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

TitlePanic disorder in older adults: Evidence from the national epidemiologic survey on alcohol and related conditions
Authors
Issue Date2010
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/4294
Citation
International Journal Of Geriatric Psychiatry, 2010, v. 25 n. 8, p. 822-832 How to Cite?
Abstract
Objective: 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.
Persistent Identifierhttp://hdl.handle.net/10722/172241
ISSN
2013 Impact Factor: 3.086
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChou, KLen_US
dc.date.accessioned2012-10-30T06:20:53Z-
dc.date.available2012-10-30T06:20:53Z-
dc.date.issued2010en_US
dc.identifier.citationInternational Journal Of Geriatric Psychiatry, 2010, v. 25 n. 8, p. 822-832en_US
dc.identifier.issn0885-6230en_US
dc.identifier.urihttp://hdl.handle.net/10722/172241-
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.en_US
dc.languageengen_US
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/4294en_US
dc.relation.ispartofInternational Journal of Geriatric Psychiatryen_US
dc.subject.meshAgeden_US
dc.subject.meshAlcoholism - Diagnosis - Epidemiologyen_US
dc.subject.meshComorbidityen_US
dc.subject.meshFemaleen_US
dc.subject.meshHealth Services - Utilizationen_US
dc.subject.meshHealth Statusen_US
dc.subject.meshHumansen_US
dc.subject.meshLife Change Eventsen_US
dc.subject.meshLogistic Modelsen_US
dc.subject.meshMaleen_US
dc.subject.meshMental Disorders - Epidemiologyen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPanic Disorder - Epidemiology - Etiology - Psychologyen_US
dc.subject.meshPrevalenceen_US
dc.subject.meshPsychiatric Status Rating Scalesen_US
dc.subject.meshQuality Of Lifeen_US
dc.subject.meshStress, Psychologicalen_US
dc.titlePanic disorder in older adults: Evidence from the national epidemiologic survey on alcohol and related conditionsen_US
dc.typeArticleen_US
dc.identifier.emailChou, KL: klchou@hku.hken_US
dc.identifier.authorityChou, KL=rp00583en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1002/gps.2424en_US
dc.identifier.pmid19946867en_US
dc.identifier.scopuseid_2-s2.0-77955383502en_US
dc.identifier.hkuros181445-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77955383502&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume25en_US
dc.identifier.issue8en_US
dc.identifier.spage822en_US
dc.identifier.epage832en_US
dc.identifier.isiWOS:000280538300008-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridChou, KL=7201905320en_US

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