Treatment of Adolescent Panic Disorder: A Nonrandomized Comparison of Intensive Versus Weekly CBT

Abstract

This study compared the relative efficacy of intensive versus weekly panic control treatment (PCT) for adolescent panic disorder with agoraphobia (PDA). Twenty-six adolescents participated in weekly sessions and 25 received intensive treatment involving daily sessions. Both groups demonstrated significant and comparable reductions in panic disorder severity and general anxiety symptoms, which maintained over time. Participants receiving weekly treatment showed significant decreases in depressive symptoms, whereas those in the intensive program reported no change. Findings support the efficacy of the intensive approach for adolescent PDA, but suggest that adolescents receiving intensive treatment may benefit from a brief course of additional weekly sessions.

KEYWORDS:

• adolescents
• cognitive-behavioral therapy
• intensive
• panic disorder
• treatment

Notes

Note. CSR = Clinical Severity Rating; MASC = Multidimensional Anxiety Scale;CASI = Child Anxiety Sensitivity Index; CDI = Child Depression Inventory.

*p < .05. **p < .01.

Note. CSR = Clinical Severity Rating; MASC = Multidimensional Anxiety Scale;.

CASI = Child Anxiety Sensitivity Index; CDI = Child Depression Inventory; standard deviations appear in parentheses.

Additional information

Notes on contributors

Rhea M. Chase

Rhea M. Chase is now at Duke University Medical Center. Sarah W. Whitton is now at the University of Cincinnati.