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PubMed · 8797756

Panic attacks and panic disorder.

D A Katerndahl
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Abstract

Panic disorder is a devastating condition with a higher prevalence in female patients and young adults. Panic disorders is frequently associated with major depression, agoraphobia, substance abuse, suicide attempts, and impaired quality of life. Only one half of the subjects with panic disorder seek care for their attacks, and those who do seek care tend to present to primary care and emergency department settings. If treated appropriately, panic disorder has a favorable prognosis.

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Emergency Service, HospitalFamily PracticeHumansPanic DisorderPrevalencePsychotropic DrugsUnited StatesJournal ArticleReview

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BibTeXRIS

D A Katerndahl. 1996. Panic attacks and panic disorder.. https://pubmed.ncbi.nlm.nih.gov/8797756/

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PubMed1998

Relation of out of hours activity by general practice and accident and emergency services with deprivation in Nottingham: longitudinal survey.

OBJECTIVES: To investigate the relation between out of hours activity of general practice and accident and emergency services with deprivation and distance from accident and emergency department. DESIGN: Six month longitudinal study. SETTING: Six general practices and the sole accident and emergency department in Nottingham. SUBJECTS: 4745 out of hours contacts generated by 45,182 patients from 23 electoral wards registered with six practices. MAIN OUTCOME MEASURES: Rates of out of hours contacts for general practice and accident and emergency services calculated by electoral ward; Jarman and Townsend deprivation scores and distance from accident and emergency department of electoral wards. RESULTS: Distances of wards from accident and emergency department ranged from 0.8 to 9 km, and Jarman deprivation scores ranged from -23.4 to 51.8. Out of hours contacts varied by ward from 110 to 350 events/1000 patients/year, and 58% of this variation was explained by the Jarman score. General practice and accident and emergency rates were positively correlated (Pearson coefficient 0.50, P = 0.015). Proximity to accident and emergency department was not significantly associated with increased activity when deprivation was included in regression analysis. One practice had substantially higher out of hours activity (B coefficient 124 (95% confidence interval 67 to 181)) even when deprivation was included in regression analysis. CONCLUSIONS: A disproportionate amount of out of hours workload fell on deprived inner city practices. High general practice and high accident and emergency activity occurred in the same areas rather than one service substituting for the other.

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