Article1997

The Quality of Life and Employment in Panic Disorder

Prakash G. Ettigi · Allen S. Meyerhoff · John T. Chirban · R. Jake Jacobs · R. Reid Wilson

59 citations0/0 files storedThe Journal of Nervous and Mental Disease

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Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Health Systems, Economic Evaluations, Quality of Life Mental Health Treatment and Access

Abstract

Our purpose was to measure quality of life (QOL) and work productivity (WP) in persons with panic disorder. Eighty-four panic disorder patients with limited psychiatric comorbidity for ten U.S. outpatient mental health centers were evaluated in a cross-sectional design. Patients self-administered the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) and Work Productivity and Impairment (WPAI) questionnaire. The independent effects of psychiatric comorbidity were addressed through entry criteria, stratification, and regression analyses. QOL scores are significantly below age and sex-adjusted population norms on all SF-36 measures (p < .01). We note far greater impairment on measures of mental and emotional versus physical well-being. The unemployment rate among these patients is 25%, and only 57% are employed full-time. Those who are employed rated their WP as low. This sample of outpatients suffer marked QOL and employment impairment, which is only partially explained by the presence of psychiatric comorbidity.

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References

1992The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.1992The MOS 36-ltem Short-Form Health Survey (SF-36)1994Lifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United States 1992Validating the SF-36 health survey questionnaire: new outcome measure for primary care.1993The Validity and Reproducibility of a Work Productivity and Activity Impairment Instrument 1994Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study 1989Effect Sizes for Interpreting Changes in Health Status 1992The Validity and Relative Precision of MOS Short-, and Long- Form Health Status Scales and Dartmouth COOP Charts

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2003WCA Recommendations for the Long-Term Treatment of Panic Disorder

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