Saji Joseph, Krishnadas A.
Panic disorder in pain symptoms: a study from a general hospital in India.
J Pak Psych Soc Jan ;2(2):73-5.

Objectives: To evaluate panic disorder in patients with pain symptoms. Design: Cross-sectional study. Place and Duration of Study: The study was conducted at General hospital at Wayanad, Kerala, India; from October 2000 to October 2001. Subjects And Methods: We have evaluated 115 patients with pain symptoms to find out the rate and clinical profile of panic disorder (PD) as per the Diagnostic Criteria for Research (DCR) criteria of ICD – 10. Forty three percentage had PD and non cardiac chest pain was the most common presenting symptom. Female to male ratio was 5:1. Onset of PD was in 3rd decade in both sexes. Results: Agoraphobia was the most common co morbidity. Low dosage response to combination of Tricyclic Antidepressants and Benzodiazepines were observed and 56% were in remission when followed up for a period of 6 months to 1 year. Conclusion: The study points out the high rate of PD in patients with pain symptoms and also emphasizes the need of high rates of physician recognition of this common and costly phenomenon in medicine.

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