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    범불안장애 혹은 공황장애 환자에서 Mindfulness에 기반한 인지치료의 장기치료 효과 : 1년 추적관찰 = 1-Year Follow-Up of Mindfulness-Based Cognitive Therapy in Patients with Generalized Anxiety Disorder or Panic Disorder

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    https://www.riss.kr/link?id=A76521304

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Objectives Mindfulness-base cognitive therapy (MBCT) has been used to treat patients with depression to prevent relapse. The purpose of this study was to examine the effectiveness of Mindfulness-Base Cognitive Therapy for patients who suffer with generalized anxiety disorder or panic disorder for 1 year.
    Methods 19 patients with generalized anxiety disorder or panic disorder were assigned to receive MBCT for a period of 8 weeks. The Hamiltion Anxiety Rating Scale (HAM-A), the Hamilton Depression Rating Scale (HAM-D), the Beck Anxiety Inventory (BAI) and the Beck Depression inventory (BDI) were used at 0 weeks, 8 weeks and 1 year to assess the results.
    Results MBCT demonstrated significantly decreases on all the anxiety scale scores (HAM-A, p=0.00 ; BAI, p=0.00) and depressive scale scores (HAM-D, p=0.99 ; BDI, p=0.00). The patients who received 8-week of MBCT showed a higher remission rate (15/19, 78%) during the 1-year follow-up period.
    Conclusion MBCT may be effective at relieving the anxiety and depressive symptoms of patients who suffer with generalzed anxiety disorder or panic disorder for 1 year. However, further well-designed controlled trials are needed to assess the value of MBCT.
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    Objectives Mindfulness-base cognitive therapy (MBCT) has been used to treat patients with depression to prevent relapse. The purpose of this study was to examine the effectiveness of Mindfulness-Base Cognitive Therapy for patients who suffer with gene...

    Objectives Mindfulness-base cognitive therapy (MBCT) has been used to treat patients with depression to prevent relapse. The purpose of this study was to examine the effectiveness of Mindfulness-Base Cognitive Therapy for patients who suffer with generalized anxiety disorder or panic disorder for 1 year.
    Methods 19 patients with generalized anxiety disorder or panic disorder were assigned to receive MBCT for a period of 8 weeks. The Hamiltion Anxiety Rating Scale (HAM-A), the Hamilton Depression Rating Scale (HAM-D), the Beck Anxiety Inventory (BAI) and the Beck Depression inventory (BDI) were used at 0 weeks, 8 weeks and 1 year to assess the results.
    Results MBCT demonstrated significantly decreases on all the anxiety scale scores (HAM-A, p=0.00 ; BAI, p=0.00) and depressive scale scores (HAM-D, p=0.99 ; BDI, p=0.00). The patients who received 8-week of MBCT showed a higher remission rate (15/19, 78%) during the 1-year follow-up period.
    Conclusion MBCT may be effective at relieving the anxiety and depressive symptoms of patients who suffer with generalzed anxiety disorder or panic disorder for 1 year. However, further well-designed controlled trials are needed to assess the value of MBCT.

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    참고문헌 (Reference)

    1 Yook K, "Usefulness of mindfulness-based cognitive therapy for treating insomnia in patients with anxiety disorders: a pilot study" 196 : 501-503, 2008

    2 Ballenger JC, "Treatment of anxiety disorders to remission" 62 : 5-9, 2001

    3 Shear MK, "The road to recovery in panic disorder: response, remission, and relapse" 59 : 4-8, 1998

    4 Hamilton M, "The assessment of anxiety states by rating" 32 : 50-55, 1959

    5 Han OS, "Structured Clinical Interview for DSM-IV (SCID) Korean version" Hana Medical 107-303, 2000

    6 Astin JA, "Stress reduction through mindfulness meditation. Effects on psychological symptomatology, sense of control, and spiritual experiences" 66 : 97-106, 1997

    7 Teasdale JD, "Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy" 68 : 615-623, 2000

    8 Williams JM, "Mindfulness-based Cognitive Therapy (MBCT) in bipolar disorder: preliminary evaluation of immediate effects on betweenepisode functioning" 107 : 275-279, 2007

    9 Ludwig DS, "Mindfulness in medicine" 300 : 1350-1352, 2008

    10 Fava GA, "Long-term outcome of panic disorder with agorophobia treated by exposure" 31 : 891-898, 2001

    1 Yook K, "Usefulness of mindfulness-based cognitive therapy for treating insomnia in patients with anxiety disorders: a pilot study" 196 : 501-503, 2008

    2 Ballenger JC, "Treatment of anxiety disorders to remission" 62 : 5-9, 2001

    3 Shear MK, "The road to recovery in panic disorder: response, remission, and relapse" 59 : 4-8, 1998

    4 Hamilton M, "The assessment of anxiety states by rating" 32 : 50-55, 1959

    5 Han OS, "Structured Clinical Interview for DSM-IV (SCID) Korean version" Hana Medical 107-303, 2000

    6 Astin JA, "Stress reduction through mindfulness meditation. Effects on psychological symptomatology, sense of control, and spiritual experiences" 66 : 97-106, 1997

    7 Teasdale JD, "Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy" 68 : 615-623, 2000

    8 Williams JM, "Mindfulness-based Cognitive Therapy (MBCT) in bipolar disorder: preliminary evaluation of immediate effects on betweenepisode functioning" 107 : 275-279, 2007

    9 Ludwig DS, "Mindfulness in medicine" 300 : 1350-1352, 2008

    10 Fava GA, "Long-term outcome of panic disorder with agorophobia treated by exposure" 31 : 891-898, 2001

    11 Teasdale JD, "How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help?" 33 : 25-39, 1995

    12 Blackledge JT, "Emotion regulation in acceptance and commitment therapy" 57 : 243-255, 2001

    13 Stuart GL, "Effectiveness of an empirically based treatment for panic disorder delivered in a service clinic setting: 1-year follow-up" 68 : 506-512, 2000

    14 Kabat-Zinn J, "Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders" 149 : 936-943, 1992

    15 Lee SH, "Effectiveness of a meditation-based stress management program as an adjunct to pharmacotherapy in patients with anxiety disorder" 62 : 189-195, 2007

    16 Ong JC, "Combining mindfulness meditation with cognitive-behavior therapy for insomnia: a treatment-development study" 39 : 171-182, 2008

    17 Linehan MM, "Cognitive-behavioral treatment of chronically parasuicidal borderline patients" 48 : 1060-1064, 1991

    18 Guy W, "Clinical Global Impressions (CGI). ECDEU Assessment Manual for Psychopharmacology revised" National Institute of Mental Health 218-, 1976

    19 Lillis J, "Applying acceptance, mindfulness, and values to the reduction of prejudice: a pilot study" 31 : 389-411, 2007

    20 Reiss S, "Anxiety sensitivity anxiety frequency and the prediction of fearfulness" 24 : 1-8, 1986

    21 Roemer L, "An open trial of an acceptance-based behavior therapy for generalized anxiety disorder" 38 : 72-85, 2007

    22 Beck AT, "An inventory for measuring clinical anxiety: psychometric properties" 56 : 893-897, 1988

    23 Rhee MK, "A standardization study of Beck Depression Inventory (BDI): Korean version (K-BDI): reliability and factor analysis" 4 : 77-95, 1995

    24 Hamilton M, "A rating scale for depres" 23 : 56-62, 1960

    25 Yook SP, "A clinical study on the Korean version of Beck Anxiety Inventory: comparative study of patient and non-patient" 16 : 185-197, 1997

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