Michael E. DeBakey Veterans Affairs (VA) Medical Center, 116 MHCL, Houston, TX 77030, USA.
Compr Psychiatry. 2013 Apr;54(3):256-61. doi: 10.1016/j.comppsych.2012.09.001. Epub 2012 Oct 25.
Panic disorder is a debilitating and costly mental health condition which commonly presents in primary care settings; however, little is known about the impact of panic disorder on quality of life and health utility valuations among Veterans in primary care. A cross-sectional investigation of quality of life was conducted in a sample of 21 Veterans with panic disorder in a VA primary care clinic. Health utilities were determined using an algorithm based upon the Medical Outcomes Study Short-Form 36 Health Survey (SF-36). Veterans in the current sample reported significantly greater impairment on all eight of the SF-36 subscales in comparison to published norms. Veterans with panic and comorbid mood disorders reported significantly greater impairment on the Vitality, Social Functioning, and Mental Health subscales, while Veterans with panic and comorbid anxiety disorders reported significantly greater impairment on the Physical Functioning and Bodily pain subscales. Health utilities for the current sample were comparable to previous reports of Veterans with PTSD and depression, as well as health utilities of persons with chronic pulmonary disease and irritable bowel syndrome. The findings from this study highlight the devastating nature of panic disorder and reflect the need for increased attention to the identification and treatment of panic disorder in VA primary care settings.
惊恐障碍是一种使人衰弱且代价高昂的心理健康疾病，通常在初级保健环境中出现；然而，对于惊恐障碍对初级保健中的退伍军人的生活质量和健康效用评估的影响知之甚少。在退伍军人事务部初级保健诊所的 21 名惊恐障碍患者中进行了生活质量的横断面调查。使用基于医疗结果研究短表 36 健康调查 (SF-36) 的算法确定健康效用。与已发表的标准相比，当前样本中的退伍军人在 SF-36 的所有八项子量表上的损伤程度显著更大。患有惊恐障碍和共病情绪障碍的退伍军人在活力、社会功能和心理健康子量表上的损伤程度显著更大，而患有惊恐障碍和共病焦虑障碍的退伍军人在身体功能和躯体疼痛子量表上的损伤程度显著更大。当前样本的健康效用与先前报告的创伤后应激障碍和抑郁症退伍军人的健康效用以及慢性肺部疾病和肠易激综合征患者的健康效用相当。这项研究的结果强调了惊恐障碍的毁灭性性质，并反映了需要更加关注在退伍军人事务部初级保健环境中识别和治疗惊恐障碍。
