Prospective Impact of Panic Disorder and Panic-Anxiety on Asthma Control, Health Service Use, and Quality of Life in Adult Patients With Asthma Over a 4-Year Follow-Up

Bibliographic Data

ID19303036
AuthorsHelene Favreau (Université du Québec à Montréal), Simon L Bacon (0000-0001-7075-0358), Manon Labrecque, Kim L Lavoie (0000-0003-2606-1357, corresponding author)
Year2014
Volume76
Issue2
Pages147-155
Publication date2014-02-01
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/psy.0000000000000032
PMID24470131
OpenAlexW2335100178
LanguageEN
Citations received3
References cited41

Background Panic disorder (PD) is a common anxiety disorder among asthmatic patients with overlapping symptoms (e.g., hyperventilation). However, the longitudinal impact of PD on asthma control remains poorly understood. This study assessed the impact of PD and panic-anxiety on asthma control over a 4.3-year follow-up in 643 adult asthmatic patients. Methods Consecutive patients presenting to a tertiary asthma clinic underwent a sociodemographic, medical history, and psychiatric (Primary Care Evaluation of Mental Disorders) interview and completed questionnaires including the Anxiety Sensitivity Index (ASI) to assess panic-anxiety. At follow-up, patients completed the Asthma Control (ACQ) and Asthma Quality of Life (AQLQ) questionnaires and reported emergency department visits and hospitalizations during the follow-up. Results Baseline frequency of PD was 10% (n = 65). In fully adjusted models, analyses revealed that PD and ASI scores predicted worse follow-up ACQ total scores (β = 0.292, p = .037; β = 0.012, p = .003) but not AQLQ total scores. ASI scores also predicted greater nocturnal and waking symptoms, activity limitations, and bronchodilator use on the ACQ (β = 0.012-0.018, p < .05) as well as lower symptom (β = -0.012, p = .006) and emotional distress (β = -0.014, p = .002) subscale scores on the AQLQ. Neither PD nor ASI scores were associated with hospitalizations, although ASI scores (but not PD) were associated with an increased risk of emergency department visits (relative risk = 1.023, 95% confidence interval = 1.001-1.044). Conclusions PD and anxiety sensitivity are prospectively associated with poorer asthma control and may be important targets for treatment

Anxiety · Anxiety disorder · Anxiety sensitivity · Asthma · Confidence interval · Emergency department · Hyperventilation · Hyperventilation syndrome · Panic · Panic disorder · Physical therapy · Prospective cohort study · Psychiatry · Quality of life (healthcare) · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Asthma and respiratory diseases · Child and Adolescent Psychosocial and Emotional Development · Internal Medicine · Medicine

Tools

Open DOISci-Hub