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Clinical Nursing Research, Vol. 14, No. 2, 131-157 (2005)
DOI: 10.1177/1054773804273863
© 2005 SAGE Publications

Cognitive-Behavioral Treatment Combined With Asthma Education for Adults With Asthma and Coexisting Panic Disorder

Carolyn J. M. Ross

Terry M. A. Davis

G. Fred Macdonald

University of Alberta

This study tested the efficacy of a nurse-administered 8-week group treatment program for adults with asthma suffering from coexisting panic disorder. The program consisted of cognitive behavioral treatment (CBT) for panic disorder combined with asthma education (AE). Forty-eight women with a confirmed diagnosis of asthma and panic disorder were randomly allocated to a treatment condition (n=25) and a wait-list control condition (n=23). Twenty-five participants—15 in the treatment group and 10 in the wait-list control group— completed treatment. Repeated measures ANOVA procedures were used to compare the groups on panic and asthma outcomes at posttreatment and 6-month follow-up. The results demonstrate that the CBT-AE program is capable of producing substantial and durable antipanic and antianxiety treatment effects and led to substantial but nonsustained improvement in morning peak-flow expiratory rate and asthma-related quality of life. Implications of these findings for this clinical population are addressed.

Key Words: asthma education • cognitive-behavioral treatment • panic disorder


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