Sherbourne C D, Wells K B, Judd L L
RAND, Santa Monica, CA 90407-2138, USA.
Am J Psychiatry. 1996 Feb;153(2):213-8. doi: 10.1176/ajp.153.2.213.
The authors compared the health-related quality of life of patients with panic disorder to that of patients with other major chronic medical and psychiatric conditions.
The physical and mental health of a group of 433 patients with current panic disorder and 9,839 outpatients with psychiatric or medical disorders were assessed with the 20- and 36-item short-form surveys of the Medical Outcomes Study. After controlling for other disease conditions, demographics, and study site, the authors used multiple regression methods to estimate health-related quality of life levels for panic disorder patients and patients with hypertension, diabetes, heart disease, arthritis, chronic lung problems, and major depression.
Patients with panic disorder had levels of mental health and role functioning that were substantially lower than those of patients with other major chronic medical illnesses but were higher than or comparable to those of patients with depression. However, their physical functioning levels and perceptions of current health were more like those of patients with hypertension and were similar to general population norms.
Panic disorder is a serious societal health problem with large consequences, and it affects primarily psychological and role domains.
作者将惊恐障碍患者的健康相关生活质量与患有其他主要慢性医学疾病和精神疾病的患者的健康相关生活质量进行了比较。
采用医学结局研究的20项和36项简表调查问卷，对一组433例当前患有惊恐障碍的患者以及9839例患有精神或医学疾病的门诊患者的身心健康状况进行了评估。在对其他疾病状况、人口统计学特征和研究地点进行控制之后，作者使用多元回归方法来估计惊恐障碍患者以及患有高血压、糖尿病、心脏病、关节炎、慢性肺部疾病和重度抑郁症患者的健康相关生活质量水平。
惊恐障碍患者的心理健康水平和角色功能水平显著低于患有其他主要慢性医学疾病的患者，但高于或等同于抑郁症患者。然而，他们的身体功能水平和对当前健康状况的认知更类似于高血压患者，且与一般人群标准相似。
惊恐障碍是一个严重的社会健康问题，后果严重，且主要影响心理和角色领域。
