4411 : CHARACTERISTICS AND COURSE OF PANIC DISORDER AND PANIC DISORDER WITH AGORAPHOBIA IN PRIMARY CARE PATIENTS

Author(s): 
Francis, Jennifer
Text: 
Poster
Research Based
OBJECTIVE: To investigate the characteristics and course of panic disorder (PD) and panic disorder with agoraphobia (PDA) in primary care patients.
METHODS: Data are from the Primary Care Anxiety Disorders Project, a naturalistic, longitudinal study of anxiety disorders in primary care patients. Participants were recruited from waiting rooms and diagnoses were established at intake using the Structured Clinical Interview for DSM-IV. Subjects were assessed at 6, 12, and 24-months post intake. 539 individuals were enrolled into the study.
RESULTS: At intake, 86 (36.6%) patients were diagnosed with PD and 149 (63%) were diagnosed with PDA. Patients diagnosed with PDA were more likely to be receiving psychosocial therapy and psychiatric medications than patients with PD. Individuals with PDA also had lower levels of general functioning and higher rates of social phobia than individuals with PD. Course data indicated that the probability of remitting at the end of two years was .17 for PDA and .64 for PD (log-rank chi-square= 56.17, di= 1, p CONCLUSIONS: Results indicate that PDA was more prevalent in our primary care sample than PD and was associated with a more chronic course, lower levels of general functioning and higher rates of receiving psychiatric medications and psychosocial treatment. These results are similar to those found in general psychiatric settings.
Topic: Clinical Practice