Panic disorder in the primary care setting : Comorbidity, disability, service utilization, and treatment.
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.
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. (...)
Mots-clés Pascal : Panique, Soin santé primaire, Association morbide, Trouble psychiatrique, Utilisation, Service santé, Traitement, Diagnostic, Etats Unis, Amérique du Nord, Amérique, Homme, Trouble anxieux
Mots-clés Pascal anglais : Panic, Primary health care, Concomitant disease, Mental disorder, Use, Health service, Treatment, Diagnosis, United States, North America, America, Human, Anxiety disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0406673
Code Inist : 002B18C08A. Création : 22/03/2000.