A 1-year follow-up study of chest-pain patients with and without panic disorder

Dammen, Toril; Bringager, Christine Bull; Arnesen, Harald; Ekeberg, Øivind; Friis, Svein

doi:10.1016/j.genhosppsych.2006.08.005

Cited by 29 publications

(20 citation statements)

References 116 publications

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“…Similarly, in patients referred for cardiological evaluation for chest pain of unknown etiology, the scores on the ‘health anxiety’ and ‘illness behaviour’ factors [25] were higher in subjects whose symptoms were explained by panic disorder [46, 167], and differences between groups remained significant at the 1-year follow-up [168]. …”

Section: Resultsmentioning

confidence: 99%

The Illness Attitude Scales

Sirri

Grandi²,

Fava³

2008

Psychother Psychosom

113

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Background: The Illness Attitude Scales (IAS) were developed by Robert Kellner as a clinimetric index for measuring hypochondriacal fears and beliefs (worry about illness, concerns about pain, health habits, hypochondriacal beliefs, thanatophobia, disease phobia, bodily preoccupations, treatment experience and effects of symptoms). The IAS have been extensively used in the past two decades, but there has been no comprehensive review of their properties and applications. Methods: A review of the literature using both computerized (Medline, PsycINFO) and manual searches was performed. Results: The IAS were found to successfully discriminate between hypochondriacal patients and control subjects, and between patients with various manifestations of illness behaviour. They showed a high test-retest reliability in normal subjects, and changed in the expected direction after treatment of hypochondriasis. The IAS were also positively related to other hypochondriasis-related measures, and yielded important information in a variety of medical and surgical settings. Their content has paved the way for the development of some of the Diagnostic Criteria for Psychosomatic Research. Conclusions: The clinimetric properties and high sensitivity of the IAS make them the gold standard for the self-rated assessment of hypochondriacal fears and beliefs.

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Section: Resultsmentioning

confidence: 99%

The Illness Attitude Scales

Sirri

Grandi²,

Fava³

2008

Psychother Psychosom

113

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“…A high prevalence (44%) of panic-like anxiety has been found in ED presentations, using valid psychometric assessments, however it was also found that physicians in EDs diagnosed just 7.4% of these panic cases [ 16 ]. In addition to this, studies have highlighted that even where panic and anxiety are identified in the emergency department the appropriate interventions are seldom initiated within the scope of these services [ 17 , 18 ]. It has been suggested that the need to increase understanding of NCCP in emergency departments is critical, and that improved access to the appropriate psychological interventions could reduce attendance at health services and limit the social, physical, and occupational costs associated with anxiety and panic disorders [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

The prevalence of non-cardiac chest pain (NCCP) using emergency department (ED) data: a Northern Ireland based study

McDevitt-Petrovic

Kirby

Shevlin

2017

BMC Health Serv Res

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BackgroundThe aim of this study was to assess the frequency of chest pain presentations and the subsequent non-cardiac chest pain diagnoses in an emergency department (ED) over a 3 year period.MethodsAdministrative data on ED attendances to an urban general hospital in Northern Ireland between March 2013 and March 2016 were used. Data were coded and analysed to estimate frequencies of ‘chest pain’ presentation and the subsequent diagnoses for each year.ResultsBoth chest pain presentations and chest pain presentations with a subsequent diagnosis of unknown cause increased each year. In total, 58.7% of all chest presentations across 3 years resulted in a non-cardiac diagnosis of either ‘anxiety’, ‘panic’ or ‘chest pain of unknown cause’.DiscussionThere is a significant amount of patients in the ED leaving with a non-cardiac diagnosis, following an initial presentation with chest pain. ConclusionGiven the link between non-cardiac chest pain and frequent use of services, the degree of repeat attendance should be investigated.

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“…28 29 UCP is also associated with significant psychological distress that can become chronic in the absence of targeted interventions. [30][31][32] In fact, 20-40% of patients present a psychiatric disorder at the time of ED consultation 3 6 33-35 and 15% report suicidal ideation. 3 33 34 36 Unfortunately, fewer than 5% of patients are referred to a mental health professional for psychiatric or psychological treatment.…”

Section: Article Summarymentioning

confidence: 99%

“…30–32 Quality of life is lower and functional limitations levels are higher in patients with UCP and PLA 1530 31 37 Moreover, in patients with UCP, PLA is associated with at least a threefold increase in psychiatric morbidity and suicidal ideation 334 Similarly, use of medical resources nearly doubles when PLA is present 31…”

Section: Introductionmentioning

confidence: 99%

A prospective cohort study to refine and validate thePanic Screening Scorefor identifying panic attacks associated with unexplained chest pain in the emergency department

et al. 2013

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IntroductionPanic-like anxiety (panic attacks with or without panic disorder), a highly treatable condition, is the most prevalent condition associated with unexplained chest pain in the emergency department. Panic-like anxiety may be responsible for a significant portion of the negative consequences of unexplained chest pain, such as functional limitations and chronicity. However, more than 92% of panic-like anxiety cases remain undiagnosed at the time of discharge from the emergency department. The 4-item Panic Screening Score (PSS) questionnaire was derived in order to increase the identification of panic-like anxiety in emergency department patients with unexplained chest pain.Methods and analysisThe goals of this prospective cohort study were to (1) refine the PSS; (2) validate the revised version of the PSS; (3) measure the reliability of the revised version of the PSS and (4) assess the acceptability of the instrument among emergency physicians. Eligible and consenting patients will be administered the PSS in a large emergency department. Patients will be contacted by phone for administration of the criterion standard for panic attacks as well as by a standardised interview to collect information for other predictors of panic attacks. Multivariate analysis will be used to refine the PSS. The new version will be prospectively validated in an independent sample and inter-rater agreement will be assessed in 10% of cases. The screening instrument acceptability will be assessed with the Ottawa Acceptability of Decision Rules Instrument.Ethics and disseminationThis study protocol has been reviewed and approved by the Alphonse-Desjardins research ethics committee. The results of the study will be presented in scientific conferences and published in peer-reviewed scientific journals. Further dissemination via workshops and a dedicated website is planned.

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A 1-year follow-up study of chest-pain patients with and without panic disorder

Cited by 29 publications

References 116 publications

The Illness Attitude Scales

The Illness Attitude Scales

The prevalence of non-cardiac chest pain (NCCP) using emergency department (ED) data: a Northern Ireland based study

A prospective cohort study to refine and validate thePanic Screening Scorefor identifying panic attacks associated with unexplained chest pain in the emergency department

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