The Revised-Panic Screening Score for emergency department patients with noncardiac chest pain.

Foldes-Busque, Guillaume; Denis, Isabelle; Poitras, Julien; Fleet, Richard; Archambault, Patrick; Dionne, Clermont E.

doi:10.1037/hea0000632

Cited by 8 publications

(9 citation statements)

References 60 publications

(144 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some brief self-report instruments have been shown to be useful in screening for PD in patients with NCCP, such as the Revised Panic Screening Score (58,59) and the Psychiatric Diagnostic Screening Questionnaire (60,61). A similarly brief instrument, such as the GAD-2, could be used to screen for GAD during a patient's initial visit for NCCP (62).…”

Section: Discussionmentioning

confidence: 99%

Anxiety disorders in patients with noncardiac chest pain: association with health-related quality of life and chest pain severity

Hamel

Denis

Turcotte

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

BackgroundPatients with noncardiac chest pain (NCCP) report more severe symptoms and lowered health-related quality of life when they present with comorbid panic disorder (PD). Although generalized anxiety disorder (GAD) is the second most common psychiatric disorder in these patients, its impact on NCCP and health-related quality of life remains understudied. This study describes and prospectively compares patients with NCCP with or without PD or GAD in terms of (1) NCCP severity; and (2) the physical and mental components of health-related quality of life. MethodsA total of 915 patients with NCCP were consecutively recruited in two emergency departments. The presence of comorbid PD or GAD was assessed at baseline with the Anxiety Disorder Schedule for DSM-IV. NCCP severity at baseline and at the six-month followup was assessed with a structured telephone interview, and the patients completed the 12-item Short-Form Health Survey Version 2 (SF-12v2) to assess health-related quality of life at both time points. ResultsAverage NCCP severity decreased between baseline and the six-month follow-up ( p <.001) and was higher in the patients with comorbid PD or GAD ( p <.001) at both time points compared to those with NCCP only. However, average NCCP severity did not differ between patients with PD and those with GAD ( p = 0.901). The physical component of quality of life improved over time ( p = 0.016) and was significantly lower in the subset of patients with PD with or without comorbid GAD compared to the other groups ( p <.001). A significant time x group interaction was found for the mental component of quality of life ( p = 0.0499). GAD with or without comorbid PD was associated with a lower mental quality of life, and this effect increased at the six-month follow-up. ConclusionsComorbid PD or GAD are prospectively associated with increased chest pain severity and lowered health-related quality of life in patients with NCCP. PD appears to be mainly associated with the physical component of quality of life, while GAD has a greater association with the mental component. Knowledge of these differences could help in the management of patients with NCCP and these comorbidities.

show abstract

Section: Discussionmentioning

confidence: 99%

Anxiety disorders in patients with noncardiac chest pain: association with health-related quality of life and chest pain severity

Hamel

Denis

Turcotte

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…One first step would be to improve upon the 8 percent PA identification rate following the clinical assessment by the emergency physician (Foldes-Busque et al, 2011). Implementation of brief screening instrument developed for this purpose such as the Revised Panic Screening Score is a potential solution to this problem (Foldes-Busque et al, 2018). Once the presence of PAs has been confirmed by a mental health professional, Anxiety Sensitivity Amelioration Training (Schmidt et al, 2007), a brief intervention specifically targeting anxiety sensitivity, whose efficacy has been demonstrated in university students with no current or recent psychiatric condition, could be offered to patients for which the presence of PAs has been confirmed (Keough and Schmidt, 2012; Schmidt et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…Patients with NCCP are particularly susceptible to experiencing panic attacks (PAs) and developing panic disorder (PD), a severe psychiatric condition characterized by recurrent PAs. This susceptibility is evidenced by prevalence Incidence of panic disorder in patients with non-cardiac chest pain and panic attacks rates of current PAs (34.5%-44.0%) and PD (13.0%-37.7%) that are, respectively, 3-to 4-fold and 4-to 14-fold higher in patients with NCCP than in the general population (Dammen et al, 2004;Fleet et al, 1996;Foldes-Busque et al, 2018, 2019Kessler et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

Incidence of panic disorder in patients with non-cardiac chest pain and panic attacks

et al. 2019

Self Cite

View full text Add to dashboard Cite

This study documented the 6-month incidence of panic disorder and its predictors in emergency department patients with panic attacks and non-cardiac chest pain. The assessment included a validated structured interview to identify panic attacks and questionnaires measuring the potential predictors of panic disorder. Presence of panic disorder was assessed 6 months later. The incidence of panic disorder was 10.1 percent ( n = 14/138). Anxiety sensitivity was the only significant predictor of the incidence of panic disorder (odds ratio = 1.06; 95% confidence interval = 1.01–1.12). Patients with panic attacks and non-cardiac chest pain are at an elevated risk for panic disorder. This vulnerability appears to increase with anxiety sensitivity.

show abstract

“…Patients will be asked about all potential adverse events occurring during the study period with a structured medical interview developed by our team [79,80]. All data will be confirmed by an independent review of medical records.…”

Section: Adverse Cardiac Events (Objective 2a)mentioning

confidence: 99%

“…With written consent from patients or next of kin (if deceased), records for admissions or consultations outside of the study hospital will be obtained from the hospital archives. Medical data will be extracted using a combination of a standardized medical data extraction form known for its excellent reliability (Cohen's k = 0.72-0.91) and modules from the GRACE initial form [79][80][81].…”

Section: Adverse Cardiac Events (Objective 2a)mentioning

confidence: 99%

Epidemiology and prognostic implications of panic disorder and generalized anxiety disorder in patients with coronary artery disease: rationale and design for a longitudinal cohort study

Foldes-Busque

Dionne

Turcotte

et al. 2021

BMC Cardiovasc Disord

Self Cite

View full text Add to dashboard Cite

Background Anxiety is associated with poorer prognosis in patients with coronary artery disease (CAD). Due to their severity and chronic course, anxiety disorders, particularly generalized anxiety disorder (GAD) and panic disorder (PD), are of considerable interest and clinical importance in this population. This study has two main objectives: (1) to estimate the prevalence and incidence of GAD and PD in patients with CAD over a 2-year period and (2) to prospectively assess the association between PD or GAD and adverse cardiac events, treatment adherence, CAD-related health behaviors, quality of life and psychological distress. Design/Method This is a longitudinal cohort study in which 3610 participants will be recruited following a CAD-related revascularization procedure. They will complete an interview and questionnaires at 5 time points over a 2-year period (baseline and follow-ups after 3, 6, 12 and 24 months). The presence of PD or GAD, adherence to recommended treatments, health behaviors, quality of life and psychological distress will be assessed at each time point. Data regarding mortality and adverse cardiac events will be collected with a combination of interviews and review of medical files. Discussion This study will provide essential information on the prevalence and incidence of anxiety disorders in patients with CAD and on the consequences of these comorbidities. Such data is necessary in order to develop clear clinical recommendations for the management of PD and GAD in patients with CAD. This will help improve the prognosis of patients suffering from both conditions.

show abstract

The Revised-Panic Screening Score for emergency department patients with noncardiac chest pain.

Cited by 8 publications

References 60 publications

Anxiety disorders in patients with noncardiac chest pain: association with health-related quality of life and chest pain severity

Anxiety disorders in patients with noncardiac chest pain: association with health-related quality of life and chest pain severity

Incidence of panic disorder in patients with non-cardiac chest pain and panic attacks

Epidemiology and prognostic implications of panic disorder and generalized anxiety disorder in patients with coronary artery disease: rationale and design for a longitudinal cohort study

Contact Info

Product

Resources

About