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Quality of Life in Panic Disorder: Follow Up Study for 3 Months

Year 2015, Volume: 40 Issue: 2, 288 - 297, 28.09.2015
https://doi.org/10.17826/cutf.75744

Abstract

Purpose: Panic Disorder is a common psychiatric condition which is higher risk for substance abuse, suicide attempts and functional disability. It is 2–3 times more common in women and estimated to range from 1,4% to 3,8% of the general population. Studies reported that quality of life in Panic Disorder is negatively affected and overall health (emotional and psyhical health), social activities, risk of unemployment increases. The aim of this study was investigate the affects of quality of life on panic disorder and depression and follow the treatment response after the 3 months. Material and Methods: 22 women and 9 men (total 31) within in age range of 20-73(mean age 40,3±12,9) diagnosed as Panic Disorder; 27 women and 15 men (total 42) within in age range of 18- 57(mean age 33,6 ±11,5) diagnosed as Panic Disorder with Agoraphobia; 54 women and 19 men (total 73) within in age 20-69(mean age 38,5 ±11,7) diagnosed on Major Depression were included to study.Psychiatric interview were carried out using Structured Clinical İnterview for Diagnose(SCID-I), Sociodemographic Data Form, Hamilton Anxiety Scale (HAM-A), Hamilton Depression Scale(HAM-D), Panic and Agoraphobia Scale and Endicott’s Work Productivity Scale (EWPS) were applied in 0.,1.,3. months. Results: Quality of life had negatively affected in all of the groups. In this study we found significant impairment in pain, general health, energy, social function, emotional role disability and mental health subgroups of quality of life scale (SF– 36) in Depression group than Panic Disorder group. Panic Disorder with Agoraphobia had affected the quality of life worse than comparison with Panic Disorder without Agoraphobia. Conclusion: At the end of the treatment, there were no differences in quality of life between all of the groups statistically

References

  • Köroğlu E (çeviren). Amerikan Psikiyatri Birliği. Mental
  • Bozukluklar Tanısal ve Sayımsal El Kitabı,
  • Dördüncü Baskı (DSM-IV), Ankara Hekimler Yayın Birliği, 1994.
  • Angst J. Panic Disorder: History and epidemiology. Eur.Psychiatry. 1998;13:51-5.
  • Atalay ND, Bayraktar E Panik Bozukluk. İzmir: Ege Üniversitesi Tıp Fakültesi Yayınları 141, 1992.
  • Kaplan Harold I, Sadock BJ. Comprehensive Textbook of Psychiatry/VI, Anxiety Disorders. Williams and Wilkins, 1995.
  • Regier DA, Boyd JH, Burke JD Jr, Rae DS, Myers JK, Kramer M, Robins LN, George LK, Karno M, Locke BZ. One-month prevalance of mental disorders in United States: based on five Epidemiologic Catchment Area sites. Arch Gen Psychiatry. 1988;45:977-86.
  • Katerndahl DA, Realini JP. Lifetime prevalance of panic states. Am. J. Psychiatry. 1993;150:246-9.
  • Eaton WW, Kessler RC, Wittchen HU, Magee WJ. Panic and panic disorder in the United States. Am J Psychiatry. 1994;151:413-20.
  • Weissman MM, Bland RC, Canino GJ. The Cross- national Epidemiology of Panic Disorder. Arch Gen Psychiatry. 1997;54:305-9.
  • Noyes R, Reich J, Chiristiansen J et al. Outcome of panic disorder: Relationship to diagnostic subtypes and comorbidity. Arch Gen Psychiatry. 1990;47:809- 18.
  • Goisman RM, Warshaw MJ, Steketee GS et al. DSM-IV and the disappearance of agoraphobia without a history of panic disorder: New data on a controversial diagnosis. Am J Psychiatry. 1995;152:1438-43.
  • Katon W, Hollifield M, Chapman T, Mannuzza S, Ballenger J, Fyer A. Infrequent panic attacks: psychiatric comorbidity, personality characteristics and functional disability. J 1995;29:121-31. Psychiatr Res.
  • Carrera M, Herran A, Ayuso Mateas JL, Sterra- Biddle D et al. Quality of life in early phases of panic disorder: Predşctive factors. Journal of Affective Disorders. 2006 ;.
  • Candilis PJ, McLean RY, Otto MW, Manfro GG, Worthington JJ III, Penave SJ, Marzol PC, Pollack MH. Quality of life in patients with panic disorder. J Nerv Ment Dis. 1999;187:429- 34.
  • Delia Marina P. The quality of life in panic disorder. European Psychiatry. 2000;15:349-50.
  • Sherbourne CD, Wells KB, Judd LL. Functioning and well-being of patients with panic disorder. Am J of Psychiatry. 1996;153:213-8.
  • Hollifield M, Katon W, Skipper B, Chapman T, Ballnger JC, Mannuzza S, Fyer AJ. Panic disorder and quality of life: variables predictive of functional impairment. Am J Psychiatry, 1997;154:766-72.
  • Schonfeld WH, Verboncoeur CJ, Fifer SK, Lipschultz RC, Lubeck DP, Buesching DP. The functioning and well-being of patients with unrecognised anxiety disorders and major depressif disorder. J Affect Disord, 1997;43:105-19.
  • Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry. 1960;23:56–62.
  • Akdemir A, Örsel S, Dağ İ ve ark. Hamilton Depresyon Derecelendirme Ölçeği (HDDÖ)’nin geçerliği, güvenilirliği ve klinikte kullanımı. 3P Dergisi. 1996;4:251–9.
  • Bruss GS, Gruenberg AM, Goldstein RD ve ark. Hamilton Anxiety Rating Scale interview guide: Joint interview and test-retest methods for interrater reliability. Psychiatry Res, 1994;53:191-202.
  • Yazıcı MK, Demir B. Hamilton Anksiyete Değerlendirme Ölçeği, Değerlendiriciler Arası Güvenirlik ve Geçerlik Çalışması, Türk Psikiyatri Dergisi. 1998;9(2):114-7.
  • Bandelow B. Assessing the efficiacy of treatments for panic disorder and agoraphobia. II. The Panic and Agoraphobia Scale. Int Clin Psychopharmacol. 1995;10:73-81.
  • Tural U, Fidaner H, Alkın T, Bandelow B: Panik ve Agorafobi Ölçeğinin Güvenirlik ve Geçerliği. Türk Psikiyatri Dergisi. 2000;11:29-39.
  • Ware JE, Sherbourne CD. The MOS 36-item Short Form Health Survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30:473-83.
  • Koçyiğit H, Aydemir Ö, Ölmez N, Memiş A. SF- 36’nın Türkçe için güvenilirliği ve geçerliliği. Ege Fizik Tedavi ve Rehabilitasyon Dergisi. 1999.
  • Endicott J ve Nee J. Endicott Work Productivity Scale (EWPS): A new measure to assess treatment effects, Psychopharmacol Bull. 1997;33:13–6.
  • Uğuz Ş, İnanç BY, Yerlikaya EE, Aydın H. Endicott İşte Üretkenlik Ölçeği’nin (EİÜÖ) Türk Toplumunda Geçerlik ve Güvenilirliğinin Değerlendirilmesi. Türk Psikiyatri Dergisi. 2004;15:209–14.
  • Fyer AJ, Mannuzzza S, Copland JD. Panic Disorders and agoraphobia, In Comprehensive Textbook of Psychiatry/VI Vol 1(Eds: Kaplan HI, Sadock BJ.) Williams and Wilkins, Baltimore, 1995;1191-1204.
  • Faravelli C. Life events preceding the onset of panic disorder. J Affective Disord, 1985;9:103-5.
  • Marshall RD, Schneider FR, Lin SH et al. Childhood trauma and dissosiative symptoms in panic disorder. Am J of Psychiatry. 2000;157:451-3.
  • Tweed JL, Schoenbach VJ, George LK et al. The effects of childhood parental death and divorce on six-month history of anxiety disorders. Br J Psychiatry. 1989;154:823-8.
  • Harris EL, Noyes R, Crowe RR et al. Family study group of agoraphobia. Arch Gen Psychiatry. 1983;40:1061-4.
  • Roy-Byrne PP, Geraci M, Uhde T. Life events and the onset of panic disorder. Am J Psychiatry. 1986;143:1424-7.
  • Goodwin RD, Lipsitz JD, Chapman TF et al. Alcohol use disorders in relatives of patients with panic disorder. Comprehensive Psychiatry. 2006;47: 88-90.
  • Goisman RM, Warshaw MJ, Steketee GS et al. DSM-IV and the disappearance of agoraphobia without a history of panic disorder: New data on a controversial diagnosis. Am J Psychiatry. 1995;152:1438-43.
  • Stein MB, Tancer ME, Uhde TW. Major depression in patients with panic disorder: Factors associated with course and reoccurrence. J Affect Disord. 1990;19:287-96.

Panik Bozuklukta Yaşam Kalitesi: 3 Aylık İzlem Çalışması

Year 2015, Volume: 40 Issue: 2, 288 - 297, 28.09.2015
https://doi.org/10.17826/cutf.75744

Abstract

Amaç: Panik Bozukluk, madde bağımlılığı, özkıyım girişimleri ve fonksiyon kaybına neden olan, yaygın olarak görülen bir bozukluktur. Toplumda %1,4 ile %3,8 oranında ve kadınlarda 2-3 defa fazla görülür. Yapılan çalışmalarda Panik Bozuklukta yaşam kalitesi olumsuz olarak etkilendiği ve genel sağlık(duygusal ve fiziksel sağlık), sosyal yaşamı bozduğu, işsiz kalma olasılığını arttırdığı belirlenmiştir. Çalışmamızın amacı Panik Bozukluk ve Depresyonun yaşam kalitesi üzerindeki etkilerini araştırmak ve 3 aylık tedaviye verdikleri yanıtı değerlendirmektir. Materyal ve Metod: Çalışmaya, Panik Bozukluk tanısı alan yaşları 20–73(ortalama 40,3±12,9) olan 22 kadın ve 9 erkek(toplam 31); Agorafobili Panik Bozukluk tanısı alan yaşları 18- 57(ortalama 33,6±11,5) olan 27 kadın ve 15 erkek; Majör Depresyon tanısı alan yaşları 20-69(ortalama 38,5±11,7) olan 54 kadın ve 19 erkek(toplam 73) hasta dahil edildi. Yapılandırılmış bir görüşme formu ile (SCID-I) psikiyatrik görüşme yapıldı. Sosyodemografik veri formu, Hamilton Araştırma Makalesi / Research Article 288 Cilt/Volume 40 Yıl/Year 2015 Panik Bozuklukta Yaşam Kalitesi Anksiyete Ölçeği(HAM-A), Hamilton Depresyon Ölçeği(HAM-D), Panik ve Agorafobi Ölçeği, Endicott İşte Üretkenlik Ölçeği 0., 1., 3. aylarda hastalara uygulandı. Bulgular: Sonuç olarak tüm gruplarda yaşam kalitesi olumsuz olarak etkilenmişti. Depresyonu olan grupta yaşam kalitesi ölçeğinin ağrı, genel sağlık, enerji, sosyal fonksiyon, duygusal rol güçlüğü ve ruhsal sağlık alt gruplarındaki bozulma daha fazlaydı. Agorafobili Panik Bozukluğu olanların Agorafobisi olmayan Panik Bozukluğu olan hastalara göre yaşam kalitesininin daha olumsuz etkilediği belirlendi. Sonuç: Tedavinin sonunda yaşam kalitesi yönünden gruplar arasında istatistiksel olarak fark olmadığı belirl

References

  • Köroğlu E (çeviren). Amerikan Psikiyatri Birliği. Mental
  • Bozukluklar Tanısal ve Sayımsal El Kitabı,
  • Dördüncü Baskı (DSM-IV), Ankara Hekimler Yayın Birliği, 1994.
  • Angst J. Panic Disorder: History and epidemiology. Eur.Psychiatry. 1998;13:51-5.
  • Atalay ND, Bayraktar E Panik Bozukluk. İzmir: Ege Üniversitesi Tıp Fakültesi Yayınları 141, 1992.
  • Kaplan Harold I, Sadock BJ. Comprehensive Textbook of Psychiatry/VI, Anxiety Disorders. Williams and Wilkins, 1995.
  • Regier DA, Boyd JH, Burke JD Jr, Rae DS, Myers JK, Kramer M, Robins LN, George LK, Karno M, Locke BZ. One-month prevalance of mental disorders in United States: based on five Epidemiologic Catchment Area sites. Arch Gen Psychiatry. 1988;45:977-86.
  • Katerndahl DA, Realini JP. Lifetime prevalance of panic states. Am. J. Psychiatry. 1993;150:246-9.
  • Eaton WW, Kessler RC, Wittchen HU, Magee WJ. Panic and panic disorder in the United States. Am J Psychiatry. 1994;151:413-20.
  • Weissman MM, Bland RC, Canino GJ. The Cross- national Epidemiology of Panic Disorder. Arch Gen Psychiatry. 1997;54:305-9.
  • Noyes R, Reich J, Chiristiansen J et al. Outcome of panic disorder: Relationship to diagnostic subtypes and comorbidity. Arch Gen Psychiatry. 1990;47:809- 18.
  • Goisman RM, Warshaw MJ, Steketee GS et al. DSM-IV and the disappearance of agoraphobia without a history of panic disorder: New data on a controversial diagnosis. Am J Psychiatry. 1995;152:1438-43.
  • Katon W, Hollifield M, Chapman T, Mannuzza S, Ballenger J, Fyer A. Infrequent panic attacks: psychiatric comorbidity, personality characteristics and functional disability. J 1995;29:121-31. Psychiatr Res.
  • Carrera M, Herran A, Ayuso Mateas JL, Sterra- Biddle D et al. Quality of life in early phases of panic disorder: Predşctive factors. Journal of Affective Disorders. 2006 ;.
  • Candilis PJ, McLean RY, Otto MW, Manfro GG, Worthington JJ III, Penave SJ, Marzol PC, Pollack MH. Quality of life in patients with panic disorder. J Nerv Ment Dis. 1999;187:429- 34.
  • Delia Marina P. The quality of life in panic disorder. European Psychiatry. 2000;15:349-50.
  • Sherbourne CD, Wells KB, Judd LL. Functioning and well-being of patients with panic disorder. Am J of Psychiatry. 1996;153:213-8.
  • Hollifield M, Katon W, Skipper B, Chapman T, Ballnger JC, Mannuzza S, Fyer AJ. Panic disorder and quality of life: variables predictive of functional impairment. Am J Psychiatry, 1997;154:766-72.
  • Schonfeld WH, Verboncoeur CJ, Fifer SK, Lipschultz RC, Lubeck DP, Buesching DP. The functioning and well-being of patients with unrecognised anxiety disorders and major depressif disorder. J Affect Disord, 1997;43:105-19.
  • Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry. 1960;23:56–62.
  • Akdemir A, Örsel S, Dağ İ ve ark. Hamilton Depresyon Derecelendirme Ölçeği (HDDÖ)’nin geçerliği, güvenilirliği ve klinikte kullanımı. 3P Dergisi. 1996;4:251–9.
  • Bruss GS, Gruenberg AM, Goldstein RD ve ark. Hamilton Anxiety Rating Scale interview guide: Joint interview and test-retest methods for interrater reliability. Psychiatry Res, 1994;53:191-202.
  • Yazıcı MK, Demir B. Hamilton Anksiyete Değerlendirme Ölçeği, Değerlendiriciler Arası Güvenirlik ve Geçerlik Çalışması, Türk Psikiyatri Dergisi. 1998;9(2):114-7.
  • Bandelow B. Assessing the efficiacy of treatments for panic disorder and agoraphobia. II. The Panic and Agoraphobia Scale. Int Clin Psychopharmacol. 1995;10:73-81.
  • Tural U, Fidaner H, Alkın T, Bandelow B: Panik ve Agorafobi Ölçeğinin Güvenirlik ve Geçerliği. Türk Psikiyatri Dergisi. 2000;11:29-39.
  • Ware JE, Sherbourne CD. The MOS 36-item Short Form Health Survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30:473-83.
  • Koçyiğit H, Aydemir Ö, Ölmez N, Memiş A. SF- 36’nın Türkçe için güvenilirliği ve geçerliliği. Ege Fizik Tedavi ve Rehabilitasyon Dergisi. 1999.
  • Endicott J ve Nee J. Endicott Work Productivity Scale (EWPS): A new measure to assess treatment effects, Psychopharmacol Bull. 1997;33:13–6.
  • Uğuz Ş, İnanç BY, Yerlikaya EE, Aydın H. Endicott İşte Üretkenlik Ölçeği’nin (EİÜÖ) Türk Toplumunda Geçerlik ve Güvenilirliğinin Değerlendirilmesi. Türk Psikiyatri Dergisi. 2004;15:209–14.
  • Fyer AJ, Mannuzzza S, Copland JD. Panic Disorders and agoraphobia, In Comprehensive Textbook of Psychiatry/VI Vol 1(Eds: Kaplan HI, Sadock BJ.) Williams and Wilkins, Baltimore, 1995;1191-1204.
  • Faravelli C. Life events preceding the onset of panic disorder. J Affective Disord, 1985;9:103-5.
  • Marshall RD, Schneider FR, Lin SH et al. Childhood trauma and dissosiative symptoms in panic disorder. Am J of Psychiatry. 2000;157:451-3.
  • Tweed JL, Schoenbach VJ, George LK et al. The effects of childhood parental death and divorce on six-month history of anxiety disorders. Br J Psychiatry. 1989;154:823-8.
  • Harris EL, Noyes R, Crowe RR et al. Family study group of agoraphobia. Arch Gen Psychiatry. 1983;40:1061-4.
  • Roy-Byrne PP, Geraci M, Uhde T. Life events and the onset of panic disorder. Am J Psychiatry. 1986;143:1424-7.
  • Goodwin RD, Lipsitz JD, Chapman TF et al. Alcohol use disorders in relatives of patients with panic disorder. Comprehensive Psychiatry. 2006;47: 88-90.
  • Goisman RM, Warshaw MJ, Steketee GS et al. DSM-IV and the disappearance of agoraphobia without a history of panic disorder: New data on a controversial diagnosis. Am J Psychiatry. 1995;152:1438-43.
  • Stein MB, Tancer ME, Uhde TW. Major depression in patients with panic disorder: Factors associated with course and reoccurrence. J Affect Disord. 1990;19:287-96.
There are 38 citations in total.

Details

Primary Language English
Journal Section Research
Authors

Ebru Altıntaş This is me

Şükrü Uğuz This is me

Bekir Levent This is me

Publication Date September 28, 2015
Published in Issue Year 2015 Volume: 40 Issue: 2

Cite

MLA Altıntaş, Ebru et al. “Quality of Life in Panic Disorder: Follow Up Study for 3 Months”. Cukurova Medical Journal, vol. 40, no. 2, 2015, pp. 288-97, doi:10.17826/cutf.75744.