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Panic disorder in patients with chronic heart failure
Thomas Müller-Tasch1, Lutz Frankenstein, Nicole Holzapfel
1Department of Psychosomatic and General Internal Medicine, University of Heidelberg, Heidelberg, Germany. Thomas.Mueller-Tasch@med.uni-heidelberg.de
Journal of Psychosomatic Research
|February 23, 2008
Summary
Approximately 10% of chronic heart failure patients have panic disorder, often with comorbid anxiety or depression. This condition significantly impairs quality of life, particularly for women and those with lower education.
Area of Science:
- Cardiology
- Psychiatry
- Public Health
Background:
- Chronic heart failure (CHF) is a significant health concern with complex patient needs.
- Mental health comorbidities, such as panic disorder, are increasingly recognized in CHF populations.
- Understanding the prevalence and impact of panic disorder in CHF is crucial for comprehensive patient care.
Purpose of the Study:
- To determine the prevalence of panic disorder in outpatients with chronic heart failure (CHF).
- To investigate the influence of panic disorder on health-related quality of life (QoL).
- To identify comorbid anxiety and depressive disorders in CHF patients with panic disorder.
Main Methods:
- A cross-sectional study design was employed.
- Patients with CHF (NYHA Functional Classes I-IV) aged 18+ were assessed.
- Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria, Patient Health Questionnaire, and SF-36 Health Survey were used.
Main Results:
- Panic disorder was diagnosed in 9.3% of 258 CHF patients.
- Comorbid anxiety and/or depressive disorders were present in 29.2% to 47.3% of panic disorder patients.
- Panic disorder was associated with female gender and lower education; it significantly reduced QoL across all SF-36 subscales.
Conclusions:
- Nearly 1 in 10 CHF patients experience panic disorder, often with co-occurring mental health conditions.
- Female gender and lower education levels are risk factors for panic disorder in CHF.
- Panic disorder severely compromises QoL in CHF patients, necessitating integrated mental health services.
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