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Related Experiment Videos

Panic disorder: relationship to high medical utilization.

W J Katon1, M Von Korff, E Lin

  • 1Department of Psychiatry and Behavioral Sciences, University of Washington Medical School, Seattle.

The American Journal of Medicine
|January 24, 1992
PubMed
Summary
This summary is machine-generated.

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Panic disorder significantly increases medically unexplained symptoms and high healthcare use. Individuals with panic disorder often present with somatic complaints to primary care physicians, highlighting a critical link between mental health and medical resource utilization.

Area of Science:

  • Psychiatry
  • Epidemiology
  • Healthcare Utilization

Background:

  • Panic disorder is often associated with somatization and functional disability.
  • Understanding the relationship between panic disorder and healthcare seeking behavior is crucial for effective patient management.
  • High medical utilization by patients with panic disorder presents a significant challenge to healthcare systems.

Purpose of the Study:

  • To elucidate the complex relationship between panic disorder, somatization, functional disability, and high medical utilization.
  • To review existing data on the prevalence of panic disorder across community, primary care, and specialty settings.
  • To examine the impact of panic disorder on healthcare utilization and health perception.

Main Methods:

  • Systematic review of data from community, primary-care, and specialty studies.

Related Experiment Videos

  • Analysis of data from the Epidemiologic Catchment Area (ECA) Study to assess healthcare utilization and health perception.
  • Review of primary care patient data, including presentation modes and prevalence of panic disorder.
  • Presentation of findings from a study on distressed high utilizers of primary care.
  • Main Results:

    • Panic disorder affects 1-3% of the general community and 1.4-8% of primary care patients.
    • Individuals with panic disorder exhibit a higher risk of medically unexplained symptoms and are high users of ambulatory medical services.
    • Panic disorder patients report poorer physical health perception and higher utilization of emergency, inpatient, and ambulatory services.
    • A significant proportion of distressed primary care high utilizers (12% current, 30% lifetime) have panic disorder.

    Conclusions:

    • Panic disorder is strongly associated with increased somatization, functional disability, and substantial healthcare utilization.
    • Somatic complaints, particularly cardiac and neurological, are common presenting symptoms for panic disorder in primary care.
    • Identifying and treating panic disorder in primary care settings is essential for reducing healthcare costs and improving patient outcomes.