PURPOSE: This study aimed at (1) establishing the prevalence of paniclike anxiety in emergency department (ED) patients with unexplained chest pain (UCP); (2) describing and comparing the sociodemographic, medical, and psychiatric characteristics of UCP patients with and without paniclike anxiety; and (3) measuring the rate of identification of panic in this population. BASIC PROCEDURE: A structured interview, the Anxiety Disorders Interview Schedule for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, was administered to identify paniclike anxiety and evaluate patients' psychiatric status. Anxious and depressive symptoms were evaluated with self-report questionnaires. Medical information was extracted from patients' medical records. MAIN FINDINGS: The prevalence of paniclike anxiety was 44% (95% CI, 40%-48%) in the sample (n = 771). Psychiatric disorders were more common in panic patients (63.4% vs 20.1%), as were suicidal thoughts (21.3% vs 11.3%). Emergency physician diagnosed only 7.4% of panic cases. PRINCIPAL CONCLUSIONS: Paniclike anxiety is common in ED patients with UCP, and this condition is rarely diagnosed in this population.
PURPOSE: This study aimed at (1) establishing the prevalence of paniclike anxiety in emergency department (ED) patients with unexplained chest pain (UCP); (2) describing and comparing the sociodemographic, medical, and psychiatric characteristics of UCP patients with and without paniclike anxiety; and (3) measuring the rate of identification of panic in this population. BASIC PROCEDURE: A structured interview, the Anxiety Disorders Interview Schedule for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, was administered to identify paniclike anxiety and evaluate patients' psychiatric status. Anxious and depressive symptoms were evaluated with self-report questionnaires. Medical information was extracted from patients' medical records. MAIN FINDINGS: The prevalence of paniclike anxiety was 44% (95% CI, 40%-48%) in the sample (n = 771). Psychiatric disorders were more common in panic patients (63.4% vs 20.1%), as were suicidal thoughts (21.3% vs 11.3%). Emergency physician diagnosed only 7.4% of panic cases. PRINCIPAL CONCLUSIONS:Paniclike anxiety is common in ED patients with UCP, and this condition is rarely diagnosed in this population.
Authors: Guillaume Foldes-Busque; Stéphanie Hamel; Geneviève Belleville; Richard Fleet; Julien Poitras; Jean-Marc Chauny; Alain Vadeboncoeur; Kim L Lavoie; André Marchand Journal: Biopsychosoc Med Date: 2016-10-18
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Authors: Stéphanie Hamel; Isabelle Denis; Stéphane Turcotte; Richard Fleet; Patrick Archambault; Clermont E Dionne; Guillaume Foldes-Busque Journal: Health Qual Life Outcomes Date: 2022-01-10 Impact factor: 3.186
Authors: Guillaume Foldes-Busque; Isabelle Denis; Julien Poitras; Richard P Fleet; Patrick Archambault; Clermont E Dionne Journal: BMJ Open Date: 2013-10-25 Impact factor: 2.692