - 4
DP  - 2002 Jul-Aug
TI  - A 1-year follow-up study of coping in patients with panic disorder.
PG  - 279-84
AB  - We conducted a longitudinal study of methods used by patients with panic disorder 
      to cope with stress, in order to investigate the characteristics of coping among 
      these patients and to determine whether coping changes as therapy progresses and 
      whether coping affects outcome. The Lazarus Type Stress Coping Inventory was 
      performed on 43 patients with panic disorder and 315 normal subjects. The Stress 
      Coping Inventory was repeated after 1 year therapy in the patients with panic 
      disorder. Compared with normal subjects, panic disorder patients obtained 
      significantly higher scores for emotional coping strategies (P =.04), and for 
      seeking social support (P =.02) and escape-avoidance (i.e., wishful thinking) (P 
      =.0008) as coping styles. On repeat assessment, these patients obtained 
      significantly higher scores for cognitive coping strategies (P =.002), emotional 
      coping strategies (P <.0001), planful problem solving (P =.02), confrontive 
      coping (P =.002), seeking social support (P =.02), escape-avoidance (P <.0001), 
      distancing (P =.002), and positive reappraisal (P =.001) than the normal 
      subjects. A group x time interaction was significant for a self-controlling 
      coping style (P =.01). On repeat assessment, the patients with a good outcome 
      (Global Assessment of Functioning [GAF] score > 60) obtained a significantly 
      higher score for self-controlling coping style, and the intractable patients (GAF 
      score < or = 60) obtained a significantly lower score than on initial assessment. 
      The results suggest that coping styles such as emotional coping strategies, 
      seeking social support, and escape-avoidance are trait-dependent characteristics 
      of patients with panic disorder. As therapy progressed, state-dependent changes, 
      such as an increase in adaptive coping, were seen as well, and changes in coping 
      also differed significantly based on outcome. These findings suggest that 
      changing coping strategies in patients with panic disorder could be used as a 
      goal of therapy.
CI  - Copyright 2002, Elsevier Science (USA). All rights reserved.
FAU - Hino, Toshiaki
AU  - Hino T
AD  - Department of Psychiatry, Ichihara Hospital, Teikyo University School of 
      Medicine, Ichihara, Japan.
FAU - Takeuchi, Tatsuo
AU  - Takeuchi T
FAU - Yamanouchi, Naoto
AU  - Yamanouchi N
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Compr Psychiatry
JT  - Comprehensive psychiatry
JID - 0372612
SB  - IM
MH  - *Adaptation, Psychological
MH  - Adult
MH  - Analysis of Variance
MH  - *Cognitive Behavioral Therapy
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Japan
MH  - Male
MH  - Panic Disorder/psychology/*therapy
MH  - Stress, Psychological/*prevention & control/psychology
MH  - Treatment Outcome
EDAT- 2002/07/11 10:00
MHDA- 2002/09/19 10:01
CRDT- 2002/07/11 10:00
PHST- 2002/07/11 10:00 [pubmed]
PHST- 2002/09/19 10:01 [medline]
PHST- 2002/07/11 10:00 [entrez]
AID - S0010440X02000044 [pii]
AID - 10.1053/comp.2002.33495 [doi]
PST - ppublish
SO  - Compr Psychiatry. 2002 Jul-Aug;43(4):279-84. doi: 10.1053/comp.2002.33495.