Original scientific paper

PERSONALITY DISORDER FUNCTIONING STYLES ARE ASSOCIATED WITH THE EFFECTS OF THE COGNITIVEBEHAVIORAL THERAPY FOR PANIC DISORDER: A PRELIMINARY STUDY

Wanzhen Chen ; Department of Psychology and Behavioral Sciences, Zhejiang University College of Sciences, Hangzhou, China; Department of Clinical Psychology and Psychiatry/School of Public Health, Zhejiang University College of Medicine, Hangzhou, China; Key Laboratory
Jing Hu ; Department of Psychology and Behavioral Sciences, Zhejiang University College of Sciences, Hangzhou, China; Department of Clinical Psychology and Psychiatry/School of Public Health, Zhejiang University College of Medicine, Hangzhou, China
Shaofang Xu ; Department of Psychology and Behavioral Sciences, Zhejiang University College of Sciences, Hangzhou, China; Department of Clinical Psychology and Psychiatry/School of Public Health, Zhejiang University College of Medicine, Hangzhou, China
Mowei Shen ; Department of Psychology and Behavioral Sciences, Zhejiang University College of Sciences, Hangzhou, China
Hao Chai ; Department of Psychology and Behavioral Sciences, Zhejiang University College of Sciences, Hangzhou, China; Department of Clinical Psychology and Psychiatry/School of Public Health, Zhejiang University College of Medicine, Hangzhou, China
Wei Wang orcid.org/0000-0002-6822-8162 ; Department of Psychology and Behavioral Sciences, Zhejiang University College of Sciences, Hangzhou, China; Department of Clinical Psychology and Psychiatry/School of Public Health, Zhejiang University College of Medicine, Hangzhou, China; Key Laboratory

Abstract

Background: The effect of the cognitive behavioral therapy (CBT) for panic disorder varies, but how personality disorder
functioning style influences it remains unclear.
Subjects and methods: In 30 healthy volunteers and 44 patients with panic disorder (22 treated and 22 waiting list), we
administered the Parker Personality Measure (PERM) and the Plutchik-van Praag Depression Inventory (PVP). Before and during
the CBT or waiting period, patients were asked to record their panic attacks using the Panic Attack Record (PAR).
Results: Patients scored significantly higher on PERM Antisocial, Borderline, Histrionic, Avoident, Dependent, and Passiveaggressive
styles and on depression. After CBT, all PAR parameters were significantly reduced in the treated group. The Obsessivecompulsive
style was positively correlated with the panic attack duration and the total-thought before CBT or waiting period in all
patients. In treated patients, the decreased panic attack duration was positively correlated with Histrionic, Obsessive-compulsive
and Passive-aggressive; the decreased total symptom number was positively correlated with Antisocial and Histrionic; the decreased
total-sensation was positively correlated with antisocial; and the total-thought was positively correlated with Narcissistic style.
Conclusions: The length and duration of CBT was short and mainly with behavioral strategies, how personality influenced the
related cognition per se remains unknown here. However, our preliminary results indicate that personality disorder functioning
styles related to the externalized behaviors and the Obsessive-compulsive style have positive effects on CBT for panic disorder,
implying that CBT practitioners should note their personality styles when treating these patients.

Keywords

cognitive behavioral therapy – CBT - panic disorder – personality - personality disorder functioning style

Hrčak ID:

162064

URI

https://hrcak.srce.hr/162064

Publication date:

17.6.2014.

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