Dergi Ara >>
Yıl:2012; Cilt: 5; Sayı: 4>> Özet
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2012;5(4):1-12
Panik Bozukluğunda Tanı, Eş Tanı ve Ayırıcı Tanı
DG Öyekçin, MM Demet
Çanakkale Onsekiz Mart Üniversitesi Tıp Fakültesi, Çanakkale
Panik bozukluğu, panik ataklar ve beklenti anksiyetesi ile karakterize olan, sık görülen bir anksiyete bozukluğudur. Panik bozukluğu kronik özellikli olması, diğer psikiyatrik bozukluklar ve fiziksel hastalıklar ile sık görülen birlikteliği, işlevsellikte azalma ve yaşam kalitesi üzerine olumsuz etkileri nedeniyle hem birinci basamakta hem de klinik sağlık hizmetlerinde göz önünde bulundurulması ve uygun tedavinin sağlanması gereken bir psikiyatrik durumdur. Panik bozukluk ve şizofreni, bipolar bozukluk, major depresif bozukluk, yaygın anksiyete bozukluğu, obsesif kompulsif bozukluk, alkol-madde kullanım bozukluğu birlikteliği birçok araştırmada gösterilmiştir. Panik bozukluğu tıbbi hastalıklarla; kardiyovasküler sistem, pulmoner sistem, gastrointestinal sistem, metabolik ve nörolojik sistem hastalıklarıyla da birarada görülebilmektedir. Panik bozukluğu ve eş tanılı durumların varlığında kronisite ortaya çıkmakta, varolan belirtiler şiddetlenmekte ve tedavi yanıtsızlığı gelişmektedir. Panik bozukluğunda psikiyatrik ve fiziksel durumların araştırılması ve eş tanılı durumların uygun şekilde tedavi edilmesi, hastaların yaşam kalitesinin ve işlevselliklerinin artmasını sağlayacaktır.
Diagnosis, Comorbidity and Differential Diagnosis in Panic Disorder
Panic disorder is a common psychiatric disorder, characterized with repeated panic attacks and anticipation anxiety. Panic disorder has a chronic feature and it has a frequent co-existence with other psychiatric disorders and physical illnesses. Panic disorder has a negative effect on functioning and quality of life, therefore it has to be considered and treated properly in primary care settings and clinical health services. Panic disorder patients have significantly increased risk of psychiatric comorbidities including schizophrenia, bipolar disorder, major depressive disorder, generalized anxiety disorder, obsessive-compulsive disorder and substance abuse. They also have an increased risk of physical comorbidities such as cardiovascular, pulmonary, gastrointestinal, metabolic and neurological illnesses. Panic disorder comorbidity is associated with a poorer course, treatment outcome, chronicity and aggregation of the symptoms. To determine the physical illnesses and psychiatric comorbitiy in panic disorder is important and treating the comorbid conditions properly will improve the qualitiy of life and the functioning of the patients.

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