Efficacy of 2 interventions for panic disorder in patients presenting to the ED with chest pain

Pelland, Marie-Ève; Marchand, André; Lessard, Marie-Josée; Belleville, Geneviève; Vadeboncœur, Alain; Poitras, Julien; Foldes-Busque, Guillaume; Bacon, Simon; Lavoie, Kim

doi:10.1016/j.ajem.2010.06.027

Cited by 15 publications

(25 citation statements)

References 59 publications

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“…Furthermore, the PES, as a front-line system in mental health care delivery, is called upon to assess and, increasingly, to treat a very broad range of psychopathology. 25 , 26 This broad range in itself would tend to dilute the importance of any one diagnostic category. Third, diagnostic stability may be a possible limiting factor in this study.…”

Section: Discussionmentioning

confidence: 99%

Aggressive behaviors in the psychiatric emergency service

Chaput¹,

Beaulieu²,

Paradis³

et al. 2011

OAEM

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Introduction:Studies of aggressive behaviors in a nonforensic mental health setting have focused primarily on the inpatient ward and, on event prediction, using behavior-based clinical rating scales. Few studies have specifically targeted aggressive behaviors in the psychiatric emergency service or determined whether assessing the demographic and clinical characteristics of such patients might prove useful for their more rapid identification.Methods:We used a prospectively acquired database of over 20,900 visits to four services in the province of Quebec, Canada, over a two-year period from September 2002 onwards. A maximum of 72 variables could be acquired per visit. Visits with aggression (any verbally or physically intimidating behavior), both present and past, were tagged. Binary logistic regressions and cross-tabulations were used to determine whether the profile of a variable differed in visits with aggression from those without aggression.Results:About 7% of visits were marked by current aggression (verbal 49%, physical 12%, verbal and physical 39%). Including visits with a “past only” history of aggression increased this number to 20%. Variables associated with aggression were gender (male), marital status (single/separated), education (high school or less), employment (none), judicial history (any type), substance abuse (prior or active), medication compliance (poor), type of arrival to psychiatric emergency services (involuntary, police, judiciary, landlord), reason for referral (behavioral dyscontrol), diagnosis (less frequent in anxiety disorders), and outcome (more frequently placed under observation or admitted).Conclusion:Our results suggest that many state-independent variables are associated with aggressive behaviors in the psychiatric emergency service. Although their sum may not add up to a specific patient profile, they can nevertheless be useful in service planning, being easily integrated alongside state-dependent rating scales in a triage and/or observation instrument for daily use in the psychiatric emergency service.

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Section: Discussionmentioning

confidence: 99%

Aggressive behaviors in the psychiatric emergency service

Chaput¹,

Beaulieu²,

Paradis³

et al. 2011

OAEM

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“…RCTs conducted by Wulsin et al . and Pelland et al . were excluded as they did not evaluate chest pain.…”

Section: Resultsmentioning

confidence: 99%

Systematic review with meta‐analysis: selective serotonin reuptake inhibitors for noncardiac chest pain

Atluri

Chandar

Fass

et al. 2014

Aliment Pharmacol Ther

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“…Seven of the selected studies involved brief CBT based interventions targeting NCCP. One of these implemented a 7 session treatment which incorporated psychoeducation on chest pain, panic disorder (PD), exposure and CR [58]. Two interventions were evaluated in another study [36], namely a single session panic management intervention and a 7 session CBT treatment for NCCP and PD [36].…”

Section: Brief Cbtmentioning

confidence: 99%

Assessing the Effectiveness of Brief and Low Intensity Psychological Interventions for Medically Unexplained Symptoms and Health Anxiety: A Systematic Review of the Literature

Devitt-Petrovic¹,

Kirby²

2020

Psychosomatic Medicine

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This chapter presents a systematic review of the literature to assess the effectiveness of brief psychological interventions for medically unexplained symptoms (MUS)/somatic symptom disorder, non-cardiac chest pain, and illness anxiety disorder or health anxiety (HA). Google Scholar, PubMed, and Web of Science were searched as data sources. Reference lists were subsequently examined for other relevant articles. Studies were assessed according to specified inclusion criteria and extracted according to PRISMA guidelines. A total of 23 studies were included in the final synthesis. Significant effects for intervention groups relative to control groups were reported in 19 studies, whilst 4 studies did not determine any significant benefits of interventions compared with controls. All of the brief interventions (CBT, psychosocial, psychophysiological, psychosomatic, relaxation and group therapy), with the exception of metaphor therapy, showed significant effects relative to controls in at least one study. The evidence suggests that brief psychological interventions, more specifically time limited CBT based interventions may be effective in treating HA and MUS with psychological distress. Findings are comparable with other reviews. Future research may facilitate the piloting of an intervention, and there remains a need to provide more robust evidence of cost effectiveness.

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Efficacy of 2 interventions for panic disorder in patients presenting to the ED with chest pain

Cited by 15 publications

References 59 publications

Aggressive behaviors in the psychiatric emergency service

Aggressive behaviors in the psychiatric emergency service

Systematic review with meta‐analysis: selective serotonin reuptake inhibitors for noncardiac chest pain

Assessing the Effectiveness of Brief and Low Intensity Psychological Interventions for Medically Unexplained Symptoms and Health Anxiety: A Systematic Review of the Literature

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