Article: Panic disorder in older adults: Evidence from the national epidemiologic survey on alcohol and related conditions

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TitlePanic disorder in older adults: Evidence from the national epidemiologic survey on alcohol and related conditions
AuthorsChou, KL1
Issue Date2010
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/4294
CitationInternational Journal Of Geriatric Psychiatry, 2010, v. 25 n. 8, p. 822-832 [How to Cite?]
DOI: http://dx.doi.org/10.1002/gps.2424
AbstractObjective: This study aims to investigate: (1) the association of panic disorder with childhood parental loss and recent stressful life events; (2) the co-existence of panic disorder with major depressive disorder (MDD) as well as alcohol dependence; and (3) the impact of panic disorder on medical conditions, obesity, healthcare service utilization, and health-related quality of life. Methods: Data were drawn from The National Epidemiologic Survey on Alcohol and Related Conditions (2001-2002), which was a national representative survey of the non-institutionalized US household population. We focused on 13 420 respondents who were aged 55 and above. Panic disorder was assessed using the Alcohol Use Disorder and Associated Disabilities Interview Schedule - DSM-IV version. Demographic characteristics, psychosocial risk factors, psychiatric disorders, health-related quality of life, obesity, medical conditions, and healthcare service utilization were also measured. Results: The current and lifetime prevalence rates of panic disorder were 1.17 and 3.72%, respectively. Multivariate analyses revealed that panic disorder was more common among lower income groups and those who had reported more recent stressful life events. In addition, MDD was significantly related to lifetime panic disorder. Panic disorder was also significantly related to a lower health-related quality of life, two medical conditions, and the receipt of emergency room service. Conclusion: The correlation between panic disorder and MDD raises further questions about the nature of panic disorder in the elderly. This study supports the notion that panic disorder has a strong impact on quality of life in old age. Copyright © 2009 John Wiley & Sons, Ltd.
ISSN0885-6230
2011 Impact Factor: 2.419
2011 SCImago Journal Rankings: 0.120
DOIhttp://dx.doi.org/10.1002/gps.2424
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorChou, KL
dc.date.accessioned2012-10-30T06:20:53Z
dc.date.available2012-10-30T06:20:53Z
dc.date.issued2010
dc.description.abstractObjective: This study aims to investigate: (1) the association of panic disorder with childhood parental loss and recent stressful life events; (2) the co-existence of panic disorder with major depressive disorder (MDD) as well as alcohol dependence; and (3) the impact of panic disorder on medical conditions, obesity, healthcare service utilization, and health-related quality of life. Methods: Data were drawn from The National Epidemiologic Survey on Alcohol and Related Conditions (2001-2002), which was a national representative survey of the non-institutionalized US household population. We focused on 13 420 respondents who were aged 55 and above. Panic disorder was assessed using the Alcohol Use Disorder and Associated Disabilities Interview Schedule - DSM-IV version. Demographic characteristics, psychosocial risk factors, psychiatric disorders, health-related quality of life, obesity, medical conditions, and healthcare service utilization were also measured. Results: The current and lifetime prevalence rates of panic disorder were 1.17 and 3.72%, respectively. Multivariate analyses revealed that panic disorder was more common among lower income groups and those who had reported more recent stressful life events. In addition, MDD was significantly related to lifetime panic disorder. Panic disorder was also significantly related to a lower health-related quality of life, two medical conditions, and the receipt of emergency room service. Conclusion: The correlation between panic disorder and MDD raises further questions about the nature of panic disorder in the elderly. This study supports the notion that panic disorder has a strong impact on quality of life in old age. Copyright © 2009 John Wiley & Sons, Ltd.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationInternational Journal Of Geriatric Psychiatry, 2010, v. 25 n. 8, p. 822-832 [How to Cite?]
DOI: http://dx.doi.org/10.1002/gps.2424
dc.identifier.doihttp://dx.doi.org/10.1002/gps.2424
dc.identifier.epage832
dc.identifier.issn0885-6230
2011 Impact Factor: 2.419
2011 SCImago Journal Rankings: 0.120
dc.identifier.issue8
dc.identifier.pmid19946867
dc.identifier.scopuseid_2-s2.0-77955383502
dc.identifier.spage822
dc.identifier.urihttp://hdl.handle.net/10722/172241
dc.identifier.volume25
dc.languageeng
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/4294
dc.publisher.placeUnited Kingdom
dc.relation.ispartofInternational Journal of Geriatric Psychiatry
dc.relation.referencesReferences in Scopus
dc.subject.meshAged
dc.subject.meshAlcoholism - Diagnosis - Epidemiology
dc.subject.meshComorbidity
dc.subject.meshFemale
dc.subject.meshHealth Services - Utilization
dc.subject.meshHealth Status
dc.subject.meshHumans
dc.subject.meshLife Change Events
dc.subject.meshLogistic Models
dc.subject.meshMale
dc.subject.meshMental Disorders - Epidemiology
dc.subject.meshMiddle Aged
dc.subject.meshPanic Disorder - Epidemiology - Etiology - Psychology
dc.subject.meshPrevalence
dc.subject.meshPsychiatric Status Rating Scales
dc.subject.meshQuality Of Life
dc.subject.meshStress, Psychological
dc.titlePanic disorder in older adults: Evidence from the national epidemiologic survey on alcohol and related conditions
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong