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اصول بهداشت روانی، جلد ۲۷، شماره ۳، صفحات ۱۴۳-۱۴۷
عنوان فارسی Examining the pitfalls and challenges of standard cognitive behavioral therapy for panic disorder in cardiovascular patient population: A narrative review
چکیده فارسی مقاله Introduction: Panic Disorder (PD) is a common mental health condition that frequently occurs alongside cardiovascular disease (CVD), posing challenges for treatment. Cognitive Behavioral Therapy (CBT) is an established intervention for panic disorder; however, its use in patients with CVD poses challenges based on physiological risks and symptom overlap. Materials and Methods: This narrative review summarizes the current literature regarding panic disorder in cardiovascular patients, with attention to the inadequacies of standard CBT and potential adaptations.  Results: Challenges in using CBT to treat panic disorder in patients with cardiovascular disease include difficulty differentiating panic and cardiac symptoms and precautions for exposure therapy due to physiological risks. Challenges in using CBT to treat panic disorder in patients with cardiovascular disease include the difficulty in distinguishing between panic and cardiac symptoms, as well as the need for caution during exposure therapy because of potential physiological risks. A new cognitive behavioral therapy-based protocol, known as Panic Attack Treatment in Comorbid Heart Diseases (PATCHD), has been proposed to address these challenges through modified exposure techniques, supervised exercise, and coping skills training. Conclusion: Anxiety disorders are common among patients with cardiovascular disease, with adverse effects on disease prognosis. This population requires careful modification of the standard CBT approach in order for it to be both safe and effective. Future studies should evaluate the efficacy of modified interventions like PATCHD to enhance psychological and CVD outcomes.
کلیدواژه‌های فارسی مقاله Cardiovascular Disease، Cognitive behavioral therapy، Panic Disorder
عنوان انگلیسی Examining the pitfalls and challenges of standard cognitive behavioral therapy for panic disorder in cardiovascular patient population: A narrative review
چکیده انگلیسی مقاله Introduction: Panic Disorder (PD) is a common mental health condition that frequently occurs alongside cardiovascular disease (CVD), posing challenges for treatment. Cognitive Behavioral Therapy (CBT) is an established intervention for panic disorder; however, its use in patients with CVD poses challenges based on physiological risks and symptom overlap. Materials and Methods: This narrative review summarizes the current literature regarding panic disorder in cardiovascular patients, with attention to the inadequacies of standard CBT and potential adaptations.  Results: Challenges in using CBT to treat panic disorder in patients with cardiovascular disease include difficulty differentiating panic and cardiac symptoms and precautions for exposure therapy due to physiological risks. Challenges in using CBT to treat panic disorder in patients with cardiovascular disease include the difficulty in distinguishing between panic and cardiac symptoms, as well as the need for caution during exposure therapy because of potential physiological risks. A new cognitive behavioral therapy-based protocol, known as Panic Attack Treatment in Comorbid Heart Diseases (PATCHD), has been proposed to address these challenges through modified exposure techniques, supervised exercise, and coping skills training. Conclusion: Anxiety disorders are common among patients with cardiovascular disease, with adverse effects on disease prognosis. This population requires careful modification of the standard CBT approach in order for it to be both safe and effective. Future studies should evaluate the efficacy of modified interventions like PATCHD to enhance psychological and CVD outcomes.
کلیدواژه‌های انگلیسی مقاله Cardiovascular Disease, Cognitive behavioral therapy, Panic Disorder
نویسندگان مقاله سجاد بوداغی | Sajjad Bodaghi
Department of Clinical and Health Psychology, Faculty of Education and Psychology, Shahid Beheshti University, Tehran, Iran.


حمیدرضا پوراعتماد | Hamid Reza Pouretemad
Department of Clinical and Health Psychology, Faculty of Education and Psychology, Shahid Beheshti University, Tehran, Iran.


وحید صادقی فیروزابادی | Vahid Sadeghi Firoozabadi
Department of Clinical and Health Psychology, Faculty of Education and Psychology, Shahid Beheshti University, Tehran, Iran.


فیلیپ تالی | Philip J. Tully
Associate professor, School of Psychology, Deakin University, Burwood, Victoria, Australia.


محسن موهبتی | Mohsen Mohebati
Department of Cardiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.


جواد پورکریمی | Javad Pourkarimi
Department of Educational Management and Educational Planning, Faculty of Psychology and Educational Sciences, Tehran University, Tehran, Iran.
نشانی اینترنتی https://jfmh.mums.ac.ir/article_26456.html
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