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Title: Panic disorder and incident coronary heart disease: a systematic review and meta-analysis protocol
Contributor(s): Tully, Phillip J  (author)orcid ; Wittert, Gary A (author); Turnbull, Deborah A (author); Beltrame, John F (author); Horowitz, John D (author); Cosh, Suzanne  (author)orcid ; Baumeister, Harald (author)
Publication Date: 2015-03-25
Open Access: Yes
DOI: 10.1186/s13643-015-0026-2
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Fields of Research (FoR) 2008: 170106 Health, Clinical and Counselling Psychology
Fields of Research (FoR) 2020: 520302 Clinical psychology
520303 Counselling psychology
520304 Health psychology
Socio-Economic Objective (SEO) 2008: 920103 Cardiovascular System and Diseases
920410 Mental Health
Socio-Economic Objective (SEO) 2020: 200409 Mental health
Abstract: Background: The clinical presentation of panic disorder and panic attack overlaps many symptoms typically experienced in coronary heart disease (CHD). Etiological links between panic disorder and CHD are controversial and remain largely tenuous. This systematic review aims to pool together data regarding panic disorder with respect to incident CHD or myocardial infarction. Methods/Design: Electronic databases (MEDLINE, EMBASE, PsycINFO and SCOPUS) will be searched using a search strategy exploding the topics for CHD and panic disorder. Authors and reference lists of included studies will also be contacted to identify additional published and unpublished studies. Eligibility criteria are as follows: Population: persons without CHD who meet criteria for panic disorder, panic attack, anxiety neurosis or elevated panic disorder symptoms; Comparison: persons without CHD who do not meet criteria for panic disorder, panic attack, anxiety neurosis or elevated panic disorder symptoms; Outcome: verified fatal and non-fatal CHD at follow-up; including coronary revascularization procedure, coronary artery disease, and myocardial infarction. Studies adopting self-report CHD will be ineligible. Screening will be undertaken by two independent reviewers with disagreements resolved through discussion. Data extraction will include original data specified as hazard ratios, risk ratios, and original cell data if available. Risk of bias assessment will be undertaken by two independent reviewers. Meta-analytic methods will be used to synthesize the data collected relating to the CHD outcomes with Cochrane Review Manager 5.3. Discussion: This systematic review aims to clarify whether panic disorder is associated with elevated risk for subsequent CHD. An evaluation of the etiological links between panic disorder with incident CHD might inform evidence-based clinical practice and policy concerning triaging chest pain patients, diagnostic assessment, and psychiatric intervention with panic disorder patients.
Publication Type: Journal Article
Grant Details: NHMRC/1053578
Source of Publication: Systematic Reviews, 4(33), p. 1-8
Publisher: BioMed Central Ltd
Place of Publication: United Kingdom
ISSN: 2046-4053
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article
School of Psychology

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