Study on Effect of Wechat Psychological Intervention on Adjunctive Therapy of Patients with Panic Disorder
Author(s): ZHAO Yong-zhong, YANG Chuang, LIN Zi-jiang, WANG Wei-qian, YI Yan-hong
Pages: 39-42
Year: 2016 Issue: 8
Journal: Hospital Management Forum
Keyword: Panic disorder; Group guidance; Drug therapy;
Abstract: Objective Discussion on the Adjurant Therapy Effect of Wechat Network Group Counseling on Paatients with Panic Disorder.Methods In total of 84 patients with panic disorder (PD) (with or without agoraphobia) meeting the diagnostic criteria of PD from The Diagnostic and Statistical Manual of Mental Disorders fourth edition (DSM-Ⅳ) and habit of using Wechat were included in this study and were divided into two groups. There were 81 patients finishing this study. Patients in Wechat group (n=42) received Escitalopram treatment combined with Wechat group guidance, and patients in control group (n=39) received same drug treatment combined with regular follow-up through Wechat. Scores of Panic Disorder Severity Scale (PDSS) and Hamilton Anxiety Rating Scale (HAMA), recovery rate of PD and good adherence rate before and after the treatment in the two groups were compared.Results Repeated measures analysis of variance was adopted to analyze factor score and total score before and after the treatment, and the results showed the time effect was statistically significant (P<0.001). After 4-week treatment, the differences of pain scores (0.92±0.73 vs. 1.33±0.73), anticipatory anxiety score (0.94±0.71 vs. 1.38±0.80) and total scores (5.83±4.40 vs. 7.10±4.35) of Wechat group and Control group were statistically significant (P<0.05). Before treatment, there was no statistically significant differences of HAMA scores in Wechat group and control group. However, there were significant differences at week 1, 2, 4 and 8 after treatment (P<0.05). The recovery rate of PD in Wechat group and control group was 66.7% and 51.3% respectively (P=0.159) and good adherence rate in Wechat group and control group was 96.5% and 71.8% respectively (P=0.031). Conclusion Short term Wechat group psychology guidance can effectively alleviate anxiety and improve adherence in early treatment period of PD.
Pages: 39-42
Year: 2016 Issue: 8
Journal: Hospital Management Forum
Keyword: Panic disorder; Group guidance; Drug therapy;
Abstract: Objective Discussion on the Adjurant Therapy Effect of Wechat Network Group Counseling on Paatients with Panic Disorder.Methods In total of 84 patients with panic disorder (PD) (with or without agoraphobia) meeting the diagnostic criteria of PD from The Diagnostic and Statistical Manual of Mental Disorders fourth edition (DSM-Ⅳ) and habit of using Wechat were included in this study and were divided into two groups. There were 81 patients finishing this study. Patients in Wechat group (n=42) received Escitalopram treatment combined with Wechat group guidance, and patients in control group (n=39) received same drug treatment combined with regular follow-up through Wechat. Scores of Panic Disorder Severity Scale (PDSS) and Hamilton Anxiety Rating Scale (HAMA), recovery rate of PD and good adherence rate before and after the treatment in the two groups were compared.Results Repeated measures analysis of variance was adopted to analyze factor score and total score before and after the treatment, and the results showed the time effect was statistically significant (P<0.001). After 4-week treatment, the differences of pain scores (0.92±0.73 vs. 1.33±0.73), anticipatory anxiety score (0.94±0.71 vs. 1.38±0.80) and total scores (5.83±4.40 vs. 7.10±4.35) of Wechat group and Control group were statistically significant (P<0.05). Before treatment, there was no statistically significant differences of HAMA scores in Wechat group and control group. However, there were significant differences at week 1, 2, 4 and 8 after treatment (P<0.05). The recovery rate of PD in Wechat group and control group was 66.7% and 51.3% respectively (P=0.159) and good adherence rate in Wechat group and control group was 96.5% and 71.8% respectively (P=0.031). Conclusion Short term Wechat group psychology guidance can effectively alleviate anxiety and improve adherence in early treatment period of PD.
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