Panic disorder in the primary care setting: comorbidity, disability, service utilization, and treatment
| Autor: | Evelyn Mercier, Joan Russo, Murray B. Stein, Peter Roy-Byrne, Roxanne Thomas, Alexander Bystritsky, Wayne Katon, Cathy D. Sherbourne, Michelle G. Craske, John R. McQuaid |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male Washington medicine.medical_specialty medicine.medical_treatment Health Status Comorbidity behavioral disciplines and activities California Disability Evaluation mental disorders medicine Humans Psychiatry Psychiatric Status Rating Scales Psychotropic Drugs Cognitive Behavioral Therapy Primary Health Care business.industry Panic disorder Mental Disorders Panic Health Services medicine.disease Mental health Cognitive behavioral therapy Hospitalization Psychiatry and Mental health Treatment Outcome Telephone interview Anxiety Panic Disorder Female medicine.symptom business Anxiety disorder Algorithms |
| Zdroj: | The Journal of clinical psychiatry. 60(7) |
| ISSN: | 0160-6689 |
| Popis: | Background: Increased medical service utilization in patients with panic disorder has been described in epidemiologic studies, although service use in primary care panic patients relative to other primary care patients is less well characterized. Inadequate recognition of panic has been shown in several primary care studies, although the nature of usual care for panic in this setting has not been well documented. This study aimed to document increased service use in panic patients relative to other primary care patients and to characterize the nature of their usual care for panic and their outcome. Method: Using a waiting room screening questionnaire and follow-up telephone interview with the Composite International Diagnostic Interview, we identified a convenience sample of 81 patients with panic disorder (DSM-IV) and a control group of 183 psychiatrically healthy patients in 3 primary care settings on the West Coast and determined psychiatric diagnostic comorbidity, panic characteristics, disability, and medical and mental health service use, including medications. A subsample (N = 41) of panic patients was reinterviewed 4-10 months later to determine the persistence of panic and the adequacy of intervening treatment received using the Harvard/Brown Anxiety Disorders Research Program study criteria for cognitive-behavioral therapy (CBT) and an algorithm developed by the authors for medications. Results: Seventy percent of panic patients had a comorbid psychiatric diagnosis. Patients had more disability in the last month (days missed or cut down activities) (p |
| Databáze: | OpenAIRE |
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