Illness Perceptions Across Obsessive-Compulsive Disorder, Social Anxiety Disorder, and Panic Disorder Patients

2018 ◽  
Vol 11 (4) ◽  
pp. 434-443 ◽  
Author(s):  
Rafaela V. Dias ◽  
Ulrich Stangier ◽  
Luana D. Laurito ◽  
Paula Vigne ◽  
Carla C. Loureiro ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Panic Disorder ◽  
Obsessive Compulsive Disorder ◽  
Social Anxiety Disorder ◽  
Illness Perceptions ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

Body image in social anxiety disorder, obsessive–compulsive disorder, and panic disorder

Body Image ◽  
2014 ◽  
Vol 11 (1) ◽  
pp. 51-56 ◽  
Author(s):  
Idan M. Aderka ◽  
Cassidy A. Gutner ◽  
Amit Lazarov ◽  
Haggai Hermesh ◽  
Stefan G. Hofmann ◽  
...  
Keyword(s):  
Body Image ◽  
Anxiety Disorder ◽  
Social Anxiety ◽  
Panic Disorder ◽  
Obsessive Compulsive Disorder ◽  
Social Anxiety Disorder ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

Quality of Life in Anxiety Disorders: A Comparison of Obsessive-Compulsive Disorder, Social Anxiety Disorder, and Panic Disorder

2003 ◽  
Vol 36 (5) ◽  
pp. 255-262 ◽  
Author(s):  
Christine Lochner ◽  
Modise Mogotsi ◽  
Pieter L. du Toit ◽  
Debra Kaminer ◽  
Dana J. Niehaus ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Anxiety Disorder ◽  
Social Anxiety ◽  
Panic Disorder ◽  
Anxiety Disorders ◽  
Obsessive Compulsive Disorder ◽  
Social Anxiety Disorder ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

Duration of untreated illness in a cross-diagnostic sample of obsessive-compulsive disorder, panic disorder, and social anxiety disorder

CNS Spectrums ◽  
2018 ◽  
Vol 24 (5) ◽  
pp. 526-532 ◽  
Author(s):  
Paula Vigne ◽  
Pedro Fortes ◽  
Rafaela V. Dias ◽  
Luana D. Laurito ◽  
Carla P. Loureiro ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Panic Disorder ◽  
Obsessive Compulsive Disorder ◽  
Social Anxiety Disorder ◽  
Treatment Seeking ◽  
Sensitivity Index ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Duration Of Untreated Illness

ObjectiveIn this study, we compared duration of untreated illness (DUI) in obsessive-compulsive disorder (OCD), panic disorder (PD), and social anxiety disorder (SAD) patients and investigated its correlates, both within specific diagnoses and across the whole sample.MethodsEighty-eight patients (33 OCD, 24 SAD, and 31 PD) had their diagnosis confirmed by the Mini International Neuropsychiatric Interview, were assessed for treatment-seeking variables, and were evaluated with instruments aimed at quantifying transdiagnostic features (i.e., the Cause subscale of the Illness Perception Questionnaire–Mental Health and the Anxiety Sensitivity Index–Revised) and severity of illness (i.e., Beck Depression and Anxiety Inventories, the Dimensional Obsessive-Compulsive Scale, the Panic and Agoraphobia Scale, and the Social Phobia Inventory).ResultsThe only differences between groups with short (<2 years) versus long (>2 years) DUI were greater fear of public display of anxiety in the first group and greater social avoidance in the second group. The DUI was significantly different between groups that sought treatment after the onset of illness, with OCD patients having longer DUI than PD patients and shorter DUI than SAD patients. Further, DUI correlated negatively with the perception of OCD being caused by stress and positively with severity of panic-related disability in SAD patients, but not in PD or OCD patients.ConclusionThere was substantial delay in treatment seeking among the anxiety and obsessive-compulsive disorder patients, particularly those with OCD or SAD. Perception of stress as a cause of OCD prompted treatment seeking, while severity of panic symptoms delayed treatment seeking.

Predictors of benzodiazepine use in a transdiagnostic sample of panic disorder, social anxiety disorder, and obsessive-compulsive disorder patients

2018 ◽  
Vol 262 ◽  
pp. 237-245 ◽  
Author(s):  
Luana D. Laurito ◽  
Carla P. Loureiro ◽  
Rafaela V. Dias ◽  
Paula Vigne ◽  
Gabriela B. de Menezes ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Panic Disorder ◽  
Obsessive Compulsive Disorder ◽  
Social Anxiety Disorder ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Benzodiazepine Use

scholarly journals Long-Term Effectiveness and Cost-Effectiveness of Videoconference-Delivered Cognitive Behavioral Therapy for Obsessive-Compulsive Disorder, Panic Disorder, and Social Anxiety Disorder in Japan: One-Year Follow-Up of a Single-Arm Trial (Preprint)

2019 ◽  
Author(s):  
Kazuki Matsumoto ◽  
Sayo Hamatani ◽  
Kazue Nagai ◽  
Chihiro Sutoh ◽  
Akiko Nakagawa ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Anxiety Disorder ◽  
Social Anxiety ◽  
Panic Disorder ◽  
Social Anxiety Disorder ◽  
Behavioral Therapy ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

BACKGROUND Face-to-face individual cognitive behavioral therapy (CBT) and internet-based CBT (ICBT) without videoconferencing are known to have long-term effectiveness for obsessive-compulsive disorder (OCD), panic disorder (PD), and social anxiety disorder (SAD). However, videoconference-delivered CBT (VCBT) has not been investigated regarding its long-term effectiveness and cost-effectiveness. OBJECTIVE The purpose of this study was to investigate the long-term effectiveness and cost-effectiveness of VCBT for patients with OCD, PD, or SAD in Japan via a 1-year follow-up to our previous 16-week single-arm study. METHODS Written informed consent was obtained from 25 of 29 eligible patients with OCD, PD, and SAD who had completed VCBT in our clinical trial. Participants were assessed at baseline, end of treatment, and at the follow-up end points of 3, 6, and 12 months. Outcomes were the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Panic Disorder Severity Scale (PDSS), Liebowitz Social Anxiety Scale (LSAS), Patient Health Questionnaire–9 (PHQ-9), General Anxiety Disorder–7 (GAD-7), and EuroQol-5D-5L (EQ-5D-5L). To analyze long-term effectiveness, we used mixed-model analysis of variance. To analyze cost-effectiveness, we employed relevant public data and derived data on VCBT implementation costs from Japanese national health insurance data. RESULTS Four males and 21 females with an average age of 35.1 (SD 8.6) years participated in the 1-year follow-up study. Principal diagnoses were OCD (n=10), PD (n=7), and SAD (n=8). The change at 12 months on the Y-BOCS was −4.1 (<i>F</i><sub>1</sub>=4.45, <i>P</i>=.04), the change in PDSS was −4.4 (<i>F</i><sub>1</sub>=6.83, <i>P</i>=.001), and the change in LSAS was −30.9 (<i>F</i><sub>1</sub>=6.73, <i>P</i>=.01). The change in the PHQ-9 at 12 months was −2.7 (<i>F</i><sub>1</sub>=7.72, <i>P</i>=.007), and the change in the GAD-7 was −3.0 (<i>F</i><sub>1</sub>=7.09, <i>P</i>=.009). QALY at 12 months was 0.7469 (SE 0.0353, 95% Cl 0.6728-0.821), and the change was a significant increase of 0.0379 (<i>P</i>=.01). Total costs to provide the VCBT were ¥60,800 to ¥81,960 per patient. The set threshold was ¥189,500 ($1723, €1579, and £1354) calculated based on willingness to pay in Japan. CONCLUSIONS VCBT was a cost-effective way to effectively treat Japanese patients with OCD, PD, or SAD. CLINICALTRIAL University Hospital Medical Information Network Clinical Trials Registry UMIN000026609; https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000030495

scholarly journals Body Dysmorphic Disorder Insights in an Inpatient Psychiatric Setting

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Zachary A. Koenig ◽  
Sarah Callaham ◽  
Brittany Waltz ◽  
Julie Bosley ◽  
Raja Mogallapu ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Obsessive Compulsive Disorder ◽  
Social Anxiety Disorder ◽  
Body Dysmorphic Disorder ◽  
The Body ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Psychiatric Setting ◽  
Significant Impairment

Body dysmorphic disorder is a chronic disorder involving imagined or partial appearance defects that lead to significant impairment in everyday life. It is quite prevalent but remains a clinically underdiagnosed psychiatric condition especially in the inpatient psychiatric setting. Onset of body dysmorphic disorder typically begins in adolescence with subclinical symptoms. Over time, symptoms progress to patients meeting the full Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) criteria. Severe cases of the body dysmorphic disorder are often camouflaged by concurrent diseases like major depressive disorder, obsessive-compulsive disorder, substance use disorder, and social anxiety disorder. Further, compounding the complexity of body dysmorphic disorder is a treatment of patients who present with coinciding suicidal ideations. Here, we present a unique case of a 40-year-old female admitted to an inpatient psychiatric unit for treatment of ongoing depression and suicidal symptoms. Early on in her inpatient course, she had symptoms of obsessive-compulsive disorder, social anxiety disorder, and alcohol use disorder. The constellation of symptoms prompted evaluation for body dysmorphic disorder and subsequent targeted treatment. This case report highlights the complexities associated with diagnosing body dysmorphic disorder, the importance of considering it a branch point for other psychiatric conditions, and the treatment for patients who present with coinciding suicidal behavior.

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