Differences in Functional Level and Central Symptom of Network Structures in the Patients Seeking Treatment for Panic Disorder Before and During the COVID-19 Pandemic

Kim Hyun-Ju; Bang Minji; Park Chun Il; Pae Chongwon; Lee Sang-Hyuk

doi:10.30773/pi.2022.0318

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자료유형: 학술저널

저자정보: Kim Hyun-Ju (Department of Psychiatry CHA Bundang Medical Center CHA University School of Medicine Seongnam Republic of Korea) Bang Minji (Department of Psychiatry CHA Bundang Medical Center CHA University School of Medicine Seongnam Republic of Korea) Park Chun Il (Department of Psychiatry CHA Bundang Medical Center CHA University School of Medicine Seongnam Republic of Korea) Pae Chongwon (Department of Psychiatry CHA Bundang Medical Center CHA University School of Medicine Seongnam Republic of Korea) Lee Sang-Hyuk (Department of Psychiatry CHA Bundang Medical Center CHA University School of Medicine Seongnam Republic of Korea)

저널정보: 대한신경정신의학회 PSYCHIATRY INVESTIGATION PSYCHIATRY INVESTIGATION 제20권 제4호

발행연도: 2023.4

수록면: 245 - 254 (10page)

DOI: 10.30773/pi.2022.0318

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Objective Mental health problems such as anxiety, panic, and depression have been exacerbated by the coronavirus disease-2019 (COVID-19). This study aimed to compare the symptom severities and overall function before and during the COVID-19 pandemic among patients with panic disorder (PD) seeking treatment compared to healthy controls (HCs).Methods Baseline data were collected from the two groups (patients with PD and HCs) in two separate periods: before COVID-19 (Jan 2016–Dec 2019) and during COVID-19 (Mar 2020–Jul 2022). A total 453 participants (before COVID-19: 246 [139 patients with PD and 107 HCs], during COVID-19: 207 [86 patients with PD and 121 HCs]) was included. Scales for panic and depressive symptoms and overall function were administered. Additionally, network analyses were performed to compare the two groups within the patients with PD.Results The results of two-way analysis of variance analyses showed that patients with PD enrolled during COVID-19 showed higher levels of interoceptive fear and lower overall functioning. In addition, a network comparison test revealed that a significantly high strength and expected influence for agoraphobia and avoidance in patients with PD during COVID-19.Conclusion This study suggested that the overall function could have worsened, and the importance of agoraphobia and avoidance as a central symptom may have increased in patients with PD seeking treatment during COVID-19.

#Panic disorder #COVID-19 #Functional impairment #Interoceptive fear #Network analysis.

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