Usual Care for Panic Disorder with/without Agoraphobia in Primary Care
Psychiatrische Praxis
Michael Sommerfür die „Jena-PARADISE“ Study Group
Abstract
To describe therapy as usual (TAU) for panic disorder with/without agoraphobia (PDA) in primary care. 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. 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 %). TAU mostly involved guideline-recommended psychosocial and pharmacological interventions. Study-related procedures may limit the generalizability of findings.
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