- Panic disorder is more common among patients with certain comorbidities and patterns of using medical services.
Why this matters
- Primary care physicians should review psychiatric comorbidities to evaluate risk for panic disorder, especially in patients with greater use of outpatient services.
- 9759 patients with panic disorder and 39,036 matched control individuals were identified from the Taiwan National Health Insurance Research Database (2000-2013).
- Funding: Taiwan Ministry of Science and Technology; others.
- In the year preceding diagnosis, patients with panic disorder were more likely to have (all P<.001 style="list-style-type:circle;">
- Physical comorbidities:
- Cardiovascular disease (adjusted risk ratio [aRR], 3.44).
- Asthma (aRR, 1.76).
- COPD (aRR, 1.40).
- Upper respiratory tract infection (aRR, 1.22).
- Psychiatric comorbidities:
- Drug-induced mental disorders (aRR, 2.19).
- Schizophrenia (aRR, 1.81).
- Bipolar disorder (aRR, 2.68).
- Depressive disorder (aRR, 5.91).
- Other anxiety disorders (aRR, 7.08).
- Adjustment disorder (aRR, 4.82).
- Sleep disorder (aRR, 2.48).
- Data on potential factors influencing panic disorder not captured.
Co-authored with Chitra Ravi, MPharm