Clinical and subthreshold panic disorder.
Clinical and subthreshold panic disorder.
复制标题
DOI：
10.1002/da.20622
复制
发表时间：
2010-04
影响因子：
7.4
通讯作者：
Young, Alexander S.
中科院分区：
文献类型：
--
作者：
Bystritsky, Alexander;Kerwin, Lauren;Niv, Noosha;Natoli, Jaime L.;Abrahami, Natalie;Klap, Ruth;Wells, Kenneth;Young, Alexander S.
背景：惊恐障碍(PD)是一种非常普遍的致残性疾病，阈值以下的病例可能更普遍。这项研究调查了阈值以下惊恐患者的精神合并症、工作功能和医疗保健利用情况。这项研究的目的是增加与阈值以下的PD相关的显著共病和残疾的积累证据。方法：数据来自社区健康护理研究，这是一项针对美国成年、平民、非制度化人口(N=9585)的全国性家庭调查。收集了评估精神障碍、就业和工作效率以及医疗保健利用率的数据。结果：临床惊恐和阈值下惊恐在一般人群中的患病率为40%。阈值以下的恐慌与几种共病障碍的发生几率增加有关，包括抑郁、心境恶劣、精神病、广泛性焦虑症、双相情感障碍以及酒精和药物使用障碍。阈值下恐慌与医疗服务利用的可能性较大，但与精神卫生服务的强度无关。结论：阈值下恐慌患者普遍存在精神疾病的并存和医疗服务的利用。不同程度的恐慌症状和其他精神健康问题与功能障碍指数之间的关系值得进一步调查。这些结果为进一步研究阈值下帕金森病的病程及其对生活质量的影响提供了依据。《抑郁与焦虑》，2010。 ©2009威利-利斯公司。
Background: Panic disorder (PD) is a highly prevalent and disabling condition, and subthreshold cases may be even more prevalent. This study examined psychiatric comorbidities, work functioning, and health‐care utilization of individuals with subthreshold panic. The purpose of this study was to add to the accumulating evidence of significant comorbidity and disability associated with subthreshold PD.Methods: Data are drawn from the Health Care for Communities study, a national household survey of the United States' adult, civilian, noninstitutionalized population (N=9585). Data assessing psychiatric disorders, employment and work productivity, and health‐care utilization were collected. Seven categories of panic and subthreshold panic were created.Results: The prevalence of clinical and subthreshold panic in the general population was 40%. Subthreshold panic was associated with increased odds of several comorbid disorders, including depression, dysthymia, psychosis, generalized anxiety disorder, bipolar disorder, and alcohol and drug use disorders. Subthreshold panic was also associated with greater likelihood of health‐care service utilization but not with the intensity of mental health services.Conclusion: Psychiatric comorbidities and health‐care utilization are common among patients with subthreshold panic. The relationship between varying degrees of panic symptomology and other mental health problems and indices of functioning impairment warrants further investigation. These results inform further research focusing on the course of subthreshold PD and its impact on quality of life. Depression and Anxiety, 2010. © 2009 Wiley‐Liss, Inc.
登录
查看更多内容
DOI：
10.1097/00043764-200103000-00009
发表时间：
2001-03-01
影响因子：
3.2
作者：
Kessler, RC;Greenberg, PE;Wang, PS
通讯作者：
Wang, PS
影响因子：
7.3
作者：
JOYCE, PR;BUSHNELL, JA;HORNBLOW, AR
通讯作者：
HORNBLOW, AR
影响因子：
5.3
作者：
Greenberg, PE;Sisitsky, T;Fyer, AJ
通讯作者：
Fyer, AJ
影响因子：
--
作者：
Katon, WJ;Roy-Byrne, P;Cowley, D
通讯作者：
Cowley, D
影响因子：
11.3
作者：
Goodwin, RD;Hamilton, SP
通讯作者：
Hamilton, SP