The psychological and physiological effects of integrated cognitive-behavioral and biofeedback therapy on panic disorder: A randomized controlled trial
Background: Cognitive-behavioral therapy (CBT) and biofeedback therapy are commonly regarded as effective treatment modalities for panic disorder. The aim of this study was to establish a Taiwanese version of an integrated cognitive-behavioral and biofeedback therapy (ICB) and examine its effects on...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Journal of the Formosan Medical Association |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664623002632 |
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| author | Chia-Hao Ma Hung-Yeh Chang Hui-Chun Lee Yu-Fang Yu Hsin-Shan Tien Yu-Hsuan Lin Meng-Ying Liu Yi-Ling Lin Huei-Mei Ma Kuan-Fu Lin Wei-Lieh Huang |
| author_facet | Chia-Hao Ma Hung-Yeh Chang Hui-Chun Lee Yu-Fang Yu Hsin-Shan Tien Yu-Hsuan Lin Meng-Ying Liu Yi-Ling Lin Huei-Mei Ma Kuan-Fu Lin Wei-Lieh Huang |
| author_sort | Chia-Hao Ma |
| collection | DOAJ |
| description | Background: Cognitive-behavioral therapy (CBT) and biofeedback therapy are commonly regarded as effective treatment modalities for panic disorder. The aim of this study was to establish a Taiwanese version of an integrated cognitive-behavioral and biofeedback therapy (ICB) and examine its effects on panic disorder using psychological and physiological indicators. Methods: Thirty patients with panic disorder were enrolled in this study. They were randomly assigned to either the ICB group (n = 15) or the treatment as usual (TAU) group (n = 15). The intervention consisted of six sessions, conducted once a week. Psychological indicators were measured at baseline (prior to intervention), week 3, and week 6, while physiological indicators were measured at baseline and week 6. The psychological indicators included five scales, with the Panic Disorder Severity Scale (PDSS) being the primary measure. The physiological indicators included respiratory sinus arrhythmia (RSA) and skin conductance, which respectively represent parasympathetic and sympathetic activity. Results: Considering all participants, PDSS scores significantly decreased over time, but the difference between the ICB and TAU groups did not reach statistical significance. Among the physiological indicators, resting-state RSA and RSA under relaxation showed significant between-group differences over time, with the ICB group demonstrating a more pronounced improvement in RSA. Conclusion: In the context of existing pharmacological treatments, the benefits of ICB for panic disorder may not be observable through psychological indicators. However, it can lead to enhancement of parasympathetic activity as evidenced by the physiological indicators. |
| first_indexed | 2024-03-09T01:36:06Z |
| format | Article |
| id | doaj.art-552fbe75cfaa4d2e897ea2190053e966 |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-03-09T01:36:06Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-552fbe75cfaa4d2e897ea2190053e9662023-12-09T06:04:22ZengElsevierJournal of the Formosan Medical Association0929-66462023-12-011221213051312The psychological and physiological effects of integrated cognitive-behavioral and biofeedback therapy on panic disorder: A randomized controlled trialChia-Hao Ma0Hung-Yeh Chang1Hui-Chun Lee2Yu-Fang Yu3Hsin-Shan Tien4Yu-Hsuan Lin5Meng-Ying Liu6Yi-Ling Lin7Huei-Mei Ma8Kuan-Fu Lin9Wei-Lieh Huang10Department of Psychiatry, National Taiwan University Hospital Yunlin Branch, Yunlin, Taiwan; Department of Psychiatry, College of Medicine, National Taiwan University, Taipei, Taiwan; Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, TaiwanDepartment of Psychiatry, National Taiwan University Hospital Yunlin Branch, Yunlin, TaiwanDepartment of Psychiatry, National Taiwan University Hospital Yunlin Branch, Yunlin, TaiwanDepartment of Psychiatry, National Taiwan University Hospital Yunlin Branch, Yunlin, TaiwanDepartment of Psychiatry, National Taiwan University Hospital Yunlin Branch, Yunlin, TaiwanTrue Colors Psychology Clinic, Taipei, TaiwanSpeak to the Heart Combined Clinics, Tainan, TaiwanDepartment of Psychiatry, National Taiwan University Hospital Yunlin Branch, Yunlin, TaiwanDepartment of Psychiatry, National Taiwan University Hospital Yunlin Branch, Yunlin, TaiwanDepartment of Psychiatry, National Taiwan University Hospital Yunlin Branch, Yunlin, Taiwan; Corresponding author.Department of Psychiatry, National Taiwan University Hospital Yunlin Branch, Yunlin, Taiwan; Department of Psychiatry, College of Medicine, National Taiwan University, Taipei, Taiwan; Cerebellar Research Center, National Taiwan University Hospital Yunlin Branch, Yunlin, Taiwan; Corresponding author. Department of Psychiatry, National Taiwan University Hospital Yunlin Branch, No. 579, Sec. 2, Yunlin Rd, Douliu City, Yunlin County 64041, Taiwan.Background: Cognitive-behavioral therapy (CBT) and biofeedback therapy are commonly regarded as effective treatment modalities for panic disorder. The aim of this study was to establish a Taiwanese version of an integrated cognitive-behavioral and biofeedback therapy (ICB) and examine its effects on panic disorder using psychological and physiological indicators. Methods: Thirty patients with panic disorder were enrolled in this study. They were randomly assigned to either the ICB group (n = 15) or the treatment as usual (TAU) group (n = 15). The intervention consisted of six sessions, conducted once a week. Psychological indicators were measured at baseline (prior to intervention), week 3, and week 6, while physiological indicators were measured at baseline and week 6. The psychological indicators included five scales, with the Panic Disorder Severity Scale (PDSS) being the primary measure. The physiological indicators included respiratory sinus arrhythmia (RSA) and skin conductance, which respectively represent parasympathetic and sympathetic activity. Results: Considering all participants, PDSS scores significantly decreased over time, but the difference between the ICB and TAU groups did not reach statistical significance. Among the physiological indicators, resting-state RSA and RSA under relaxation showed significant between-group differences over time, with the ICB group demonstrating a more pronounced improvement in RSA. Conclusion: In the context of existing pharmacological treatments, the benefits of ICB for panic disorder may not be observable through psychological indicators. However, it can lead to enhancement of parasympathetic activity as evidenced by the physiological indicators.http://www.sciencedirect.com/science/article/pii/S0929664623002632Panic disorderCognitive-behavioral therapyBiofeedback therapyRespiratory sinus arrhythmiaRandomized controlled trial |
| spellingShingle | Chia-Hao Ma Hung-Yeh Chang Hui-Chun Lee Yu-Fang Yu Hsin-Shan Tien Yu-Hsuan Lin Meng-Ying Liu Yi-Ling Lin Huei-Mei Ma Kuan-Fu Lin Wei-Lieh Huang The psychological and physiological effects of integrated cognitive-behavioral and biofeedback therapy on panic disorder: A randomized controlled trial Journal of the Formosan Medical Association Panic disorder Cognitive-behavioral therapy Biofeedback therapy Respiratory sinus arrhythmia Randomized controlled trial |
| title | The psychological and physiological effects of integrated cognitive-behavioral and biofeedback therapy on panic disorder: A randomized controlled trial |
| title_full | The psychological and physiological effects of integrated cognitive-behavioral and biofeedback therapy on panic disorder: A randomized controlled trial |
| title_fullStr | The psychological and physiological effects of integrated cognitive-behavioral and biofeedback therapy on panic disorder: A randomized controlled trial |
| title_full_unstemmed | The psychological and physiological effects of integrated cognitive-behavioral and biofeedback therapy on panic disorder: A randomized controlled trial |
| title_short | The psychological and physiological effects of integrated cognitive-behavioral and biofeedback therapy on panic disorder: A randomized controlled trial |
| title_sort | psychological and physiological effects of integrated cognitive behavioral and biofeedback therapy on panic disorder a randomized controlled trial |
| topic | Panic disorder Cognitive-behavioral therapy Biofeedback therapy Respiratory sinus arrhythmia Randomized controlled trial |
| url | http://www.sciencedirect.com/science/article/pii/S0929664623002632 |
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