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KMID : 1143820190150020061
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Anxiety and Mood
2019 Volume.15 No. 2 p.61 ~ p.67
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From the Onset of Panic Symptoms to Getting to a Psychiatric Treatment : The Change by Improved Public Awareness of Panic Disorder in Korea
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Choi Yong-Won
Seo Ho-Jun
Han Sang-Woo
Hong Jin-Pyo
Lee Kyoung-Uk
Kim Se-Joo
Lim Se-Won
Lee Sang-Hyuk
Yang Jong-Chul
Lee Seung-Jae
Park Seon-Cheol
Gim Min-Sook
Chae Jeong-Ho
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Abstract
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Objective : This study aimed to investigate the general process from the symptom onset to the psychiatric treatment in Korean panic patients and the effect of improved public awareness on it.
Methods : This study has a retrospective design. The subjects were the new patients with panic disorder who visited the psychiatric outpatient clinic in twelve university-affiliated hospitals all across Korea. The medical chart was reviewed retrospectively and the data were collected including chief complaints of symptoms, recent stressors, the time to visit the psychiatric outpatient clinic, and visit of other departments and diagnostic approaches for their symptoms.
Results : A total of 814 participants were included in the study. The most common department other than psychiatry the panic patients visited were cardiology (28.3%), general internal medicine (16.0%) and neurology (11.4%). The most frequently used diagnostic tests were a echocardiography (17.9%), 24-hour Holter mon-itoring (11.2%), and brain MRI (8.2%). Only 37.3% of participants visited psychiatric clinic directly. About 80% of participants visited psychiatric department within 1 year after their first panic symptoms and it took 13.8±13.7 weeks on average. Comparing before and after 2012, the number of participants increased who visit directly the psychiatric clinic without visiting other departments (p=0.002) and without visiting emergency room (p＜0.001).
Conclusions : Our results suggest that a substantial number of patients visit departments other than psychiatry when they experience first panic symptoms. However, most patients begin psychiatric treatment within 1 year after their first symptoms and the number of patient are increasing who visit psychiatric department directly without visiting other departments.
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KEYWORD
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Panic disorder, Public awareness, Psychiatric treatment·Korean patients
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