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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivo&#58;</span> comparar os <span class="elsevierStyleItalic">scores</span> dos diversos dom&#237;nios de qualidade de vida e quadro cl&#237;nico entre os doentes com subtipos respirat&#243;rio e n&#227;o respirat&#243;rio de transtorno de p&#226;nico &#40;TP&#41; em tratamento no Laborat&#243;rio de P&#226;nico e Respira&#231;&#227;o da UFRJ&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">M&#233;todo&#58;</span> estudo transversal com 32 doentes com TP com ou sem comorbidades em tratamento ambulatorial&#44; selecionados consecutivamente e diagnostica-dos atrav&#233;s do MINI v&#46;4&#46;4&#46; Destes&#44; 12 &#40;37&#44;5&#37;&#41; apresentam o subtipo respirat&#243;rio &#40;SR&#41; e 20 &#40;62&#44;5&#37;&#41; o subtipo n&#227;o respirat&#243;rio &#40;SN&#41;&#44; de acordo com Briggs <span class="elsevierStyleItalic">et al&#46;</span></p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados&#58;</span> Em rela&#231;&#227;o aos &#237;ndices de qualidade de vida&#44; houve apenas diferen&#231;a no dom&#237;nio psicol&#243;gico&#44; sendo que os doentes do subgrupo SN apresentaram piores <span class="elsevierStyleItalic">scores&#46;</span> Os diferentes subtipos de TP &#40;SR e SN&#41; n&#227;o apresentaram diferen&#231;as significativas quanto &#224; distribui&#231;&#227;o por g&#233;nero&#44; idade&#44; escolaridade&#44; ocupa-&#231;&#227;o&#44; estado civil&#44; tabagismo e comorbidades&#46; Clinica-mente tamb&#233;m n&#227;o foram encontradas diferen&#231;as significativas nos <span class="elsevierStyleItalic">scores</span> de ansiedade&#44; nem de gravidade do TP &#40;BAI&#44; STAI-T&#44; STAI-S&#44; PAS&#41;&#44; bem como n&#227;o se observaram diferen&#231;as quanto &#224; idade de in&#237;cio do transtorno ou tempo de evolu&#231;&#227;o da doen&#231;a&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclus&#227;o&#58;</span> Doentes do subtipo n&#227;o respirat&#243;rio&#44; que apresentam &#237;ndices semelhantes de ansiedade e gravidade do TP&#44; quando em tratamento&#44; apresentam piores <span class="elsevierStyleItalic">scores</span> de qualidade de vida psicol&#243;gica do que os do subtipo respirat&#243;rio&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;5&#41;&#58; 859-874</span></p></span>"
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Aim&#58;</span> to compare the scores of the WHOQOL quality of life domains with the clinical features of patients with respiratory and non-respiratory panic disorders &#40;PD&#41; treated at the UFRJ Panic and Respiration Laboratory&#46;</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Method&#58;</span> cross sectional study&#46; Thirty-two PD outpatients under treatment were consecutively selected and evaluated by the MINI v&#46;4&#46;4&#46; They were divided into two different groups according to Briggs <span class="elsevierStyleItalic">et al&#46;</span> classification of respiratory and non-respiratory PD subtypes&#46; Twelve &#40;37&#46;5&#37;&#41; patients had the respiratory subtype &#40;SR&#41; and 20 &#40;62&#46;5&#37;&#41; the non-respiratory subtype &#40;SN&#41;&#46;</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results&#58;</span> the SN patients presented worse scores in the psychological domain of the WHOQOL&#46; There were no differences between groups in gender&#44; age&#44; level of schooling&#44; occupational status&#44; marital status&#44; smoking and comorbidities&#46; There were no differences in the anxiety questionnaires and PD questionnaire &#40;BAI&#44; STAI-T&#44; STAI-S&#44; PAS&#41; scores and in the age at the beginning of the disorder and the dis-order&#8217;s duration&#46;</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusion&#58;</span> non-respiratory subtype patients presented worse scores in the psychological domain of WHOQOL than the respiratory subtype group&#44; when they had similar anxiety and PD scores&#46;</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;5&#41;&#58; 859-874</span></p></span>"
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Vol. 15. Issue 5.
Pages 859-874 (September - October 2009)
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Vol. 15. Issue 5.
Pages 859-874 (September - October 2009)
Artigo Original/Original Article
Open Access
Subtipos respiratório e não respiratório do transtorno de pânico: Comparações clínicas e de qualidade de vida
Respiratory and non-respiratory panic disorder subtypes: Clinical and quality of life comparisons
Visits
5968
Valfrido Leão de-Melo-Neto1,
Corresponding author
valfrido@gmail.com

Correspondência/Correspondence to: Valfrido Leão de-Melo-Neto, M.D., Rua Capitão Macedo 171, apto33. Vila Clementino., CEP: 04021-020, São Paulo, SP, Brasil., Tel +55- 11- 3578-9822; fax +55- 21- 2523-6839.
, Anna Lucia Spear King2, Alexandre Martins Valença3, Rafael Christophe da Rocha Freire1, Antonio E Nardi4
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
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Resumo

Objectivo: comparar os scores 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.

Método: estudo transversal com 32 doentes com TP com ou sem comorbidades em tratamento ambulatorial, selecionados consecutivamente e diagnostica-dos 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 et al.

Resultados: 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, ocupa-ção, estado civil, tabagismo e comorbidades. Clinica-mente também não foram encontradas diferenças significativas nos scores 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.

Conclusão: Doentes do subtipo não respiratório, que apresentam índices semelhantes de ansiedade e gravidade do TP, quando em tratamento, apresentam piores scores de qualidade de vida psicológica do que os do subtipo respiratório.

Rev Port Pneumol 2009; XV (5): 859-874

Palavras-chave:
Ansiedade
transtorno de pânico
qualidade de vida
subtipo respiratório
Abstract

Aim: 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.

Method: 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).

Results: 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 dis-order’s duration.

Conclusion: 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.

Rev Port Pneumol 2009; XV (5): 859-874

Key-words:
Anxiety
panic disorder
quality of life
respiratory subtype
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