EuroQol 도구로 측정한 성인 공황장애 환자의 건강관련 삶의 질 수준
Assessment of Health-Related Quality of Life among Patients with Panic Disorder Using EuroQol in Korea
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Objectives : The purpose of this study was to assess the health-related quality of life (HRQoL) for patients with panic disorder using EQ-5D and EQ-VAS, and to examine the relationship between health-related quality of life and clinical outcomes following treatment. Methods : 29 patients with panic disorder were recruited from the Seoul Metropolitan area and 20 patients were followed up after two months of outpatient treatment. The Panic Disorder Severity Scale (PDSS) was used to assess the severity of the panic disorder and the changes in symptoms. HRQoL was assessed with EQ-5D and EQ-VAS at baseline and at two months of treatment. Results : All enrolled panic disorder patients showed significantly impairment of HRQoL in view of the subscales of EQ-5D, EQ-VAS index scores. The severity of PDSS was correlated the HRQoL in the panic patients. After treatment, the EQ-5D, EQ-VAS index scores showed significant improvement. Conclusion : Panic disorder patients suffer from lower HRQoL as well as from symptoms of the disorder. They showed clinical improvement and a restored HRQoL with treatment. These outcomes suggest using the EQ-5D, EQ-VAS such as the HRQoL in the assessment of patients with panic disorder is essential.
Abstract
Objectives : The purpose of this study was to assess the health-related quality of life (HRQoL) for patients with panic disorder using EQ-5D and EQ-VAS, and to examine the relationship between health-related quality of life and clinical outcomes following treatment. Methods : 29 patients with panic disorder were recruited from the Seoul Metropolitan area and 20 patients were followed up after two months of outpatient treatment. The Panic Disorder Severity Scale (PDSS) was used to assess the severity of the panic disorder and the changes in symptoms. HRQoL was assessed with EQ-5D and EQ-VAS at baseline and at two months of treatment. Results : All enrolled panic disorder patients showed significantly impairment of HRQoL in view of the subscales of EQ-5D, EQ-VAS index scores. The severity of PDSS was correlated the HRQoL in the panic patients. After treatment, the EQ-5D, EQ-VAS index scores showed significant improvement. Conclusion : Panic disorder patients suffer from lower HRQoL as well as from symptoms of the disorder. They showed clinical improvement and a restored HRQoL with treatment. These outcomes suggest using the EQ-5D, EQ-VAS such as the HRQoL in the assessment of patients with panic disorder is essential.
참고문헌 (27)
- Katschnig H, "Predictors of quality of life in a long-term followup study in panic disorder patients after a clinical drug trial", Psychopharmacol Bull, 32, pp.149~155 (1996)
- 최영희, "집단 인지행동치료가 공황장애 환자의 삶의 질에 미치는 영향", 신경정신의학, 41(6), pp.1120~1129 (2002), 대한신경정신의학회
- Testa MA, "Assessment of quality of life outcomes", N Engl J Med, 334, pp.835~840 (1996)
- Rabin R, "EQ-5D: A measure of health status from the EuroQol Group", Ann Med, 33, pp.337~333 (2001)
- "EuroQol: A new facility for the measurement of health-related quality of life", The EuroQol Group. Health Policy, 16, pp.199~208 (1990)
- Williams A, "Measuring self-reported population health: An international perspective based on EQ-5D" (2004)
- Greenberg PE, "The economic burden of anxiety disorders in the 1990s", J Clin Psychiatry, 60, pp.427~435 (1999)
- Mogotsi M, "Quality of life in the anxiety disorders", Harv Rev Psychiatry, 8, pp.273~282 (2000)
- Markowitz JS, "Quality of life in panic disorder", Arch Gen Psychiatry, 46, pp.984~992 (1989)
- 김세주, "공황장애 환자의 삶의 질", 신경정신의학, 40(3), pp.407~415 (2001), 대한신경정신의학회
- Lim YJ, "Korean panic disorder severity scale: construct validity by confirmatory factor analysis", Depress Anxiety, 24, pp.95~102 (2007)
- Kim MH, "Cross-cultural adaptation and validation of the Korean version of the EQ-5D in patients with rheumatic disease", Quality of Life Research, 14, pp.1401~1414 (2005)
- Shear MK, "Multicenter collaborative panic disorder severity scale", Am J Psychiatry, 154, pp.1571~1515 (1997)
- Kim JB, "Development of the Korean version of the panic disorder severity scale", Kor J Psychopathol, 10, pp.141~150 (2001)
- 양종철, "한국형 공황장애 약물치료 알고리듬 2008:초기치료전략", 대한정신약물학회지, 20(1), pp.32~39 (2009), 대한정신약물학회
- Candilis PJ, "Quality of life in patients with panic disorder", J Nerv Ment Dis, 187, pp.429~434 (1999)
- Rubin HC, "Quality of well being in panic disorder: the assessment of psychiatric and general disability", J Affect Disord, 57, pp.217~221 (2000)
- Sherbourne CD, "Functioning and well-being of patients with panic disorder", Am J Psychiatry, 153, pp.213~218 (1996)
- Brunenberg D, "Comparing SF-6D & EQ-5d: Data from 4 patient populations", iHEA 2007 6th world congress: explorations in health economics paper (2007)
- Sung SS, "Health-related quality of life using EQ-5D in Koreans", J Rheum Dis, 113, pp.254~262 (2004)
- 한미아, "일부 농촌지역 성인에서 EQ-5D를 이용한 건강관련 삶의 질", 예방의학회지, 41(3), pp.173~180 (2008), 대한예방의학회
- Carrera M, "Quality of life in early phases of panic disorder: predictive factors", J Affect Disord, 94, pp.127~134 (2006)
- Stahl SM, "Escitalopram in the treatment of panic disorder: a randomized, double-blind, placebo-controlled trial", J Clin Psychiatry, 64, pp.1322~1327 (2003)
- Konig HH, "Validity and responsiveness of the EQ-5D in assessing and valuing health status in patients with anxiety disorders", Health Qual Life Outcomes, 8, pp.47~
- Marciniak M, "Medical and productivity costs of anxiety disorders: case control study", Depress Anxiety, 19, pp.112~120 (2004)
- 손지훈, "정신질환에 의한 기능장애 : 비정신병적 정신질환이 작업상실일수에 미치는 영향", 신경정신의학, 47(1), pp.81~87 (2008), 대한신경정신의학회
- WHO, "Mental health atlas 2011", Geneva;2011, ~ (2011)
