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Social Morbidity and Health Care Utilization

Gerald L. Klerman, MD; Myrna M. Weissman, PhD; Robert Ouellette, MPhil; Jim Johnson, PhD; Steven Greenwald, MA

JAMA. 1991;265(6):742-746.

Abstract
This article focuses on social morbidity and health care utilization in persons with panic attacks not meeting full diagnostic criteria for panic disorder. The findings are based on data from a random sample of over 18 000 adults drawn from five US communities. Panic attacks not meeting full criteria for panic disorder have a relatively high lifetime prevalence (3.6% of the adult population). Persons with panic attacks had impairment in perceived physical and emotional health, and in occupational and financial functioning, increased use of health care facilities, emergency departments, and psychoactive drugs. Persons with panic attacks were intermediate in severity between those with panic disorder and those with other psychiatric disorders. The findings could not be explained by comorbidity with other psychiatric disorders. We conclude that panic attacks have clinical significance and are associated with substantial morbidity.

(JAMA. 1991;265:742-746)

Author Affiliations
From the Department of Psychiatry, Cornell University Medical College, Payne Whitney Psychiatric Clinic, New York, NY (Dr Klerman); the College of Physicians and Surgeons, Columbia University, New York, NY (Drs Weissman and Johnson); and the New York State Psychiatric Institute, New York (Messrs Ouellette and Greenwald and Drs Weissman and Johnson). Mr Ouellette is now with Tandy Corporation, Fort Worth, Tex.

Footnotes
Reprint requests to the Department of Psychiatry, Cornell University Medical College, Payne Whitney Psychiatric Clinic, 525 E 68th St, New York, NY 10021 (Dr Klerman).

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