title: Do Panic Symptoms Affect the Quality of Life and Add to the Disability in Patients with Bronchial Asthma?
abstract: Background. Anxiety and panic are known to be associated with bronchial asthma with variety of impact on clinical presentation, treatment outcome, comorbidities, quality of life, and functional disability in patients with asthma. This study aims to explore the pattern of panic symptoms, prevalence and severity of panic disorder (PD), quality of life, and disability in them. Methods. Sixty consecutive patients of bronchial asthma were interviewed using semistructured proforma, Panic and Agoraphobia scale, WHO Quality of life (QOL) BREF scale, and WHO disability schedule II (WHODAS II). Results. Though 60% of the participants had panic symptoms, only 46.7% had diagnosable panic attacks according to DSM IV TR diagnostic criteria and 33.3% had PD. Most common symptoms were "sensations of shortness of breath or smothering," "feeling of choking," and "fear of dying" found in 83.3% of the participants. 73.3% of the participants had poor quality of life which was most impaired in physical and environmental domains. 55% of the participants had disability score more than a mean (18.1). Conclusion. One-third of the participants had panic disorder with significant effect on physical and environmental domains of quality of life. Patients with more severe PD and bronchial asthma had more disability.
authors.affiliation: Department of Psychiatry, NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital, Digdoh Hills, Hingna Road, Nagpur, Maharashtra 440019, India.
authors.forename: A D
authors.initials: AD
authors.lastname: Faye
authors.affiliation: Department of Psychiatry, NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital, Digdoh Hills, Hingna Road, Nagpur, Maharashtra 440019, India.
authors.forename: S
authors.initials: S
authors.lastname: Gawande
authors.affiliation: Department of Psychiatry, NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital, Digdoh Hills, Hingna Road, Nagpur, Maharashtra 440019, India.
authors.forename: R
authors.initials: R
authors.lastname: Tadke
authors.affiliation: Department of Psychiatry, NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital, Digdoh Hills, Hingna Road, Nagpur, Maharashtra 440019, India.
authors.forename: V C
authors.initials: VC
authors.lastname: Kirpekar
authors.affiliation: Department of Psychiatry, NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital, Digdoh Hills, Hingna Road, Nagpur, Maharashtra 440019, India.
authors.forename: S H
authors.initials: SH
authors.lastname: Bhave
authors.affiliation: Department of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal 462020, India.
authors.forename: A P
authors.initials: AP
authors.lastname: Pakhare
authors.affiliation: Department of Chest Medicine, NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital, Digdoh Hills, Hingna Road, Nagpur, Maharashtra 440019, India.
authors.forename: B
authors.initials: B
authors.lastname: Tayade