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The German Journal of Psychiatry

ISSN 1433-1055

Supplement 2 2001

IVth Annual Meeting of the Society for Anxiety Research November 16-17, 2001, University of Muenster, Germany

(Authors’ translations)

German J Psychiatry 2001; 4: S1 Social Conflict-Management Training for In- patients with Complex Anxiety Disorders

S.A. Cohen, H. Böhme Department of Psychiatry and Psychotherapy, University Hospital Essen, Barkhovenallee 171, 45239 Essen (Direc- tor Prof. Dr. M. Gastpar)

Background: In-patient psychotherapeutic treatment is offered for patients with therapy resistent, refractory or multimorbid anxiety disorders; a common feature is lack of social competence. Economic and social reasons are limiting the duration of hospital stay, so the primary goal is to enable and motivate patients to undergo further ambulatory treatment with techniques granting rapid success and a broad awareness of social problems and skills. Methods: In an ongoing study 20 hospital patients, suffer- ing from social anxiety coincident with affective, somato- form and personality disorders, some with secondary substance abuse, participated in social conflict- management training in addition to their regular psychi- atric-psychotherapeutic treatment. Cognitive-behavioral

techniques

were

amplified

by

elements

of

Moreno's

psy-

chodrama. After analysis, patients

patient worked

information and behavioral through psycho-educational

lessons

and

defined

socially

challenging

personal

situa-

sessions. The Liebowitz Social Anxiety Scale (LSAS) was administered weekly to gauge impact and change. Results: Significant effects took place by the 5th session of training and remained stable in patients able to par- ticipate in 1 - 2 additional sessions. LSAS-scores were reduced by more than 1 SD, in both anxiety and avoid- ance sub-scores. Training was well accepted by patients, and experiences could be integrated flexibly into their regular behaviorally and analytically oriented therapies. Conclusion: This improvement in patients with severe and complex anxiety disorders is comparable to published outcomes of phenelzine-, paroxetine- and cognitive- behavioral treatments of social anxiety and was achieved in a shorter time period. The results will have to be vali- dated in further research with a larger number of patients and improved control-conditions.

German J Psychiatry 2001; 4: S1 CREM gene promoter polymorphisms - Asso- ciation with panic disorder

Domschke K, Kuhlenbä umer G, Schirmacher A, Garrit- sen HS, Franke P, Fritze J, Nöthen MM, Sibrowski W, Maier W, Beckmann H, Propping P, Ringelstein EB, Arolt V, Stögbauer F, Deckert J Departments of Psychiatry, Universities of Muenster, Würzburg, Bonn and Frankfurt and Department of Neu- rology and Institute of Transfusion Medicine, University of Münster, Germany

tions, their group

one from their recent environment and one from early experiences. Training consisted of weekly sessions with role-playing and weekly homework

A novel approach to define candidate genes for associati- on studies in panic disorder is the behavioral characteriza- tion of knockout mice. Cyclo-AMP responsive element

S1

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