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Panic disorder and psychoactive substance use in primary care
Andressa Jacondino Pires1, Camila Corrêa Casanova2, Luciana de Avila Quevedo1
1Universidade Católica de Pelotas, Pelotas, RS, Brazil.
Trends in Psychiatry and Psychotherapy
|March 23, 2016
Summary
This study found a significant link between panic disorder and the use of both legal and illegal substances in primary care patients in Brazil. These findings highlight the need for integrated treatment approaches for individuals with co-occurring conditions.
Area of Science:
- Psychiatry
- Public Health
- Epidemiology
Background:
- Panic disorder is a common mental health condition.
- Substance use is prevalent in primary care settings.
- Understanding the comorbidity between panic disorder and substance use is crucial for effective treatment.
Purpose of the Study:
- To investigate the association between panic disorder and the use of licit and illicit substances.
- To examine this relationship within a primary care population in southern Brazil.
Main Methods:
- A cross-sectional study was conducted with 1,081 patients from three primary care centers.
- The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) was used to assess substance use.
- The Mini International Neuropsychiatric Interview (MINI) was employed for diagnosing panic disorder.
Main Results:
- The prevalence of panic disorder was 5.6% in the study population.
- Panic disorder showed a significant association with the use of marijuana (p = 0.001).
- Significant associations were also found with tobacco (p = 0.001), cocaine (p < 0.001), and other illicit substances (p < 0.001).
Conclusions:
- A significant association exists between panic disorder and both licit and illicit substance use.
- These findings suggest a need to reconsider treatment and intervention strategies for patients with dual diagnosis.
- Integrated care models are recommended for managing comorbid panic disorder and substance use.
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