Cognitive Behavioral Therapy on Panic Attacks among Emerging Adults: A Quasi Experimental Design
Keywords:
Cognitive Behavioral Therapy, Panic Attacks, Emerging Adults, Quasi Experimental DesignAbstract
The present research goal was to investigate the efficacy of Group Cognitive Behavioral Therapy (GCBT) in the elimination of panic attacks in emerging adults. Following a thorough literature review, a hypothesis was made that Group CBT would play a major role in reducing the high rate and intensity of panic attacks among university students in comparison with a control group. The study sample included 60 participants, who were further separated into two groups: an experimental group (n = 30) and a control group (n = 30). The participants were young adults aged 18-25 years, and they were recruited in the universities. Panic attack symptoms were measured by using the Panic Disorder Self Report. The Group Cognitive Behavioral Therapy (GCBT) sessions were applied to the experimental group, whereas the control condition did not have any psychological intervention within the research period. The data were analyzed through statistical tests, descriptive statistics, and independent sample t-tests. The findings revealed that the study participants in the experimental group exhibited a drastic change in the symptoms of panic attacks at the post-test as compared to the control group. The results indicate that Group Cognitive Behavioral Therapy (GCBT) has the potential of being a good psychological intervention in minimizing panic attacks in emerging adults.
References
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.; DSM-5-TR). American Psychiatric Association Publishing.
Asmundson, G. J. G., Taylor, S., & Smits, J. A. J. (2014). Panic disorder and agoraphobia: An overview and commentary on DSM-5 changes. Depression and Anxiety, 31(6), 480–486. https://doi.org/10.1002/da.22277
Bieling, P. J., McCabe, R. E., & Antony, M. M. (2022). Cognitive-behavioral therapy in groups (2nd ed.). Guilford Press.
Drenckhan, I., Glöckner-Rist, A., Rist, F., & Richter, J. (2015). Panic attack symptom dimensions and their relationship to panic disorder severity. Journal of Anxiety Disorders, 31, 1–8.
Hofmann, S. G., Kasch, C., & Reis, A. (2025). Effect sizes of randomized-controlled studies of cognitive behavioral therapy for anxiety disorders over the past 30 years. Clinical Psychology Review, Article 102553.
Hunt, C., Campbell-Sills, L., Chavira, D., Craske, M., Sherbourne, C., Sullivan, G., … Bomyea, J. (2022). Prospective relations between anxiety sensitivity and transdiagnostic anxiety following cognitive-behavioral therapy. Behaviour Research and Therapy, 155, 104119.
Kushner, M. G., & Beitman, B. D. (1990). The phenomenon of nonfearful panic attacks. American Journal of Psychiatry, 147(11), 1526–1528.
Lack, C. W. (2024). Anxiety disorders: Diagnoses, clinical features, and epidemiology. Psychiatric Clinics of North America, 47(4), 613–622. https://doi.org/10.1016/j.psc.2024.04.008
Meuret, A. E., White, K. S., Ritz, T., Roth, W. T., & Hofmann, S. G. (2006). Panic attack symptom dimensions and their relationship to illness characteristics in panic disorder. Journal of Psychiatric Research, 40(6), 520–527.
Newman, M. G., Holmes, M., Zuellig, A. R., Kachin, K. E., & Behar, E. (2006). The reliability and validity of the Panic Disorder Self-Report: A new diagnostic screening measure of panic disorder. Psychological Assessment, 18(1), 49–61. https://doi.org/10.1037/1040-3590.18.1.49
Papola, D., Ostuzzi, G., Tedeschi, F., Gastaldon, C., Purgato, M., Del Giovane, C., … Barbui, C. (2023). CBT treatment delivery formats for panic disorder: A systematic review and network meta-analysis. Psychological Medicine, 53(3), 614–624.
Prasko, J., Abeltina, M., Krone, I., Dicevicius, D., Bite, I., Juskiene, A., … Ociskova, M. (2022). Group supervision in cognitive behavioral therapy: Theoretical frameworks and praxis. Activitas Nervosa Superior Rediviva, 64(2–3), 86–99.
Rabasco, A., McKay, D., Smits, J. A., Powers, M. B., Meuret, A. E., & McGrath, P. B. (2022). Psychosocial treatment for panic disorder: An umbrella review. Journal of Anxiety Disorders, 86, 102528.
Roy-Byrne, P. P., Craske, M. G., & Stein, M. B. (2006). Panic disorder. The Lancet, 368(9540), 1023–1032. https://doi.org/10.1016/S0140-6736(06)69418-X
Schenberg, L. C., Bittencourt, A. S., Sudré, E. C., & Vargas, L. C. (2001). Modeling panic attacks. Neuroscience & Biobehavioral Reviews, 25(7–8), 647–659.
Shadish, W. R., Cook, T. D., & Campbell, D. T. (2002). Experimental and quasi-experimental designs for generalized causal inference. Houghton Mifflin.
Tang, B., Zhu, Y., Xiao, Q., & Kang, M. (2026). Global burden of anxiety disorders in adolescents and young adults aged 10–24 years from 1990 to 2021. International Journal of Psychiatry in Clinical Practice, 1–15.
Whitfield, G., & Scott, M. (2018). CBT delivered in groups. In The therapeutic relationship in cognitive behavioural therapy (pp. 231–242).
Wolitzky-Taylor, K., Otto, M., Metts, A., Hanano, M., & Mooney, L. J. (2026). A pilot randomized clinical trial evaluating the feasibility, acceptability, and preliminary efficacy of a cognitive–behavioral therapy adjunct to support benzodiazepine tapering among primary care patients coprescribed benzodiazepines and opioids. Psychology of Addictive Behaviors. Advance online publication. https://doi.org/10.1037/adb0001164
Wolitzky-Taylor, K., Wen, A., Freimer, N., & Craske, M. G. (2026). Anxiety and depression in emerging adults: The STAND program as a model of scalable screening and intervention. Neuropsychopharmacology, 51(1), 244–258. https://doi.org/10.1038/s41386-025-01678-1
Yılmaz, S., Kabadayı, M., & Kubilay, D. (2025). A review of panic disorder and cognitive behavioral therapy. Journal of Cognitive Behavioral Psychotherapy Research, 14(1), 61–72.
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