Faye A D, Gawande S, Tadke R, Kirpekar V C, Bhave S H, Pakhare A P, Tayade B
Department of Psychiatry, NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital, Digdoh Hills, Hingna Road, Nagpur, Maharashtra 440019, India.
Department of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal 462020, India.
Psychiatry J. 2015;2015:608351. doi: 10.1155/2015/608351. Epub 2015 Sep 3.
Background. Anxiety and panic are known to be associated with bronchial asthma with variety of impact on clinical presentation, treatment outcome, comorbidities, quality of life, and functional disability in patients with asthma. This study aims to explore the pattern of panic symptoms, prevalence and severity of panic disorder (PD), quality of life, and disability in them. Methods. Sixty consecutive patients of bronchial asthma were interviewed using semistructured proforma, Panic and Agoraphobia scale, WHO Quality of life (QOL) BREF scale, and WHO disability schedule II (WHODAS II). Results. Though 60% of the participants had panic symptoms, only 46.7% had diagnosable panic attacks according to DSM IV TR diagnostic criteria and 33.3% had PD. Most common symptoms were "sensations of shortness of breath or smothering," "feeling of choking," and "fear of dying" found in 83.3% of the participants. 73.3% of the participants had poor quality of life which was most impaired in physical and environmental domains. 55% of the participants had disability score more than a mean (18.1). Conclusion. One-third of the participants had panic disorder with significant effect on physical and environmental domains of quality of life. Patients with more severe PD and bronchial asthma had more disability.
背景。已知焦虑和惊恐与支气管哮喘相关，对哮喘患者的临床表现、治疗结果、合并症、生活质量和功能残疾有多种影响。本研究旨在探讨惊恐症状的模式、惊恐障碍（PD）的患病率和严重程度、生活质量以及其中的残疾情况。方法。使用半结构式问卷、惊恐和广场恐怖量表、世界卫生组织生活质量（QOL）简表以及世界卫生组织残疾评定量表II（WHODAS II）对60例连续的支气管哮喘患者进行访谈。结果。尽管60%的参与者有惊恐症状，但根据《精神疾病诊断与统计手册》第四版修订版（DSM IV TR）诊断标准，只有46.7%的人有可诊断的惊恐发作，33.3%的人患有PD。最常见的症状是“呼吸急促或窒息感”“哽咽感”和“濒死恐惧”，83.3%的参与者出现这些症状。73.3%的参与者生活质量较差，在身体和环境领域受损最严重。55%的参与者残疾得分高于平均值（18.1）。结论。三分之一的参与者患有惊恐障碍，对生活质量的身体和环境领域有显著影响。PD和支气管哮喘更严重的患者残疾程度更高。
