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Panic and depression: a worldwide primary care perspective

Y Lecrubier1, T B Ustün

  • 1INSERM, Hôpital la Salpêtrière, Paris, France.

International Clinical Psychopharmacology
|August 5, 1998
PubMed
Summary
This summary is machine-generated.

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Psychiatric disorders are common in primary care, affecting 24% of patients. Panic attacks often indicate serious mental illness, including depression, and signal a need for treatment.

Area of Science:

  • Global Mental Health
  • Primary Care Psychiatry
  • Epidemiology of Psychiatric Disorders

Background:

  • Psychiatric disorders are prevalent in primary care settings worldwide.
  • The World Health Organization (WHO) conducted a large multicenter study on psychological problems in general healthcare.
  • Understanding the frequency, disability, and comorbidity of mental illness in primary care is crucial.

Purpose of the Study:

  • To analyze the comorbidity of psychiatric disorders in primary care.
  • To investigate the significance of panic attacks within the primary care context.
  • To assess the impact of comorbid panic disorder and depression on illness severity and disability.

Main Methods:

  • Analysis of data from the WHO Collaborative Study on Psychological Problems in General Health Care.

Related Experiment Videos

  • Inclusion of primary care attenders from 14 countries.
  • Focus on diagnostic comorbidity and the clinical presentation of panic attacks.

    • Main Results:

    • Psychiatric disorders affect 24% of primary care attenders, often with significant disability.
    • Panic disorder frequently co-occurs with depression, leading to more severe and persistent illness.
    • Panic attacks are highly indicative (99%) of underlying depressive, anxiety, or subthreshold disorders, even in subthreshold cases with depressive episodes.

    Conclusions:

    • Panic attacks are key indicators of psychiatric illness in primary care, warranting treatment.
    • Comorbidity of panic disorder and depression results in increased severity, disability, and suicidality.
    • Early recognition of panic attacks can facilitate timely intervention for mental health conditions in primary care.