CFP
HOME HELP CONTACT US FEEDBACK SUBSCRIPTIONS CURRENT ISSUE PAST ISSUES SEARCH
QUICK SEARCH:   [advanced]


     

Can Fam Physician
Vol. 53, No. 10, October 2007, pp.1686 - 1693
Copyright © 2007 by The College of Family Physicians of Canada
This Article
Right arrow Résumé
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow CFPlus English Translation
Right arrow Rapid Responses: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Rapid Responses are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Foldes-Busque, G.
Right arrow Articles by Landry, P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Foldes-Busque, G.
Right arrow Articles by Landry, P.
Related Collections
Right arrow Révisions cliniques

Clinical Review

L’identification et traitement du trouble panique avec ou sans agoraphobie

Mise à jour

Guillaume Foldes-Busque
Étudiant au doctorat en psychologie à l’Université de Québec à Montréal

André Marchand, PhD
Psychologue et chercheur à la clinique en intervention cognitivo-comportementale de l’Hôpital Louis-H. Lafontaine à Montréal et professeur titulaire au département de psychologie de l’Université de Québec à Montréal

Pierre Landry, MD PhD FRCPC
Professeur adjoint de clinique au département de psychiatrie de l’Université de Montréal et chef médical du module de psychopharmacologie de l’Hôpital Louis-H. Lafontaine

Correspondence à: Professeur André Marchand, Département de psychologie, Université du Québec à Montréal, C.P. 8888 succursale Centre-ville, Montréal, QC H3C 3P8; téléphone 514 987-3000, poste 8439; télécopieur 514 987-7953; courriel marchand.andre{at}uqam.ca

OBJECTIVE To describe for family physicians screening, diagnosis, and treatment of panic disorder with or without agoraphobia (PD/A).

QUALITY OF EVIDENCE Articles were identified through PsycLIT, PsyINFO, and MEDLINE (1985 to 2006) using the terms panic disorder, psychotherapy, psychosocial treatment, treatment, and pharmacotherapy. Recommendations on treatment choices and guidelines are based on data from high-quality studies only. Information about assessment and diagnosis of PD/A is supported by the most recent epidemiologic studies, as well as expert consensus and opinion.

MAIN MESSAGE Panic disorder with or without agoraphobia is a psychiatric disease frequently encountered in primary care. It appears to be underdiagnosed and undertreated in this medical setting. Early successful screening requires a focus on unexplained symptoms and specific questions aimed at identifying panic attacks and their meaning for patients. The treatment of choice for PD/A is cognitive-behavioral therapy administered by a specialized psychologist or psychiatrist. When such therapy is hard to come by or unavailable, family physicians can prescribe drug therapy.

CONCLUSION Family physicians can contribute greatly to early detection and treatment of PD/A.




This article has been cited by other articles:


Home page
 FocusHome page
V. Madaan
Assessment of Panic Disorder Across the Life Span
Focus, October 1, 2008; 6(4): 438 - 444.
[Abstract] [Full Text] [PDF]


HOME HELP CONTACT US FEEDBACK SUBSCRIPTIONS CURRENT ISSUE PAST ISSUES SEARCH
Copyright © 2007 by The College of Family Physicians of Canada.