A randomized, controlled trial of panic disorder treatment initiation in an emergency department chest pain center

Wulsin, Lawson R.; Liu, Tiepu; Storrow, Alan B.; Evans, Shelley; Dewan, Naakesh A.; Hamilton, Catherine

doi:10.1067/mem.2002.121484

Cited by 44 publications

(41 citation statements)

References 9 publications

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“…References are provided for more detailed information on the instruments themselves. Researchers have demonstrated the successful use of these types of instruments in the ED setting (6).…”

Section: Identification and Interventionmentioning

confidence: 99%

“…Pharmacologic agents typically used to treat panic include selective serotonin reuptake inhibitors (e.g., fluoxetine) and tricyclic antidepressants (e.g., nortriptyline) (46). Researchers have demonstrated the successful ED initiation of treatment for panic disorder (under psychiatric consultation) with paroxetine 20 mg/ day for 1 month (6). Early interventions in the ED setting have been associated with "reduced long-term consequences" (47).…”

mentioning

confidence: 99%

“…Patients with panic disorder may be readily encountered in EDs. In one case series, 32% of patients presenting to an ED with low to moderate risk for acute coronary syndrome met criteria for panic disorder (6). To diagnose panic disorder, it is essential to assess for the presence of recurrent, unexpected panic attacks followed by at least 1 month of persistent concern about having another panic attack, worry about the potential implications or consequences of the attack, or a significant behavioral change related to the attacks.…”

mentioning

confidence: 99%

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The Mental Health Consequences of Terrorism: Implications for Emergency Medicine Practitioners

DiMaggio

Madrid

Loo

et al. 2008

The Journal of Emergency Medicine

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Emergency physicians are likely to be first-line responders in any local or regional terrorist event. In addition to preparing for the potential physical conditions and injuries that are associated with terrorism, they should be aware of the behavioral and mental health implications as well. It is helpful to be familiar with the characteristics that predict who may be at increased risk for mental illness after such events and how they may be identified in an Emergency Department setting. Although most people in the general population with behavioral conditions stemming from a terrorist event can be expected to recover spontaneously within several months, other individuals are at increased risk of developing more debilitating mental health conditions that have been associated with post-terrorist and disaster environments. Screening tools are available to help emergency practitioners identify them and refer patients for more formal psychiatric evaluation and potential interventions to facilitate and speed the recovery process.

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“…References are provided for more detailed information on the instruments themselves. Researchers have demonstrated the successful use of these types of instruments in the ED setting (6).…”

Section: Identification and Interventionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

The Mental Health Consequences of Terrorism: Implications for Emergency Medicine Practitioners

DiMaggio

Madrid

Loo

et al. 2008

The Journal of Emergency Medicine

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“…Il est intéressant d'observer que toutes les études recensées utilisent des stratégies reconnues et admises pour le TP, telles que la thérapie cognitive-comportementale (TCC) et la pharmaco- Lessard et al, 2012;Pelland et al, 2011;Wulsin et al, 2002). Seulement trois études (Esler et al, 2003;Lessard et al, 2012;Pelland et al, 2011) utilisent un protocole d'intervention du TP validé en milieu psychologique et adapté à la population consultant au SU pour DTNC.…”

Section: Description Des éTudes Recenséesunclassified

“…Il reste que dans plus de 92 % des cas, le TP n'est pas diagnostiqué après l'évaluation médicale au SU (Fleet et al, 1996;FoldesBusque et al, 2011;Weissman, 1990;Wulsin & Yingling, 1991) et, même lorsqu'il est détecté, une intervention est rarement entamée dans le cadre de ces services. Or, sans traitement, les AP et le TP suivent généralement un cours chronique, et les DT tendent à persister (Fleet et al, 2003;Kessler et al, 2006;Kessler et al, 1994;Pollack & Marzol, 2000;Roy-Byrne et al, 1999;Wulsin et al, 2002). Qui plus est, sans traitement, les réactions anxieuses de type panique, comme les DTNC, mènent à l'utilisation répétée des services de santé, dont les visites au DU (Coley, Saul & Seybert, 2009;Katon, Von Korff & Lin, 1992;Klerman, Weissman, Ouellette, Johnson & Greenwald, 1991;Roy-Byrne et al, 1999;Zane, McAfee, Sherburne, Billeter & Barsky, 2003).…”

unclassified

Interventions à l'urgence pour douleurs thoraciques non cardiaques avec ou sans anxiété de type panique.

Lessard¹,

Marchand²,

Lavoie³

2012

Canadian Psychology / Psychologie canadienne

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Cette recension des écrits porte sur l'efficacité des interventions psychologiques et pharmacologiques offertes aux patients qui se présentent à un service d'urgence médicale (SU) pour des réactions anxieuses de type panique ou des douleurs thoraciques non cardiaques (liées ou non à la panique). La recherche d'articles a été effectuée au moyen de bases de données électroniques des milieux médical et psychologique couvrant la période de 1967 à novembre 2011, en fonction de critères de sélection préétablis. Six études sont recensées. Les interventions utilisent principalement des stratégies brèves d'approche cognitive-comportementale (unique ou multimodale) ou pharmacologiques (ISRS). Les résultats montrent la supériorité des diverses interventions lorsqu'on les compare à une condition contrôle de type soins usuels généralement offerts au SU. Des études additionnelles s'avèrent nécessaires pour valider les résultats obtenus. Il parait de plus en plus essentiel d'inter venir rapidement dans les SU chez une population qui tend à utiliser fréquemment les services médicaux coûteux, en particulier les SU.Mots-clés : attaque de panique, douleur thoracique non cardiaque, service d'urgence, traitement pharmacologique, psychothérapie.

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Psychological interventions for symptomatic management of non-specific chest pain in patients with normal coronary anatomy

Kisely

Campbell

Skerritt³

et al. 2010

Cochrane Database of Systematic Reviews

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This review suggests a modest to moderate benefit for psychological interventions, particularly those using a cognitive-behavioural framework, which was largely restricted to the first three months after the intervention. Hypnotherapy is also a possible alternative. The evidence for brief interventions was less clear. Further RCTs of psychological interventions for NSCP with follow-up periods of at least 12 months are needed.

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A randomized, controlled trial of panic disorder treatment initiation in an emergency department chest pain center

Cited by 44 publications

References 9 publications

The Mental Health Consequences of Terrorism: Implications for Emergency Medicine Practitioners

The Mental Health Consequences of Terrorism: Implications for Emergency Medicine Practitioners

Interventions à l'urgence pour douleurs thoraciques non cardiaques avec ou sans anxiété de type panique.

Psychological interventions for symptomatic management of non-specific chest pain in patients with normal coronary anatomy

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