Sleep after treatment for panic disorder in emergency department patients consulting for chest pain (ICPSR 36134)

Published: May 11, 2015

Principal Investigator(s):
Geneviève Belleville, Université Laval; André Marchand, Université du Québec à Montréal

https://doi.org/10.3886/ICPSR36134.v1

Version V1

Objective

A significant number of patients with unexplained chest pain (UCP) have panic disorder (PD), and most individuals with panic disorder (PD) report poor sleep, including insomnia and nocturnal panic attacks (NPA). The objective of the study was to examine the impact of treatment for PD on sleep problems and to assess the influence of pre-treatment insomnia on post-treatment persistence of PD diagnosis and pain severity.

Methods

Secondary analyses were conducted on sleep data collected from 42 PD patients consulting emergency departments (ED) for UCP. In this quasi-experimental design, cohorts of participants were randomly assigned to one of four conditions: (1) seven sessions of cognitive-behavior therapy (CBT) for PD, (2) a one-session panic management intervention, (3) pharmacotherapy, or (4) usual care. Data from clinical interviews performed by trained assistants and from self-report questionnaires were collected before and after treatment. Results after treatment, 35 percent of participants still met the diagnostic criteria for insomnia, and 20 percent of the sample still reported NPA. The presence of insomnia was a predictor of post-treatment pain severity (B = 1.336, SE B = .483, p = .009), regardless of the severity of pre-treatment anxiety and depressive symptoms or of assignation to an active PD treatment.

Conclusions

Treatment for PD had a small effect on sleep, and residual sleep difficulties persisted after treatment. More importantly, the presence of insomnia was a significant predictor of persistent pain after treatment. The results highlight the importance of careful assessment of sleep before and during treatment for PD in UCP patients.

Belleville, Geneviève, and Marchand, André. Sleep after treatment for panic disorder in emergency department patients consulting for chest pain. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2015-05-11. https://doi.org/10.3886/ICPSR36134.v1

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city

This dataset is part of ICPSR's Archives of Scientific Psychology journal database. Users should contact the Editorial Office at the American Psychological Association for information on requesting data access.

2005 -- 2009

This is a sample of convenience of patients consulting the emergency department for chest pain.

Patients with panic disorder consulting emergency departments for chest pain.

individual

clinical data

Anxiety Diagnostic Interview Schedule for DSM-IV (ADIS-IV), Insomnia Interview Schedule, Sleep diaries, Insomnia Severity Index, Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS), McGill Pain Questionnaire (MPQ), Anxiety Sensitivity Index (ASI), Beck Depression Inventory - Revised (BDI-II).

2015-05-11

2015-05-11

Notes

  • This dataset is part of ICPSR's Archives of Scientific Psychology journal database. Users should contact the Editorial Office at the American Psychological Association for information on requesting data access.

  • The public-use data files in this collection are available for access by the general public. Access does not require affiliation with an ICPSR member institution.

  • One or more files in this data collection have special restrictions. Restricted data files are not available for direct download from the website; click on the Restricted Data button to learn more.

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Archives of Scientific Psychology

This dataset is made available in connection to an article in Archives of Scientific Psychology, the first open-access, open-methods journal of the American Psychological Association (APA). Archiving and dissemination of this research is part of APA's commitment to collaborative data sharing.