Panic Disorder Clinical Trial
Official title:
Cognitive-Behavioral Treatment of Panic in Adolescence
This study will evaluate the effectiveness of cognitive behavioral therapy with a panic control treatment component in treating adolescents with panic disorder.
More than 3 million people in the United States will experience a panic attack at some point
in their lives. A panic attack occurs when a person experiences an intense feeling of sudden
fear as well as physical sensations of breathlessness, rapid heart beat, and dizziness.
Panic disorder, which is characterized by reoccurring panic attacks, often develops during
childhood or adolescence and, if left untreated, can interfere with a child's normal
development, relationships, school work, and psychological well-being. Cognitive behavioral
therapy (CBT) with a panic control treatment (PCT) component is a type of psychotherapy that
teaches new ways to control anxiety or panic attacks. It has been found to be effective in
treating adults with panic disorder. However, more research is needed to determine if CBT
with PCT, when adapted specifically for adolescents, is also effective in treating
adolescents with panic disorder. This study will evaluate the effectiveness of CBT with a
PCT component in treating adolescents with panic disorder.
Participation in this study will last up to 18 months. All participants will first undergo
baseline assessments that will include a behavioral/psychological assessment while wearing a
heart-rate monitoring device; questionnaires relating to experiences of anxiety, fear, and
depression; and parent and child clinical interviews. Participants will then be assigned
randomly to receive either immediate CBT with PCT or delayed CBT with PCT, which will occur
after a 12-week waitlist period. CBT with PCT for all participants will include 11 weekly
individual sessions, lasting 60 minutes each. During sessions, participants will learn
specifically designed ways for adolescents to reduce or overcome panic attacks. Throughout
treatment, participants will keep daily records of their anxiety and will complete
self-monitoring forms to monitor panic attacks. During the 12-week waitlist period, the
waitlist group participants will complete the same daily records and self-monitoring forms.
The waitlist group participants will also meet with a therapist once every other week to
discuss the nature of any panic attacks or address any concerns. Once all 12 weeks have
passed, they will begin CBT with PCT. All participants will repeat the baseline assessments
at Months 3, 6, and 12 after treatment.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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