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Primary outcomes were the rates of panic attacks, panic disorder and anxiety symptoms. Secondary outcomes were depressive symptoms, catastrophic cognitions about breathing difficulties, disease-specific quality of life and hospital admission rates.<\/jats:p><jats:p>There were no significant differences between the groups on outcome measures at baseline. By the 18-month follow-up assessment, 12 (60%) routine care group participants had experienced at least one panic attack in the previous 6\u2005months, with two (17%) of these being diagnosed with panic disorder, while no CBT group participants experienced any panic attacks during the follow-up phase. There were also significant reductions in anxiety symptoms and catastrophic cognitions in the CBT group at all three follow-ups and a lower number of hospital admissions between the 6- and 12-month follow-ups.<\/jats:p><jats:p>The study provides evidence that a brief, specifically targeted CBT intervention can treat panic attacks in COPD patients and prevent the development and worsening of panic-spectrum psychopathology and anxiety symptoms.<\/jats:p>","DOI":"10.1183\/09031936.00060309","type":"journal-article","created":{"date-parts":[[2009,9,10]],"date-time":"2009-09-10T00:56:09Z","timestamp":1252544169000},"page":"557-563","source":"Crossref","is-referenced-by-count":72,"title":["Prevention of panic attacks and panic disorder in COPD"],"prefix":"10.1183","volume":"35","author":[{"given":"N.","family":"Livermore","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Sharpe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"McKenzie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"81","published-online":{"date-parts":[[2009,9,9]]},"reference":[{"key":"2024102020030752000_35.3.557.1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.06.00124605"},{"key":"2024102020030752000_35.3.557.2","unstructured":"American Psychiatric Association. 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