Separation anxiety in adults with panic disorder: a cognitive-behavior treatment

Authors

  • Ana Gabriela Pinheiro da Silva ANNICCHINO
  • Evandro Gomes de MATOS Universidade Estadual de Campinas

Keywords:

adult, Academic performance, cognitive behavior therapy, panic disorder

Abstract

This study was developed with adult patients, all of them panic disorder clinically diagnosed according to the Manual de Estatísticas e Diagnósticos-IV criteria. The aim of the study was to investigate the incidence and severity of Separation Anxiety symptoms among these patients and the effect of Cognitive-Behavior Therapy on these symptoms. The psychotherapy process was based on the Panic treatment
manual, “Overcoming Panic”. Also used were the Beck Depression Inventory, Sheehan Anxiety Scale and the Mood Anxiety Spectrum Project. The results showed reduction or disappearance of Separation Anxiety symptoms after the treatment, as well as decrease in the degrees of anxiety and depression. It can be affirmed therefore, that there is Separation Anxiety in the adult, and that Cognitive-Behavior Therapy is
efficient in the treatment of both Separation Anxiety and Panic Disorder, probably, because the same systems are at the base of the thoughts for both.

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References

American Psychiatric Association (APA). (1980). Diagnostic and Statistical Manual of Mental Disorders (DSmáIII). 3rd ed. Washington, DC: American Psychiatric Association.

Andrade, L. H. S. G., Lotufo-Neto, F., Gentil, V., Maciel, L. M. A., Shavitt, R. G., & Bernick, M. A. (1997). Classificação e diagnóstico dos transtornos ansiosos. In V. Gentil, F. Lotufo-Neto & M. A. Bernick. Pânico, fobias e obsessões: a experiência do projeto AMBAN (3a. ed., pp.37-53). São Paulo: Universidade de São Paulo.

Associação Psiquiátrica Americana (APA). (1995). Manual estatístico e diagnóstico de transtornos mentais (DSM IV). 4a. ed. Porto Alegre: Artes Médicas.

Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1998). Terapia cognitiva da depressão. Porto Alegre: Artes Médicas.

Caetano, D. (1986). Comparação entre pacientes com desordem de pânico e prolapso da valva mitral e aqueles com desordem de pânico e sem prolapso de valva mitral. Jornal Brasileiro de Psiquiatria, 35 (1), 53-59.

Cassano, G. B., Michelini, S., Shear, M. K., Coli, E., Maser, J. D., & Frank, E. (1997). the panic-agoraphobic spectrum: a descriptive approach to the assessment and treatment of subtle symptoms. American Journal of Psychiatry, 154 (6), 27-38.

Cyranowski, J. M., Shear, M. K., Rucci, P., Fagiolini, A., Frank, E., & Grochocnski, V. J. (2002). Adult separation anxiety: psychometric properties of a new structured clinical interview. Journal Psychiatric Research, 36 (2), 77-86.

Deltito, J. A., Perugi, G., Maremanni, I., Mignani, V., & Cassano, G. B. (1986). The importance of separation anxiety in the differentiation of panic disorder from agoraphobia. Psychiatric Developments, 4 (3), 227-236.

Dia, D. A. (2001). Cognitive-behavioral therapy with a six-year-old boy with separation anxiety disorder: a case study. Health & Social Work, 26 (2), 125-128.

Ellis, A. (1962). Reason and emotion in psycotherapy New York: Lyle Stuart.

Gutierrez, A. J. L. (1996). Ansiedade de separação y transtorno de pânico. Psiquiatria Biológica, 4 (2), 109-112.

Ham, P., Waters, D. B., & Oliver, M. N. (2005). Treatment of panic disorder. American Family Physician, 71 (4), 733-739.

Kagan, J., Reznick, J. S., Snidman, N., Gibbons, J., & Johnson, M. O. (1988). Childhood derivatives of inhibition and lack of inhibition to the unfamiliar. Child Development, 59 (6), 1580-1589.

Klein, D. F., & Gittelman, R. (1984). Relationship between separation anxiety and panic and agoraphobic disorders. Psychopathology, 17 (Suppl 1), 56-65.

Landon, T. M., & Barlow, D. H. (2004). Cognitive-behavioral treatment for panic disorder: current status. Journal Psychiatric Practice, 10 (4), 211-226.

Manicavasagar, V., Silove, D., & Curtis, J. (1997). Separation anxiety in adulthood: a phenomenological investigation. Comprehensive psychiatry, 38 (5), 274-282.

Manicavasagar, V., Silove, D., Wagner, R., & Drobny, J. (2003). A selfreport questionnaire for measuring separation anxiety in adulthood. Comprehensive Psychiatry,44 (2), 146-1453.

Matos, E. G., Sardelli, L. R., Ravera, L., D'Aagostino, G., & Matos, T. M. G. (2005). Versão para o português de um novo instrumento para o diagnóstico do espectro do transtorno do pânico (PAS-SR). Jornal Brasileiro de Psiquiatria, 54 (2), 108-113.

Nardi, A. E., Mendlowicz, M., Figueira, I., Andrade, Y., Camisao, C., Marques, C., et al. (1996). Transtorno de ansiedade generalizada - I: questões teóricas e diagnósticas. Jornal Brasileiro de Psiquiatria, 45 (3), 173-178.

Otto, M. W., & Whittal, M. L. (1995). Cognitive-behaviour therapy and the longitudinal course of panic disorder. Psychiatric Clinics of North American, 18 (4), 803-820.

Pini S., Maser J. D., Dell'Osso L., & Cassano G. B. (1998). Origins of the panic-agoraphobic spectrum and its implications for comorbidity. CNS Spectrums, 4 (3), 49-56.

Rangé, B.(2001a). Vencendo o pânico: instruções passo-a-passo para quem sofre de ataques de pânico. Rio de Janeiro: Instituto de Psicologia, Universidade federal do Rio de Janeiro.

Rangé, B. (2001b). Vencendo o pânico: instruções passo-a-passo para quem trata de ataques de pânico. Rio de Janeiro: Instituto de Psicologia, Universidade Federal do Rio de Janeiro.

Raskin, M., Peeke, V. S., Dickman, W., & Pinsker, H. (1982). Panic and generalized anxiety disorders: developmental antecedents and precipitants. Archives of General Psychiatry, 39 (6), 687-689.

SAS Institute Inc. (1999-2001). SAS/STAT software changesand enhancements though release 8.2. Cary, NC: SAS Institute, Inc.

Snedecor, W. G., & Cochram, W. G. (1989). Statistical Methods 8th ed. Iowa State.

Souza, A. M. (1996). Estudo da associação entre ansiedade de separação e transtorno de pânico Dissertação de mestrado não-publicada, Departamento de Psicologia e Psiquiatria Médica, Faculdade de Ciências Médicas, Universidade Estadual de Campinas.

Souza, A. M., & Matos, E. G. (1996). Fobia escolar em gêmeos univetelínicos - um preditor para fobia social? Jornal Brasileiro de Psiquiatria, 45 (12), 695-698.

Published

2007-03-30

How to Cite

ANNICCHINO, A. G. P. da S. ., & MATOS, E. G. de . (2007). Separation anxiety in adults with panic disorder: a cognitive-behavior treatment. Psychological Studies, 24(1). Retrieved from https://periodicos.puc-campinas.edu.br/estpsi/article/view/6836