Respiratory and non-respiratory panic disorder subtypes: Clinical and quality of life comparisons
Subtipos respiratório e não respiratório do transtorno de pânico: Comparações clínicas e de qualidade de vida
Valfrido Leão de-Melo-Neto1,
, Anna Lucia Spear King2, Alexandre Martins Valença3, Rafael Christophe da Rocha Freire1, Antonio E. Nardi4, Marcio Versiani5
Corresponding author
valfrido@gmail.com
Correspondence to/Correspondência: Rua Capitão Macedo 171, apto33. Vila Clementino. CEP: 04021-020, São Paulo, SP, Brasil. Tel.: +55- 11- 3578-9822; fax: +55- 21- 2523-6839.
Correspondence to/Correspondência: Rua Capitão Macedo 171, apto33. Vila Clementino. CEP: 04021-020, São Paulo, SP, Brasil. Tel.: +55- 11- 3578-9822; fax: +55- 21- 2523-6839.
1 Psiquiatra. Mestre em Psiquiatria pela Universidade Federal do Rio de Janeiro (UFRJ). Investigador do Laboratório de Pânico e Respiração do Instituto de Psiquiatria da UFRJ, Rio de Janeiro, Brasil/Physchiatrist. MsC, Phsychiatry, Universidade Federal do Rio de Janeiro (UFRJ). Researcher, Panic and Respiration Laboratory, Instituto de Psiquiatria da UFRJ, Rio de Janeiro, Brazil
2 Psicóloga. Mestre em Saúde Mental. Aluna do Doutorado em Psiquiatria e Saúde Mental da Universidade Federal do Rio de Janeiro (UFRJ). Investigadora do Laboratório de Pânico e Respiração do Instituto de Psiquiatria da UFRJ, Rio de Janeiro, Brasil/Pshychologist. MsC, Mental Health. PhD student Physchiatry and Mental Health, Universidade Federal do Rio de Janeiro (UFRJ). Researcher, Panic and Respiration Laboratory, Instituto de Psiquiatria da UFRJ, Rio de Janeiro, Brazil
3 Doutor em Psiquiatria pela Universidade Federal do Rio de Janeiro (UFRJ). Investigador do Laboratório de Pânico e Respiração do Instituto de Psiquiatria da UFRJ, Rio de Janeiro, Brasil. Professor de Psiquiatria da Universidade Federal Fluminense (UFF) Niterói, Brasil, e da Universidade Severino Sombra,Vassouras, Brasil/PhD, Psychiatry, Universidade Federal do Rio de Janeiro (UFRJ). Researcher, Panic and Respiration Laboratory, Instituto de Psiquiatria da UFRJ, Rio de Janeiro, Brasil. Psychiatry Professor, Universidade Federal Fluminense (UFF) Niterói, Brazil and Universidade Severino Sombra,Vassouras, Brazil
4 Professor Associado da Universidade Federal do Rio de Janeiro (UFRJ). Investigador do Laboratório de Pânico e Respiração do Instituto de Psiquiatria da UFRJ, Rio de Janeiro, Brasil/Associate Professor, Universidade Federal do Rio de Janeiro (UFRJ). Researcher, Panic and Respiration Laboratory, Instituto de Psiquiatria da UFRJ, Rio de Janeiro, Brazil
5 Laboratório de Pânico e Respiração, Universidade Federal do Rio de Janeiro (UFRJ). Avenida Venceslau Brás, 71 – Fundos. Botafogo. Rio de Janeiro, RJ, Brasil. CEP:22290-140.
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Aluna do Doutorado em Psiquiatria e Saúde Mental da Universidade Federal do Rio de Janeiro (UFRJ). Investigadora do Laboratório de Pânico e Respiração do Instituto de Psiquiatria da UFRJ, Rio de Janeiro, Brasil/<span class="elsevierStyleItalic">Pshychologist. MsC, Mental Health. PhD student Physchiatry and Mental Health, Universidade Federal do Rio de Janeiro (UFRJ). Researcher, Panic and Respiration Laboratory, Instituto de Psiquiatria da UFRJ, Rio de Janeiro, Brazil</span>" "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Doutor em Psiquiatria pela Universidade Federal do Rio de Janeiro (UFRJ). Investigador do Laboratório de Pânico e Respiração do Instituto de Psiquiatria da UFRJ, Rio de Janeiro, Brasil. Professor de Psiquiatria da Universidade Federal Fluminense (UFF) Niterói, Brasil, e da Universidade Severino Sombra,Vassouras, Brasil/PhD, Psychiatry, Universidade Federal do Rio de Janeiro (UFRJ). Researcher, Panic and Respiration Laboratory, Instituto de Psiquiatria da UFRJ, <span class="elsevierStyleItalic">Rio de Janeiro, Brasil. Psychiatry Professor, Universidade Federal Fluminense (UFF) Niterói, Brazil and Universidade Severino Sombra,Vassouras, Brazil</span>" "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Professor Associado da Universidade Federal do Rio de Janeiro (UFRJ). Investigador do Laboratório de Pânico e Respiração do Instituto de Psiquiatria da UFRJ, Rio de Janeiro, Brasil/<span class="elsevierStyleItalic">Associate Professor, Universidade Federal do Rio de Janeiro (UFRJ). Researcher, Panic and Respiration Laboratory, Instituto de Psiquiatria da UFRJ, Rio de Janeiro, Brazil</span>" "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Laboratório de Pânico e Respiração, Universidade Federal do Rio de Janeiro (UFRJ). Avenida Venceslau Brás, 71 – Fundos. Botafogo. Rio de Janeiro, RJ, Brasil. CEP:22290-140." "etiqueta" => "<span class="elsevierStyleSup">5</span>" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondence to/Correspondência: Rua Capitão Macedo 171, apto33. Vila Clementino. CEP: 04021-020, São Paulo, SP, Brasil. Tel.: +55- 11- 3578-9822; fax: +55- 21- 2523-6839." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Subtipos respiratório e não respiratório do transtorno de pânico: Comparações clínicas e de qualidade de vida" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-10-20" "fechaAceptado" => "2009-02-25" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec160342" "palabras" => array:4 [ 0 => "Anxiety" 1 => "panic disorder" 2 => "quality of life" 3 => "respiratory subtype" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec160343" "palabras" => array:4 [ 0 => "Ansiedade" 1 => "transtorno de pânico" 2 => "qualidade de vida" 3 => "subtipo respiratório" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Aim</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">to compare the scores of the WHOQOL quality of life domains with the clinical features of patients with respiratory and non-respiratory panic disorders (PD) treated at the UFRJ Panic and Respiration Laboratory.</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">cross sectional study. Thirty-two PD outpatients under treatment were consecutively selected and evaluated by the MINI v.4.4. They were divided into two different groups according to Briggs et al. classification of respiratory and non-respiratory PD subtypes. Twelve (37.5%) patients had the respiratory subtype (SR) and 20 (62.5%) the non-respiratory subtype (SN).</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">the SN patients presented worse scores in the psychological domain of the WHOQOL. There were no differences between groups in gender, age, level of schooling, occupational status, marital status, smoking and comorbidities. There were no differences in the anxiety questionnaires and PD questionnaire (BAI, STAI-T, STAI-S, PAS) scores and in the age at the beginning of the disorder and the disorder's duration.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">non-respiratory subtype patients presented worse scores in the psychological domain of WHOQOL than the respiratory subtype group, when they had similar anxiety and PD scores.</p>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span class="elsevierStyleSectionTitle">Objectivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">comparar os <span class="elsevierStyleItalic">scores</span> dos diversos domínios de qualidade de vida e quadro clínico entre os doentes com subtipos respiratório e não respiratório de transtorno de pânico (TP) em tratamento no Laboratório de Pânico e Respiração da UFRJ.</p> <span class="elsevierStyleSectionTitle">Método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">estudo transversal com 32 doentes com TP com ou sem comorbidades em tratamento ambulatorial, selecionados consecutivamente e diagnosticados através do MINI v.4.4. Destes, 12 (37,5%) apresentam o subtipo respiratório (SR) e 20 (62,5%) o subtipo não respiratório (SN), de acordo com Briggs <span class="elsevierStyleItalic">et al</span>.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Em relação aos índices de qualidade de vida, houve apenas diferença no domínio psicológico, sendo que os doentes do subgrupo SN apresentaram piores scores. Os diferentes subtipos de TP (SR e SN) não apresentaram diferenças significativas quanto à distribuição por género, idade, escolaridade, ocupação, estado civil, tabagismo e comorbidades. Clinicamente também não foram encontradas diferenças significativas nos <span class="elsevierStyleItalic">scores</span> de ansiedade, nem de gravidade do TP (BAI, STAI-T, STAI-S, PAS), bem como não se observaram diferenças quanto à idade de início do transtorno ou tempo de evolução da doença.</p> <span class="elsevierStyleSectionTitle">Conclusão</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Doentes do subtipo não respiratório, que apresentam índices semelhantes de ansiedade e gravidade do TP, quando em tratamento, apresentam piores <span class="elsevierStyleItalic">scores</span> de qualidade de vida psicológica do que os do subtipo respiratório.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography/Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:47 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
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