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Characteristics of patients with panic disorder attended in primary care during the COVID-19 pandemic: A cross-sectional multicenter study

OBJECTIVE: To assess the prevalence of panic disorder during the second and third waves of the COVID-19 pandemic. DESIGN: Cross-sectional multicenter study. SETTING: Primary care. PARTICIPANTS: Participating primary care physicians selected patients visiting their primary care centers for any reason...

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Autores principales: Roca, Miquel, Villamor, Antonio Torres, Molinera, Vicente Gasull, Gili, Margarita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10272946/
https://www.ncbi.nlm.nih.gov/pubmed/37422988
http://dx.doi.org/10.1016/j.aprim.2023.102703
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author Roca, Miquel
Villamor, Antonio Torres
Molinera, Vicente Gasull
Gili, Margarita
author_facet Roca, Miquel
Villamor, Antonio Torres
Molinera, Vicente Gasull
Gili, Margarita
author_sort Roca, Miquel
collection PubMed
description OBJECTIVE: To assess the prevalence of panic disorder during the second and third waves of the COVID-19 pandemic. DESIGN: Cross-sectional multicenter study. SETTING: Primary care. PARTICIPANTS: Participating primary care physicians selected patients visiting their primary care centers for any reason over a 16-month period. MAIN OUTCOME MEASURE: Diagnosis of panic disorder was established using The Primary Care Evaluation of Mental Disorders (PRIME-MD) instrument. RESULTS: Of a total of 678 patients who met the inclusion criteria, 36 presented with panic disorder, with a prevalence of 5.3% (95% confidence interval 3.6–7.0). A total of 63.9% of cases occurred in women. The mean age was 46.7 ± 17.1 years. Socioeconomic difficulties, such as very low monthly income rate, unemployment, and financial constraints to make housing payments and to make ends meet were more frequent in patients with panic disorders as compared to patients without panic disorder. A high level of stress (Holmes–Rahe scale > 300), concomitant chronic fatigue syndrome and irritable bowel disease, and having financial difficulties in the past 6 months were associated with factors of panic disorder. DISCUSSION: This study characterizes patients with panic disorder diagnosed with a validated instrument during the COVID-19 pandemic and identified risk factors for this disease. CONCLUSIONS: In non-selected consecutive primary care attendees in real-world conditions during the COVID-19 pandemic, the prevalence of panic disorder was 5.3%, being more frequent in women. There is a need to enhance primary care resources for mental health care during the duration of the pandemic and beyond.
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spelling pubmed-102729462023-06-16 Characteristics of patients with panic disorder attended in primary care during the COVID-19 pandemic: A cross-sectional multicenter study Roca, Miquel Villamor, Antonio Torres Molinera, Vicente Gasull Gili, Margarita Aten Primaria Original Article OBJECTIVE: To assess the prevalence of panic disorder during the second and third waves of the COVID-19 pandemic. DESIGN: Cross-sectional multicenter study. SETTING: Primary care. PARTICIPANTS: Participating primary care physicians selected patients visiting their primary care centers for any reason over a 16-month period. MAIN OUTCOME MEASURE: Diagnosis of panic disorder was established using The Primary Care Evaluation of Mental Disorders (PRIME-MD) instrument. RESULTS: Of a total of 678 patients who met the inclusion criteria, 36 presented with panic disorder, with a prevalence of 5.3% (95% confidence interval 3.6–7.0). A total of 63.9% of cases occurred in women. The mean age was 46.7 ± 17.1 years. Socioeconomic difficulties, such as very low monthly income rate, unemployment, and financial constraints to make housing payments and to make ends meet were more frequent in patients with panic disorders as compared to patients without panic disorder. A high level of stress (Holmes–Rahe scale > 300), concomitant chronic fatigue syndrome and irritable bowel disease, and having financial difficulties in the past 6 months were associated with factors of panic disorder. DISCUSSION: This study characterizes patients with panic disorder diagnosed with a validated instrument during the COVID-19 pandemic and identified risk factors for this disease. CONCLUSIONS: In non-selected consecutive primary care attendees in real-world conditions during the COVID-19 pandemic, the prevalence of panic disorder was 5.3%, being more frequent in women. There is a need to enhance primary care resources for mental health care during the duration of the pandemic and beyond. Elsevier 2023-10 2023-06-16 /pmc/articles/PMC10272946/ /pubmed/37422988 http://dx.doi.org/10.1016/j.aprim.2023.102703 Text en © 2023 Published by Elsevier España, S.L.U. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Roca, Miquel
Villamor, Antonio Torres
Molinera, Vicente Gasull
Gili, Margarita
Characteristics of patients with panic disorder attended in primary care during the COVID-19 pandemic: A cross-sectional multicenter study
title Characteristics of patients with panic disorder attended in primary care during the COVID-19 pandemic: A cross-sectional multicenter study
title_full Characteristics of patients with panic disorder attended in primary care during the COVID-19 pandemic: A cross-sectional multicenter study
title_fullStr Characteristics of patients with panic disorder attended in primary care during the COVID-19 pandemic: A cross-sectional multicenter study
title_full_unstemmed Characteristics of patients with panic disorder attended in primary care during the COVID-19 pandemic: A cross-sectional multicenter study
title_short Characteristics of patients with panic disorder attended in primary care during the COVID-19 pandemic: A cross-sectional multicenter study
title_sort characteristics of patients with panic disorder attended in primary care during the covid-19 pandemic: a cross-sectional multicenter study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10272946/
https://www.ncbi.nlm.nih.gov/pubmed/37422988
http://dx.doi.org/10.1016/j.aprim.2023.102703
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