Generalized anxiety disorder patients seek evaluation for cardiological symptoms at the same frequency as patients with panic disorder
Although panic disorder (PD) and generalized anxiety disorder (GAD) have similar somatic symptoms, panic attacks with chest pain and/or palpitations may seem more likely to be mistaken for heart attacks because of their acute onset. One would therefore expect that PD patients are more likely than GA...
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Veröffentlicht in: | Journal of psychiatric research 1993, Vol.27 (1), p.55-59 |
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creator | Logue, Mary Beth Thomas, Ann Muir Barbee, James G Hoehn-Saric, Rudolf Maddock, Richard J Schwab, John Smith, Rebecca D Sullivan, Mark Beitman, Bernard D |
description | Although panic disorder (PD) and generalized anxiety disorder (GAD) have similar somatic symptoms, panic attacks with chest pain and/or palpitations may seem more likely to be mistaken for heart attacks because of their acute onset. One would therefore expect that PD patients are more likely than GAD patients to seek cardiological consultations. In a survey of 146 PD and 154 GAD patients entering a multi-site drug trial, we found virtually identical rates of such consults. Approximately 50% of each patient group sought medical evaluation for cardiac symptoms. Furthermore, 40% of each group had standard treadmill evaluations and 33% reported having an echocardiogram. This study suggests that future epidemiological studies in cardiology populations should include probes for generalized anxiety disorder. |
doi_str_mv | 10.1016/0022-3956(93)90049-8 |
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One would therefore expect that PD patients are more likely than GAD patients to seek cardiological consultations. In a survey of 146 PD and 154 GAD patients entering a multi-site drug trial, we found virtually identical rates of such consults. Approximately 50% of each patient group sought medical evaluation for cardiac symptoms. Furthermore, 40% of each group had standard treadmill evaluations and 33% reported having an echocardiogram. 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One would therefore expect that PD patients are more likely than GAD patients to seek cardiological consultations. In a survey of 146 PD and 154 GAD patients entering a multi-site drug trial, we found virtually identical rates of such consults. Approximately 50% of each patient group sought medical evaluation for cardiac symptoms. Furthermore, 40% of each group had standard treadmill evaluations and 33% reported having an echocardiogram. This study suggests that future epidemiological studies in cardiology populations should include probes for generalized anxiety disorder.</description><subject>Adult and adolescent clinical studies</subject><subject>Anxiety Disorders - complications</subject><subject>Anxiety Disorders - physiopathology</subject><subject>Anxiety Disorders - psychology</subject><subject>Anxiety disorders. 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Psychiatry</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Logue, Mary Beth</creatorcontrib><creatorcontrib>Thomas, Ann Muir</creatorcontrib><creatorcontrib>Barbee, James G</creatorcontrib><creatorcontrib>Hoehn-Saric, Rudolf</creatorcontrib><creatorcontrib>Maddock, Richard J</creatorcontrib><creatorcontrib>Schwab, John</creatorcontrib><creatorcontrib>Smith, Rebecca D</creatorcontrib><creatorcontrib>Sullivan, Mark</creatorcontrib><creatorcontrib>Beitman, Bernard D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychiatric research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Logue, Mary Beth</au><au>Thomas, Ann Muir</au><au>Barbee, James G</au><au>Hoehn-Saric, Rudolf</au><au>Maddock, Richard J</au><au>Schwab, John</au><au>Smith, Rebecca D</au><au>Sullivan, Mark</au><au>Beitman, Bernard D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Generalized anxiety disorder patients seek evaluation for cardiological symptoms at the same frequency as patients with panic disorder</atitle><jtitle>Journal of psychiatric research</jtitle><addtitle>J Psychiatr Res</addtitle><date>1993</date><risdate>1993</risdate><volume>27</volume><issue>1</issue><spage>55</spage><epage>59</epage><pages>55-59</pages><issn>0022-3956</issn><eissn>1879-1379</eissn><coden>JPYRA3</coden><abstract>Although panic disorder (PD) and generalized anxiety disorder (GAD) have similar somatic symptoms, panic attacks with chest pain and/or palpitations may seem more likely to be mistaken for heart attacks because of their acute onset. One would therefore expect that PD patients are more likely than GAD patients to seek cardiological consultations. In a survey of 146 PD and 154 GAD patients entering a multi-site drug trial, we found virtually identical rates of such consults. Approximately 50% of each patient group sought medical evaluation for cardiac symptoms. Furthermore, 40% of each group had standard treadmill evaluations and 33% reported having an echocardiogram. This study suggests that future epidemiological studies in cardiology populations should include probes for generalized anxiety disorder.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>8515389</pmid><doi>10.1016/0022-3956(93)90049-8</doi><tpages>5</tpages></addata></record> |
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subjects | Adult and adolescent clinical studies Anxiety Disorders - complications Anxiety Disorders - physiopathology Anxiety Disorders - psychology Anxiety disorders. Neuroses Biological and medical sciences Cardiovascular Diseases - etiology Cardiovascular Diseases - physiopathology Cardiovascular Diseases - psychology Humans Medical sciences Panic Disorder - complications Panic Disorder - physiopathology Panic Disorder - psychology Psychiatric Status Rating Scales Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry |
title | Generalized anxiety disorder patients seek evaluation for cardiological symptoms at the same frequency as patients with panic disorder |
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