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Panic disorder in the general medical setting

T S Zaubler1, W Katon

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

Journal of Psychosomatic Research
|March 4, 1998
PubMed
Summary

Panic disorder is common in medical patients, leading to increased healthcare use and costs. Effective treatments for somatic symptoms are reviewed, highlighting areas for future research.

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Area of Science:

  • Psychiatry
  • Internal Medicine
  • Medical Psychology

Background:

  • Panic disorder frequently affects patients in medical settings.
  • This condition is linked to high healthcare utilization and significant medical expenses.
  • Panic disorder is associated with various somatic symptoms and disorders across multiple organ systems.

Purpose of the Study:

  • To describe the association between panic disorder and specific medical symptoms and disorders.
  • To address psychophysiological models explaining medical comorbidity in panic disorder.
  • To review and critique interventions for somatic symptoms in panic disorder patients.

Main Methods:

  • Literature review of panic disorder in medical patients.
  • Analysis of associations between panic disorder and somatic symptoms.
  • Critique of clinical trials for pharmacological and psychological interventions.

Main Results:

  • Panic disorder is prevalent in medical patients, correlating with increased medical service use.
  • Specific cardiac, gastrointestinal, respiratory, and neurologic conditions are associated with panic disorder.
  • Existing pharmacological and psychological treatments show variable efficacy for somatic symptoms.

Conclusions:

  • Panic disorder significantly impacts medical patients, necessitating integrated care approaches.
  • Further research is needed to refine treatments and understand the pathophysiology of panic disorder in medical settings.
  • Developing targeted interventions for somatic symptoms is crucial for improving patient outcomes.

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