[Usual Care for Panic Disorder with/without Agoraphobia in Primary Care]
- PMID: 28499315
- DOI: 10.1055/s-0043-105058
[Usual Care for Panic Disorder with/without Agoraphobia in Primary Care]
Abstract
Objective: To describe therapy as usual (TAU) for panic disorder with/without agoraphobia (PDA) in primary care.
Method: Written survey of 38 general practitioners (GPs) who provided TAU to 189 patients with PDA as part of an interventional study. Data were analyzed descriptively.
Results: The most common TAU-interventions were: exploration of psychosocial problems (83 %), recommendation not to avoid anxiety-provoking stimuli (72 %), prescription of SSRIs (62 %). Common reasons for referrals were various psychiatric comorbidities and treatment-refractory anxiety (77 %). GPs rarely used validated diagnostic tools such as structured interviews (18 %) or questionnaires (14 %).
Conclusions: TAU mostly involved guideline-recommended psychosocial and pharmacological interventions. Study-related procedures may limit the generalizability of findings.
ZIEL: Beschreibung der hausärztlichen Standardtherapie (Therapy As Usual, TAU) bei Panikstörung mit/ohne Agoraphobie (PDA).
Methoden: Schriftliche Befragung von 38 Hausärzten, die in einer Interventionsstudie 189 Patienten mit PDA behandelten.
Ergebnisse: TAU beinhaltete eine Mischung aus psychosozialen (Besprechung psychosozialer Probleme, 83 %) und pharmakologischen (SSRI, 62 %) Interventionen.
Schlussfolgerung: TAU erscheint weitgehend leitliniengerecht. Die Generalisierbarkeit der Ergebnisse ist studienbedingt eventuell eingeschränkt.
© Georg Thieme Verlag KG Stuttgart · New York.
Conflict of interest statement
Die Autoren geben an, dass kein Interessenkonflikt besteht.
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