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Panic disorder in cardiac outpatients.

R Goldberg1, P Morris, F Christian

  • 1Department of Psychiatry, Rhode Island Hospital, Providence 02903.

Psychosomatics
|January 1, 1990
PubMed
Summary

Panic disorder affects 9.2% of cardiology patients, with long-duration cases starting before age 30 and short-duration cases emerging later, often after cardiac disease onset.

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Area of Science:

  • Cardiology
  • Psychiatry
  • Epidemiology

Background:

  • Panic disorder is a condition characterized by recurrent, unexpected panic attacks.
  • Understanding its prevalence in specific patient populations, like those in cardiology, is crucial for diagnosis and management.
  • Previous research has not fully elucidated the specific characteristics and prevalence of panic disorder within ambulatory cardiology settings.

Purpose of the Study:

  • To determine the prevalence of panic disorder in patients attending an ambulatory cardiology practice.
  • To investigate the nature and clinical characteristics of panic disorder in this population.
  • To compare the onset and course of panic disorder based on its duration.

Main Methods:

  • A survey methodology was employed, mailing questionnaires regarding panic symptoms to 414 patients.
  • Diagnostic interviews were conducted with patients who screened positive for possible or definite panic disorder.
  • Prevalence was calculated based on confirmed diagnoses within the total patient sample.

Main Results:

  • A prevalence of 9.2% for panic disorder was identified among the 414 patients.
  • Of 310 respondents, 104 (33.5%) reported symptoms suggestive of panic disorder.
  • Interviews confirmed panic disorder in 52 patients, validating the overall prevalence rate.
  • Long-duration panic disorder was associated with onset before age 30 and a chronic course.
  • Short-duration panic disorder was linked to older age at onset and followed the appearance of cardiac disease.

Conclusions:

  • Panic disorder is a significant comorbidity in ambulatory cardiology patients, with a notable prevalence of 9.2%.
  • The study differentiates between long-duration and short-duration panic disorder, highlighting distinct epidemiological and clinical features.
  • The findings suggest a potential link between the onset of cardiac disease and the development of short-duration panic disorder, warranting further investigation.

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