Time course of panic disorder and posttraumatic stress disorder onsets

Berenz, Erin C.; York, Timothy P.; Bing-Canar, Hanaan; Amstadter, Ananda B.; Mezuk, Briana; Gardner, C. O.; Roberson‐Nay, Roxann

doi:10.1007/s00127-018-1559-1

Cited by 18 publications

(12 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Large-scale disasters often result in mass trauma, triggering depression and anxiety, yet few individuals actively seek help following the event. Trauma exposure, including that related to disasters including pandemics, is associated with anxiety and depression (Breslau & Anthony, 2007;Roberts et al, 2010;Breslau et al, 2003) and functional impairment, such difficulties at work, home, and school (Berenz et al, 2017(Berenz et al, , 2018. These mental health sequelae are extensive (Galea et al, 2020;Hawryluck et al, 2004;North, 2016) and can lead to prolonged periods of increased psychiatric symptomology including stress, anxiety, and depression (Bolt et al, 2018;Fussell and Lowe, 2014;Labarda et al, 2020;Seto et al, 2019;Sprague et al, 2014).…”

Section: Mental Health Literacy and Disastersmentioning

confidence: 99%

Mental Health Literacy: a Critical Target for Narrowing Racial Disparities in Behavioral Health

Tambling

D’Aniello

Russell

2021

Int J Ment Health Addiction

View full text Add to dashboard Cite

Section: Mental Health Literacy and Disastersmentioning

confidence: 99%

Mental Health Literacy: a Critical Target for Narrowing Racial Disparities in Behavioral Health

Tambling

D’Aniello

Russell

2021

Int J Ment Health Addiction

View full text Add to dashboard Cite

“…Individuals with panic conditions have a heightened risk of subsequently developing PTSD, and individuals with PTSD have a heightened risk of developing panic attacks. (Berenz et al, 2019 ). These authors cite that approximately 70% of individuals with PTSD have co-morbid panic attacks.…”

Section: Introductionmentioning

confidence: 99%

Investigation of a Capnometry Guided Respiratory Intervention in the Treatment of Posttraumatic Stress Disorder

Ostacher

Bowen

Lyu

et al. 2021

Appl Psychophysiol Biofeedback

View full text Add to dashboard Cite

Evidence‐based treatments for posttraumatic stress disorder (PTSD), including psychotherapies and medications, have high dropout and nonresponse rates, suggesting that more acceptable and effective treatments for PTSD are needed. Capnometry Guided Respiratory Intervention (CGRI) is a digital therapeutic effective in panic disorder that measures and displays end-tidal carbon dioxide (EtCO2) and respiratory rate (RR) in real-time within a structured breathing protocol and may have benefit in PTSD by moderating breathing and EtCO2 levels. We conducted a single-arm study of a CGRI system, Freespira®, to treat symptoms of PTSD. Participants with PTSD (n = 55) were treated for four weeks with twice-daily, 17-min at-home CGRI sessions using a sensor and tablet with pre-loaded software. PTSD and associated symptoms were assessed at baseline, end-of treatment, 2-months and 6-months post-treatment. Primary efficacy outcome was 50% of participants having ≥ 6-point decrease in Clinician Administered PTSD Scale (CAPS-5) score at 2-month follow up. Tolerability, usability, safety, adherence and patient satisfaction were assessed. CGRI was well tolerated, with 88% [95% CI 74–96%] having ≥ 6-point decrease in CAPS-5 scores at 2-months post-treatment follow up. Mean CAPS-5 scores decreased from 49.5 [s.d. = 9.2] at baseline to 27.1 [s.d. = 17.8] at 2-months post-treatment follow up. Respiratory rate decreased and EtCO2 levels increased. Associated mental and physical health symptoms also improved. This CGRI intervention was safe, acceptable, and well-tolerated in improving symptoms in this study in PTSD. Further study against an appropriate comparator is warranted. Trial registration Clinicaltrials.gov NCT#03039231.

show abstract

“…We focused on these disorders because studies carried out after natural disasters report a PTSD prevalence ranging from approximately 5% to 60% [4]. There is also evidence that PTSD often co-occurs with panic disorder (PD) [5], while depression and anxiety are the most common mental illnesses worldwide with prevalence ranging from 2% to 6% and 2.5% to 7%, respectively [6]. In addition, given that some etiological and maintenance factors associated with panic disorder (fear conditioning to abnormal breathing patterns, hypervigilance towards breathing abnormalities) overlap with symptoms of Covid-19, one could expect an increased risk of panic disorder following the Covid-19 pandemic [7].…”

Section: Introductionmentioning

confidence: 99%

Prevalence, New Incidence, Course, and Risk Factors of PTSD, Depression, Anxiety, and Panic Disorder during the Covid-19 Pandemic in 11 Countries

et al. 2021

View full text Add to dashboard Cite

We aimed to evaluate the prevalence and incidence of post-traumatic stress disorder (PTSD), depression, anxiety, and panic disorder (PD) among citizens in 11 countries during the Covid-19 pandemic. We explored risks and protective factors most associated with the development of these mental health disorders and their course at 68 days follow up. We acquired 9543 unique responses via an online survey that was disseminated in UK, Belgium, Netherlands, Bulgaria, Czech Republic, Finland, India, Latvia, Poland, Romania, and Sweden. The prevalence and new incidence during the pandemic for at least one disorder was 48.6% and 17.6%, with the new incidence of PTSD, anxiety, depression, and panic disorder being 11.4%, 8.4%, 9.3%, and 3%, respectively. Higher resilience was associated with lower mental health burden for all disorders. Ten to thirteen associated factors explained 79% of the variance in PTSD, 80% in anxiety, 78% in depression, and 89% in PD. To reduce the mental health burden, governments should refrain from implementing many highly restrictive and lasting containment measures. Public health campaigns should focus their effort on alleviating stress and fear, promoting resilience, building public trust in government and medical care, and persuading the population of the measures’ effectiveness. Psychosocial services and resources should be allocated to facilitate individual and community-level recovery from the pandemic.

show abstract

Time course of panic disorder and posttraumatic stress disorder onsets

Cited by 18 publications

References 41 publications

Mental Health Literacy: a Critical Target for Narrowing Racial Disparities in Behavioral Health

Mental Health Literacy: a Critical Target for Narrowing Racial Disparities in Behavioral Health

Investigation of a Capnometry Guided Respiratory Intervention in the Treatment of Posttraumatic Stress Disorder

Prevalence, New Incidence, Course, and Risk Factors of PTSD, Depression, Anxiety, and Panic Disorder during the Covid-19 Pandemic in 11 Countries

Contact Info

Product

Resources

About