Article1999

Development of a Brief Diagnostic Screen for Panic Disorder in Primary Care

Murray B. Stein · Peter Roy‐Byrne · John R. McQuaid · Charlene Laffaye · Joan E. Russo · Margaret E. McCahill +4 more

92 citations0/0 files storedPsychosomatic Medicine

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Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Mental Health Treatment and Access COVID-19 and Mental Health

Abstract

OBJECTIVE: The purpose of this study was to determine the utility of a brief screening tool for panic disorder in the primary care setting. METHODS: A total of 1476 primary care outpatients in three primary care medical clinics on the West Coast of the United States were studied. Patients completed a brief self-report measure, the five-item Autonomic Nervous System Questionnaire (ANS), while in the waiting room. The presence of DSM-IV panic disorder was subsequently determined in groups of "screen-positive" and "screen-negative" subjects using the Composite International Diagnostic Interview. A subset of patients (N = 511) also completed the 21-item Beck Anxiety Inventory. Indices of diagnostic utility were calculated using receiving operating characteristic analyses to guide the selection of optimal cutoff levels. RESULTS: The two-question version of the ANS had excellent sensitivity (range = 0.94-1.00 across the three clinic sites) and negative predictive value (0.94-1.00) but low specificity (0.25-0.59) and positive predictive value (range 0.18-0.40). The three- and five-question versions of the ANS had only modestly improved specificity, and this was achieved at the cost of reduced sensitivity and increased respondent burden to complete the questionnaire. The 21-item Beck Anxiety Inventory had maximal clinical utility at a cutoff level of > or =20, but sensitivity was lower than desirable for a screening instrument (0.67). CONCLUSIONS: The two-question version of the ANS shows promise as a screening instrument for panic disorder in the primary care setting.

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1988An inventory for measuring clinical anxiety: Psychometric properties.1994Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study 1994Utility of a New Procedure for Diagnosing Mental Disorders in Primary Care 1995Health-related quality of life in primary care patients with mental disorders. Results from the PRIME-MD 1000 Study 1990Screening for Depression in Primary Care Clinics: The CES-D and the BDI 1990Distressed high utilizers of medical care 1995Health-Related Quality of Life in Primary Care Patients With Mental Disorders 1988Development of a Brief Screening Instrument for Detecting Depressive Disorders

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2006Using five questions to screen for five common mental disorders in primary care: diagnostic accuracy of the Anxiety and Depression Detector 2006Panic Disorder 2006The reliability and validity of the Panic Disorder Self-Report: A new diagnostic screening measure of panic disorder.2002Predictors of willingness to consider medication and psychosocial treatment for panic disorder in primary care patients 2005

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