Panicheskoe rasstroystvo v nevrologicheskoy praktike
- Authors: Golovacheva V.A1, Andryushchenko A.V1
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- Issue: No 3S (2015)
- Pages: 39-43
- Section: Articles
- URL: https://journals.eco-vector.com/2073-4034/article/view/288511
- ID: 288511
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Abstract
Panic disorder (PD) is a common disease among patients visiting a neurologist. PD is often associated with insomnia, primary headaches, back pain and neck pain, frequently is not diagnosed, and the condition of patients is mistakenly regarded as «vegetative dystonia syndrome», «osteochondrosis of the cervical spine» or «encephalopathy» (patients of the older age group ). Diagnosis of PD and the aforementioned diseases often do not cause any difficulties. Modern methods of treatment of PD include psychotherapy (cognitive-behavioral therapy - CBT as first choice treatment and psychodynamic psychotherapy as second choice treatment), psycho-pharmacotherapy (antidepressants), and their combinations. These therapies allow to help to most patients with PD. The article presents the results of own authors’ observation of 80 patients with chronic daily headache (CDH), including 26 (32.5%) patients suffering from PD. By the example of clinical case, effective treatment of patient suffering from CDH and PD using CBT and antidepressant paroxetine is demonstrated. The data on the efficacy of paroxetine in the PD are presented.
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References
- Bandelow B., Lichte T., Rudolf S., Wiltink J., Beutel M.E. The diagnosis of and treatment recommendations for anxiety disorders. Dtsch. Arztebl. Int. 2014; 111: 473-80.
- Kessler R.C., Berglund P., Demler O., Jin R., Merikangas K.R., Walters E.E. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch. Gen. Psychiatry. 2005; 62: 593-602.
- Воробьева О.В. Панические атаки. Клиника, диагностика, лечение. М., 2009. 46 с.
- Воробьева О.В. Тревожные расстройства в неврологической практике. РМЖ. 2007; 24.
- Клиническое руководство по психическим расстройствам/ Под ред. Д. Барлоу. 3-е изд. СПб., 2008. 912 с.
- World Health Organization. International statistical classification of disease and relation health problems. 10th ed. Geneva, Switz: World Health Organization, 1992.
- Воробьева О.В. Паническое расстройство -принципы терапии. РМЖ. 2008; 6.
- Beghi E., Bussone G., D'Amico D., et al. Headache, anxiety and depressive disorder: the HADAS study. J. Headache Pain. 2010; 11: 141 -50.
- Башмаков М.Ю. Панические атаки в цикле сон -бодрствование (клинико-психофизиологическое исследование). Дисс.. канд. мед. наук. 1995.
- Pinto-Meza A., Serrano-Blanco A., Codony M., Reneses B., von Korff M., Haro J.M., Alonso J. Prevalence and physical-mental comorbidity of chronic back and neck pain in Spanin: results from the ESEMeD Study. Med. Clin. (Barc) 2006; 127(9): 325-30.
- Singareddy R., Uhde T.W. Nocturnal sleep panic and depression: relationship to subjective sleep in panic disorder. J. Affect. Disord. 2009; 112: 262-66.
- Craske M.G., Golinelli D., Stein M.B., Roy-Byrne P., Bystritsky A., Sherbourne C. Does the addition of cognitive behavioral therapy improve panic dis order treatment outcome relative to medication alone in the primary-care setting? Psychol. Med. 2005; 35( 11): 1645-54.
- Prats E., Dominguez E., Rosado S. Effectiveness of cognitive-behavioral group therapy for panic disorder in a specialized unit. Actas. Esp. Psiqiatry. 2014; 42(4): 176-84.
- Pollack M.H., Lepola U., Koponen H., Simon N.M., Worthington J.J., Emilien G., Tzanis E., Salinas E., Whitaker T., Gao B. A double-blind study of the efficacy of venlefaxine extended-release, paroxetine, and placebo in the treatment of panic disorder. Depress Anxiety 2007; 24( 1): 1-14.
- Pollack M.H., Doyle A.C. Treatment of panic disorder: focus on paroxetine. Psychopharmacol Bull 2003; 37(Suppl. 1): 53-63.
- Ballenger J.C., Wheadon D.E., Steiner M., Bushnell W., Gergel I.P. Double-blind, fixed-dose, placebo-controlled study of paroxetine in the treatment of panic disorder. Am. J. Psychiatry. 1998; 155(1 ): 36-42.
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