Panic disorder in chest pain patients referred for cardiological outpatient investigation
Panic disorder in chest pain patients referred for cardiological outpatient investigation
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DOI：
10.1046/j.1365-2796.1999.00447.x
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发表时间：
1999-05-01
影响因子：
11.1
通讯作者：
Friis, S
中科院分区：
文献类型：
--
作者：
Dammen, T;Arnesen, H;Friis, S
目的：本研究的目的是：（i）确定因胸痛而转诊至心脏病门诊的患者中惊恐障碍（PD）的患病率;（ii）比较PD和非PD患者的精神共病、心理困扰、疼痛特征和自杀意念;（iii）比较PD和非PD患者的冠状动脉危险因素和医学共病的患病率;和（iv）描述当前PD治疗和PD患者表达的PD治疗需求，设计。一项基于精神病学和心脏病学调查的横断面研究，地点：挪威奥斯陆的四家心脏病门诊。连续199名没有已知心脏病的患者被转诊到门诊进行胸痛调查。主要结果测量。精神状态诊断（轴I）;心理因素和疼痛方式的自我评估量表评分;心脏病诊断。38%的患者符合惊恐障碍（PD）诊断标准。惊恐障碍与心理困扰、共病精神障碍、内科疾病和冠心病危险因素的患病率显著增高相关（P < 0.05）。此外，结果表明，这些患者在心脏病学调查之前没有被识别和适当治疗惊恐障碍，结果表明，患者对精神疾病筛查持积极态度，并在调查过程中早期传达治疗需求。结论，PD常见于该胸痛人群。因此，有必要对护理这些患者的医生进行有关PD识别和治疗的教育。
Objectives, The aims of the study were to: (i) determine the prevalence of panic disorder (PD) in patients referred to cardiological outpatient clinics for evaluation of chest pain; (ii) compare psychiatric comorbidity, psychological distress, pain characteristics and suicidal ideation in PD and non-PD patients; (iii) compare the prevalence of coronary risk factors and medical comorbidity in PD and non-PD patients; and (iv) describe current PD treatment and need for PD treatment as expressed by PD patients,Design. A cross-sectional study based on psychiatric and cardiological investigation.Setting, Four cardiological outpatient clinics in Oslo, Norway,Subjects. One-hundred and ninety-nine consecutive patients without known heart disease referred to outpatient clinics for investigation of chest pain.Main outcome measures. Psychiatric state diagnosis (axis I); scores on self-assessment rating scales of psychological factors and pain modalities; cardiological diagnosis.Results. Thirty-eight per cent of the patients met criteria for current panic disorder (PD), Panic disorder was associated with psychological distress, comorbid psychiatric disorders, medical disorders and significantly higher prevalence of coronary risk factors (P < 0.05). Furthermore, the results suggest that these patients were not identified and appropriately treated for panic disorder prior to cardiological investigation, The results indicate that the patients are positive to screening for psychiatric disorder and communicate a need for treatment early in the investigation process,Conclusion, PD commonly occurs in this chest pain population. Thus, there is a need to educate physicians caring for these patients about PD identification and treatment.