A prospective follow-up study of chest pain patients - with emphasis on patients with panic disorder.
Appears in the following Collection
AbstractThe aim of this thesis was to investigate the long-term prognosis of chest pain patients referred to a cardiological outpatient clinic with special emphasis on the importance of panic disorder (PD).
199 patients previously included in a study of psychological factors in chest pain patients were reassessed after one year by a psychiatric examination (SCID I interview and self-report questionnaires) and after nine years by both psychiatric and cardiological (including bicycle exercise test) examinations. At the baseline investigation 38% suffered from PD and 16% suffered from coronary artery disease. About 80% of eligible patients participated in the follow-up investigations. They were assessed regarding persistent PD, psychiatric morbidity, psychological distress, health related quality of life (HRQOL), treatment of PD, chest pain symptoms, mortality and non-fatal cardiac events.
In summary, patients with PD at baseline reported a poor outcome regarding psychiatric morbidity, psychological distress and HRQOL and only few (10-18%) received PD treatment. The majority of patients reported persistent chest pain but they had a favorable outcome in terms of mortality and cardiac events.
List of papers:
I.Dammen T, Bringager CB, Arnesen H, Ekeberg O, Friis S.” A 1-year follow-up study of chest-pain patients with and without panic disorder”. Gen Hosp Psychiatry 2006; 28(6):516-524 Abstract.
II.Bringager CB, Friis S, Arnesen H, Dammen T. “Nine year follow-up of panic disorder in chest pain patients: Clinical course and predictors of outcome”. Psychosomatic Medicine. Submitted.
III.Bringager CB, Husebye T, Friis S, Arnesen H, Dammen T. “A long-term follow-up study of chest pain patients: Effect of panic disorder on mortality, morbidity and quality of life”. Cardiology. In Press.
IV.Bringager CB, Dammen T, Friis S.”Nonfearful panic disorder in chest pain patients”. Psychosomatics 2004; 45:69-79 Abstract.
V.Bringager CB, Gauer K, Arnesen H, Friis S, Dammen T. ”Nonfearful panic disorder in chest pain patients: Status after nine-year follow-up”. Psychosomatics. In press.