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Panic Disorder

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1. Panic disorders

Panic disorders Panic disorders - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Panic disorders Last reviewed: February 2019 Last updated: January 2019 Summary Characterised by recurring expected or unexpected panic attacks, worry about future attacks over a 1-month period, and changes in behaviour as a consequence of the attacks. Frequency of panic attacks may vary considerably, with some individuals reporting brief (...) clusters of several panic episodes in a short period of time, weekly panic attacks, or periodic attacks over the course of several months. Higher risk among first-degree relatives; onset of attacks triggered by stress; often comorbid with other anxiety, mood, and substance-use disorders. Assessment is made through ruling out organic causes; self-report; clinical interview; and behavioural observation. Selective serotonin-reuptake inhibitors, serotonin-noradrenaline reuptake inhibitors, and cognitive

2019 BMJ Best Practice

2. Benzodiazepines versus placebo for panic disorder in adults. (PubMed)

Benzodiazepines versus placebo for panic disorder in adults. Panic disorder is characterised by recurrent unexpected panic attacks consisting of a wave of intense fear that reaches a peak within a few minutes. Panic disorder is a common disorder, with an estimated lifetime prevalence of 1% to 5% in the general population and a 7% to 10% prevalence in primary care settings. Its aetiology is not fully understood and is probably heterogeneous.Panic disorder is treated with psychological (...) and pharmacological interventions, often used in combination. Although benzodiazepines are frequently used in the treatment of panic disorder, guidelines recommend antidepressants, mainly selective serotonin reuptake inhibitors (SSRIs), as first-line treatment for panic disorder, particularly due to their lower incidence of dependence and withdrawal reaction when compared to benzodiazepines. Despite these recommendations, benzodiazepines are widely used in the treatment of panic disorder, probably because

2019 Cochrane

3. Antidepressants versus placebo for panic disorder in adults. (PubMed)

Antidepressants versus placebo for panic disorder in adults. Panic disorder is characterised by repeated, unexpected panic attacks, which represent a discrete period of fear or anxiety that has a rapid onset, reaches a peak within 10 minutes, and in which at least four of 13 characteristic symptoms are experienced, including racing heart, chest pain, sweating, shaking, dizziness, flushing, stomach churning, faintness and breathlessness. It is common in the general population with a lifetime (...) prevalence of 1% to 4%. The treatment of panic disorder includes psychological and pharmacological interventions. Amongst pharmacological agents, the National Institute for Health and Care Excellence (NICE) and the British Association for Psychopharmacology consider antidepressants, mainly selective serotonin reuptake inhibitors (SSRIs), as the first-line treatment for panic disorder, due to their more favourable adverse effect profile over monoamine oxidase inhibitors (MAOIs) and tricyclic

2018 Cochrane

5. Panic disorders

Panic disorders Panic disorders - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Panic disorders Last reviewed: February 2019 Last updated: January 2019 Summary Characterised by recurring expected or unexpected panic attacks, worry about future attacks over a 1-month period, and changes in behaviour as a consequence of the attacks. Frequency of panic attacks may vary considerably, with some individuals reporting brief (...) clusters of several panic episodes in a short period of time, weekly panic attacks, or periodic attacks over the course of several months. Higher risk among first-degree relatives; onset of attacks triggered by stress; often comorbid with other anxiety, mood, and substance-use disorders. Assessment is made through ruling out organic causes; self-report; clinical interview; and behavioural observation. Selective serotonin-reuptake inhibitors, serotonin-noradrenaline reuptake inhibitors, and cognitive

2018 BMJ Best Practice

6. Prevalence and treatment of panic disorder in bipolar disorder: systematic review and meta-analysis

Prevalence and treatment of panic disorder in bipolar disorder: systematic review and meta-analysis Prevalence and treatment of panic disorder in bipolar disorder: systematic review and meta-analysis | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal (...) accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Prevalence and treatment of panic disorder in bipolar disorder: systematic review and meta-analysis Article Text Systematic review Prevalence and treatment of panic disorder in bipolar

2018 Evidence-Based Mental Health

7. Development of a very brief scale for detecting and measuring panic disorder using two items from the Panic Disorder Severity Scale-Self Report. (PubMed)

Development of a very brief scale for detecting and measuring panic disorder using two items from the Panic Disorder Severity Scale-Self Report. To minimize the burden in detecting and monitoring Panic Disorder and Agoraphobia by developing a very brief scale with selected items from the Panic Disorder Severity Scale-Self Report (PDSS-SR), and to investigate the proposed scale's psychometric properties in a comorbid sample.A sample of 5103 patients from the Internet Psychiatry Clinic in Sweden (...) , diagnosed and treated with Internet-based cognitive behavioral therapy for panic disorder (n = 1390), social anxiety disorder (n = 1313) or depression (n = 2400), responded to the PDSS-SR. Six criteria related to factor structure, sensitivity to change and clinical representativeness were used to select items. Psychometric analyses for the selected very brief scale were performed.Items 2 (distress during panic attacks) and 4 (agoraphobic avoidance), were selected to create the very brief PDSS-SR version

2019 Journal of Affective Disorders

8. CBT for panic disorder

CBT for panic disorder RACGP - CBT for panic disorder Search Become a student member today for free and be part of the RACGP community A career in general practice Starting the GP journey Enrolments for the 2019.1 OSCE FRACGP exams closing 29 March 2019 Fellowship FRACGP exams Research Practice Experience Program is a self-directed education program designed to support non vocationally registered doctors on their pathway to RACGP Fellowship Fellowship International graduates FRACGP exams RACGP (...) Releases 2013 Media Releases 2012 Media Releases Search CBT for panic disorder CBT for panic disorder Introduction Panic disorder affects approximately 10% of general practice patients. Intervention Cognitive behavioural therapy (CBT), which is a multimodal psychotherapy. Specific techniques used in CBT for panic disorder include: psychoeducation breathing retraining progressive muscle relaxation cognitive restructuring behavioural experiments interoceptive exposure and in vivo exposure. CBT

2016 Handbook of Non-Drug interventions (HANDI)

9. Antidepressants and benzodiazepines for panic disorder in adults. (PubMed)

Antidepressants and benzodiazepines for panic disorder in adults. A panic attack is a discrete period of fear or anxiety that has a rapid onset, reaches a peak within 10 minutes and in which at least four of 13 characteristic symptoms are experienced, including racing heart, chest pain, sweating, shaking, dizziness, flushing, stomach churning, faintness and breathlessness. Panic disorder is common in the general population with a lifetime prevalence of 1% to 4%. The treatment of panic disorder (...) includes psychological and pharmacological interventions. Amongst pharmacological agents, antidepressants and benzodiazepines are the mainstay of treatment for panic disorder. Different classes of antidepressants have been compared; and the British Association for Psychopharmacology, and National Institute for Health and Care Excellence (NICE) consider antidepressants (mainly selective serotonin reuptake inhibitors (SSRIs)) as the first-line treatment for panic disorder, due to their more favourable

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2016 Cochrane

10. Panic disorder in people with bipolar disorder: very common, but treatment options limited

Panic disorder in people with bipolar disorder: very common, but treatment options limited Panic disorder bipolar disorder Search National Elf Service Search National Elf Service » » » » Panic disorder in people with bipolar disorder: very common, but treatment options limited Aug 15 2018 Posted by Anxiety disorders are frequently comorbid with depression, but there is also evidence of a strong association with bipolar disorder. Indeed, symptoms of anxiety are often present before the onset (...) are lacking. A recent paper by Preti et al (2018) aimed to systematically review the literature for papers reporting on comorbid panic disorder in bipolar disorder and performed meta-analyses for of the comorbidity. Panic disorder is an anxiety disorder where you regularly have sudden attacks of panic or fear. Methods Preti et al conducted a systematic literature search using the PubMed/MEDLINE database for all studies with primary data on patients with bipolar disorder and a comorbid diagnosis of panic

2018 The Mental Elf

11. Miscellaneous: Short-term efficacy of psychological and psychopharmacological interventions for panic disorder appears not to be different

Miscellaneous: Short-term efficacy of psychological and psychopharmacological interventions for panic disorder appears not to be different Short-term efficacy of psychological and psychopharmacological interventions for panic disorder appears not to be different | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see (...) our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Short-term efficacy of psychological and psychopharmacological interventions for panic disorder appears not to be different

2017 Evidence-Based Mental Health

12. Systematic review and meta-analysis of effect size of placebo in patients with obsessive compulsive disorder and panic disorder

Systematic review and meta-analysis of effect size of placebo in patients with obsessive compulsive disorder and panic disorder Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any

2019 PROSPERO

13. Generalised anxiety disorder and panic disorder in adults: management

Generalised anxiety disorder and panic disorder in adults: management Gener Generalised anxiety disorder and panic alised anxiety disorder and panic disorder in adults: management disorder in adults: management Clinical guideline Published: 26 January 2011 nice.org.uk/guidance/cg113 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline (...) inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Generalised anxiety disorder and panic disorder in adults: management (CG113) © NICE 2019. All rights reserved. Subject to Notice of rights (https

2011 National Institute for Health and Clinical Excellence - Clinical Guidelines

14. Ratio of plasma BDNF to leptin levels are associated with treatment response in major depressive disorder but not in panic disorder: A 12-week follow-up study. (PubMed)

Ratio of plasma BDNF to leptin levels are associated with treatment response in major depressive disorder but not in panic disorder: A 12-week follow-up study. A link between brain-derived neurotrophic factor (BDNF) expression and the mood regulatory effect of leptin has been suggested in the pathophysiology of major depressive disorder (MDD). We investigated treatment response and pre-treatment leptin and BDNF in patients with MDD and with panic disorder (PD).We recruited 41 patients with MDD

2019 Journal of Affective Disorders

15. Cardiorespiratory concerns shape brain responses during automatic panic-related scene processing in patients with panic disorder. (PubMed)

Cardiorespiratory concerns shape brain responses during automatic panic-related scene processing in patients with panic disorder. Increased automatic processing of threat-related stimuli has been proposed as a key element in panic disorder. Little is known about the neural basis of automatic processing, in particular to task-irrelevant, panic-related, ecologically valid stimuli, or about the association between brain activation and symptomatology in patients with panic disorder.The present (...) event-related functional MRI (fMRI) study compared brain responses to task-irrelevant, panic-related and neutral visual stimuli in medication-free patients with panic disorder and healthy controls. Panic-related and neutral scenes were presented while participants performed a spatially nonoverlapping bar orientation task. Correlation analyses investigated the association between brain responses and panic-related aspects of symptomatology, measured using the Anxiety Sensitivity Index (ASI).We

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2018 Journal of Psychiatry & Neuroscience

16. A Multi-Site RCT of a Stepped-Care Intervention for Emergency Department Patients With Panic Attacks and Panic Disorder

A Multi-Site RCT of a Stepped-Care Intervention for Emergency Department Patients With Panic Attacks and Panic Disorder A Multi-Site RCT of a Stepped-Care Intervention for Emergency Department Patients With Panic Attacks and Panic Disorder - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum (...) number of saved studies (100). Please remove one or more studies before adding more. A Multi-Site RCT of a Stepped-Care Intervention for Emergency Department Patients With Panic Attacks and Panic Disorder The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details

2018 Clinical Trials

17. Epidemiology of panic attacks, panic disorder and the moderating role of age: Results from a population-based study. (PubMed)

Epidemiology of panic attacks, panic disorder and the moderating role of age: Results from a population-based study. The aim of this study was to investigate the prevalence of panic attacks (PA) and panic disorder (PD) over the lifespan, determine the main correlates and analyze the potential moderating role of age.We analyzed cross-sectional data from a nationally-representative sample of 4,569 non-institutionalized adults. Three panic groups were created according to results in the CIDI (...) interview: non-panic, PA (without PD) and PD. Panic groups were used as outcomes in adjusted multinomial regression models where several correlates were investigated. Interactions between each covariate and age were explored.The highest prevalence rates of PA (9.5%) and PD (3.3%) were found in people aged 30-39 and 40-49, respectively. Respondents aged 80 + presented the lowest rates. In the adjusted multinomial model, younger ages, having depression, and poorer levels of quality of life were

2018 Journal of Affective Disorders

18. Twelve-Month Outcomes Following Successful Panic-Focused Psychodynamic Psychotherapy, Cognitive-Behavioral Therapy, or Applied Relaxation Training for Panic Disorder. (PubMed)

Twelve-Month Outcomes Following Successful Panic-Focused Psychodynamic Psychotherapy, Cognitive-Behavioral Therapy, or Applied Relaxation Training for Panic Disorder. Given the chronic, episodic nature of panic disorder, it is important to examine long-term outcomes of patients who respond well to various psychotherapies.Out of 116 patients with DSM-IV panic disorder who evidenced a ≥ 40% reduction in panic and avoidance symptoms on the Panic Disorder Severity Scale (PDSS) after 12-14 weeks (...) of panic-focused psychodynamic psychotherapy, cognitive-behavioral therapy, or applied relaxation training as part of a 2-site randomized controlled trial conducted between January 2007 and July 2012, 91 patients provided at least 1 PDSS datapoint during follow-up. Patients were assessed at each of the 12 following months using the PDSS, the Sheehan Disability Scale (SDS), and the Hamilton Depression Rating Scale (HDRS) and twice during the follow-up period with the Anxiety Disorders Interview

2018 Journal of Clinical Psychiatry

19. Internet-Based Cognitive Behavioral Therapy With Real-Time Therapist Support via Videoconference for Patients With Obsessive-Compulsive Disorder, Panic Disorder, and Social Anxiety Disorder: Pilot Single-Arm Trial. (PubMed)

Internet-Based Cognitive Behavioral Therapy With Real-Time Therapist Support via Videoconference for Patients With Obsessive-Compulsive Disorder, Panic Disorder, and Social Anxiety Disorder: Pilot Single-Arm Trial. Cognitive behavioral therapy (CBT) is the first-line treatment for adults with obsessive-compulsive disorder (OCD), panic disorder (PD), and social anxiety disorder (SAD). Patients in rural areas can access CBT via the internet. The effectiveness of internet-delivered cognitive (...) of a therapist, using tablet personal computer (Apple iPad Mini 2). Treatment involved individualized CBT formulations specific to the presenting diagnosis; all sessions were provided by the same therapist. The primary outcomes were reduction in symptomatology, using the Yale-Brown obsessive-compulsive scale (Y-BOCS) for OCD, Panic Disorder Severity Scale (PDSS) for PD, and Liebowitz Social Anxiety Scale (LSAS) for SAD. The secondary outcomes included the EuroQol-5 Dimension (EQ-5D) for Quality of Life

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2018 Journal of medical Internet research

20. Repetitive transcranial magnetic stimulation (rTMS) for panic disorder in adults. (PubMed)

Repetitive transcranial magnetic stimulation (rTMS) for panic disorder in adults. Panic disorder (PD) is a common type of anxiety disorder, characterized by unexpected and repeated panic attacks or fear of future panic attacks, or both. Individuals with PD are often resistant to pharmacological or psychological treatments and this can lead to the disorder becoming a chronic and disabling illness. Repetitive transcranial magnetic stimulation (rTMS) can deliver sustained and spatially selective (...) current to suppress or induce cortical excitability, and its therapeutic effect on pathological neuronal activity in people with PD has already been examined in case studies and clinical trials. However, a systematic review is necessary to assess the efficacy and safety of rTMS for PD.To assess the effects of repetitive transcranial magnetic stimulation (rTMS) for panic disorder (PD) in adults aged 18 to 65 years, either as a monotherapy or as an augmentation strategy.An electronic search

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2014 Cochrane

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