Development of a Brief Diagnostic Screen for Panic Disorder in Primary Care

Stein, Murray B.; Roy‐Byrne, Peter; McQuaid, John R.; Laffaye, Charlene; Russo, Joan; McCahill, Margaret E.; Katon, Wayne; Craske, Michelle G.; Bystritsky, Alexander; Sherbourne, Cathy D.

doi:10.1097/00006842-199905000-00016

Cited by 91 publications

(67 citation statements)

References 40 publications

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“…Of note, however, previous research has shown that a self-report measure comprising simply the 2 screening questions of our measure had excellent negative predictive value (0.94-1.00) but low positive predictive value (0.18-0.40) for detecting panic disorder when compared with a diagnostic interview in samples of primary care patients. 37 Because panic was assessed before the cardiovascular outcomes, misclassification would likely bias results toward the null. Third, it is possible that panic attacks reported by women who went on to develop adverse cardiovascular outcomes were in fact episodes of cardiac abnormality (eg, ischemia or arrhythmia).…”

Section: Commentmentioning

confidence: 99%

Panic Attacks and Risk of Incident Cardiovascular Events Among Postmenopausal Women in the Women's Health Initiative Observational Study

Smoller¹,

Pollack²,

Wassertheil‐Smoller³

et al. 2007

Arch Gen Psychiatry

185

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Context: Previous studies have documented an association of depression and phobic anxiety with cardiovascular morbidity and mortality, but little is known about the cardiovascular sequelae of panic anxiety.Objective: To determine whether panic attacks are associated with risk of cardiovascular morbidity and mortality in postmenopausal women. Results: A 6-month history of full-blown panic attacks, endorsed by 10% of postmenopausal women in this cohort, was associated with both coronary heart disease (hazard ratio, 4.20; 95% confidence interval, 1.76-9.99) and the combined end point of coronary heart disease or stroke (hazard ratio, 3.08; 95% confidence interval, 1.60-5.94) after controlling for multiple potential confounders. The hazard ratio for all-cause mortality, excluding those with a history of cardiovascular/ cerebrovascular events, was 1.75 (95% confidence interval, 1.04-2.94). Conclusion:Panic attacks are relatively common among postmenopausal women and appear to be an independent risk factor for cardiovascular morbidity and mortality in older women.

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Section: Commentmentioning

confidence: 99%

Panic Attacks and Risk of Incident Cardiovascular Events Among Postmenopausal Women in the Women's Health Initiative Observational Study

Smoller¹,

Pollack²,

Wassertheil‐Smoller³

et al. 2007

Arch Gen Psychiatry

185

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“…It was found to perform as well as longer versions with high sensitivity but low-moderate specificity for diagnosing panic disorder in a primary care setting [Stein et al, 1999].…”

Section: Assessmentsmentioning

confidence: 99%

Sleep paralysis and trauma, psychiatric symptoms and disorders in an adult African American population attending primary medical care

et al. 2008

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The occurrence of sleep paralysis (SP) absent narcolepsy appears to not be uncommon in African Americans and probably other non-European groups. Prior research has linked SP to trauma and psychiatric disorders and suggested a specific relationship to panic disorder in African Americans. The objective of our study was to evaluate relationships of SP with trauma, concurrent psychiatric symptoms and lifetime psychiatric diagnoses in an adult African American population recruited from primary care. Cross sectional study with surveys and diagnostic interviews; Patients attending primary care clinics filled out a survey that determined the 6 month prevalence and associated features of SP, a panic disorder screen, the self-rated Hamilton Depression Scale, and an inventory of trauma exposure. A subset of trauma-exposed participants (N = 142) received comprehensive diagnostic interviews that incorporated the Structured Clinical Interview for DSM-IV and the Clinician Assessed PTSD Scale. Four hundred and forty-one adults participated (mean age-40.0 SD = 13.3, 68% female, 95% African American). Fourteen percent endorsed recent SP. In approximately 1/3 of those with SP, episodes also featured panic symptoms. SP was strongly associated with trauma history, and concurrent anxiety and mood symptoms. SP was not associated with specific psychiatric disorders other than lifetime (but not current) alcohol or substance use disorders. Our findings suggest that SP is not uncommon in adult African Americans and is associated with trauma and concurrent distress but not with a specific psychiatric diagnosis.

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“…Nicotine dependence was measured with the sixitem Fagerström Test for Nicotine Dependence (FTND) [20]. Participants also filled out a measure of commitment to quitting [21] and were screened for mental health conditions including depression (CESD) [22], generalized anxiety (GAD7) [23], panic disorder (ANSQ) [24], posttraumatic stress disorder (PCL) [25], and social anxiety (miniSPIN) [26].…”

Section: Methodsmentioning

confidence: 99%

Trajectories of 12-Month Usage Patterns for Two Smoking Cessation Websites: Exploring How Users Engage Over Time (Preprint)

Bricker¹,

Sridharan²,

Zhu³

et al. 2018

Preprint

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Development of a Brief Diagnostic Screen for Panic Disorder in Primary Care

Abstract: The two-question version of the ANS shows promise as a screening instrument for panic disorder in the primary care setting.

Cited by 91 publications

References 40 publications

Panic Attacks and Risk of Incident Cardiovascular Events Among Postmenopausal Women in the Women's Health Initiative Observational Study

Panic Attacks and Risk of Incident Cardiovascular Events Among Postmenopausal Women in the Women's Health Initiative Observational Study

Sleep paralysis and trauma, psychiatric symptoms and disorders in an adult African American population attending primary medical care

Trajectories of 12-Month Usage Patterns for Two Smoking Cessation Websites: Exploring How Users Engage Over Time (Preprint)

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