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Association between sleep disorder and panic disorder in South Korea: Nationwide nested case-control study of data from 2004 to 2013

Authors
 Han Jin Park  ;  Min Seok Kim  ;  Eun-Cheol Park  ;  Suk-Yong Jang  ;  Woorim Kim  ;  Kyu-Tae Han 
Citation
 Psychiatry Research-Neuroimaging, Vol.260 : 286-291, 2018 
Journal Title
 Psychiatry Research-Neuroimaging 
ISSN
 0165-1781 
Issue Date
2018
Keywords
Insomnia ; Nested case-control ; Panic disorder ; Sleep disorder
Abstract
After 2010, panic disorders became relatively common in South Korea, with many celebrities confessing to the public that they have panic disorder. The annual number of patients with panic disorder and sleep disorder have been gradually increasing. In light of these increases, we analyzed the relationship between sleep disorder and panic disorder. We used national claim data to design a 1:3 nested case-control study. The study included medical claims filed for 29,312 patients during 2004-2013. We performed conditional logistic regression analysis to investigate the relationship between sleep disorder and panic disorder. There were 7436 patients who were diagnosed with panic disorder, and 21,876 patients who were gender- and age-matched as controls. Patients with sleep disorder had higher incidence of panic disorder. In particular, patients with insomnia had the strongest association with panic disorder (adjusted, OR, 1.386; 95% CI, 1.201-1.599; p < 0.05). These associations were stronger in healthy patients and those with worse socioeconomic status. In conclusion, sleep disorder, in particular, insomnia was positively associated with panic disorder. Thus, healthcare professionals and policy makers should effectively control insomnia and consider strategies for early intervention for vulnerable patients with risk of panic disorder.
Full Text
https://www.sciencedirect.com/science/article/pii/S0165178117306042
DOI
10.1016/j.psychres.2017.11.076
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
박은철(Park, Eun-Cheol) ORCID logo https://orcid.org/0000-0002-2306-5398
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/161851
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