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Sleep after treatment for panic disorder in emergency department patients consulting for chest pain

Resource Type
Dataset : clinical data
  • Belleville, Geneviève (Université Laval)
  • Marchand, André (Université du Québec à Montréal)
Other Title
  • Version 1 (Subtitle)
Publication Date
Free Keywords
anxiety; emergency departments; pain; sleep; sleep disorders; treatment outcome
  • Abstract

    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.
  • Methods

    Presence of Common Scales: 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).
  • Table of Contents


    • DS1: Dataset
Temporal Coverage
  • 2005 / 2009
    Time period: 2005--2009
Geographic Coverage
  • Canada
  • Montreal
  • Quebec (province)
Sampled Universe
Patients with panic disorder consulting emergency departments for chest pain. Smallest Geographic Unit: city
This is a sample of convenience of patients consulting the emergency department for chest pain.
Collection Mode
  • face-to-face interview, mail questionnaire, paper and pencil interview (PAPI), on-site questionnaire

One or more files in this study are not available for download due to special restrictions; consult the study documentation to learn more on how to obtain the data.
Alternative Identifiers
  • 36134 (Type: ICPSR Study Number)

Update Metadata: 2015-08-06 | Issue Number: 6 | Registration Date: 2015-06-16

Belleville, Geneviève; Marchand, André (2015): Sleep after treatment for panic disorder in emergency department patients consulting for chest pain. Version 1. Version: v1. ICPSR - Interuniversity Consortium for Political and Social Research. Dataset.