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Related Experiment Videos

Panic disorder: epidemiology in primary care.

W Katon, P P Vitaliano, J Russo

    The Journal of Family Practice
    |September 1, 1986
    PubMed
    Summary

    Primary care patients frequently experience panic disorder, often misinterpreting symptoms as physical illness. Early diagnosis and treatment of panic disorder can reduce psychological distress and somatic preoccupation.

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    Area of Science:

    • Psychiatry
    • Epidemiology
    • Primary Care Medicine

    Background:

    • Panic disorder is a significant mental health concern.
    • Accurate diagnosis is crucial for effective treatment.
    • Primary care settings are ideal for screening and early intervention.

    Purpose of the Study:

    • To determine the prevalence of panic disorder in a primary care population.
    • To investigate the association between panic disorder and other psychological conditions.
    • To highlight the importance of diagnosing panic disorder in primary care.

    Main Methods:

    • Screening of 195 primary care patients using the National Institute of Mental Health Diagnostic Interview Schedule.
    • Application of Diagnostic and Statistical Manual of Mental Disorders, ed 3 (DSM-III) criteria for panic disorder diagnosis.

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  • Comparison of patients with panic disorder/simple panic to controls regarding psychological distress and symptom interpretation.

    • Main Results:

    • 13% of patients met DSM-III criteria for panic disorder (6.7% with exclusionary criteria).
    • An additional 8.7% experienced 'simple panic' with panic symptoms but not full criteria.
    • Patients with panic disorder or simple panic showed higher rates of major depression, phobias, avoidance behavior, and psychological distress.
    • Misinterpretation of symptoms as physical illness was common in panic disorder patients.
    • Panic disorder patients had higher somatization scores and medical symptom review results compared to controls.

    Conclusions:

    • Panic disorder is prevalent in primary care, often presenting with somatic complaints.
    • Accurate diagnosis and treatment of panic disorder can alleviate psychological distress and reduce somatic preoccupation.
    • Primary care physicians can play a vital role in identifying and managing panic disorder through screening.