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Evaluation Review, Vol. 21, No. 3, 405-416 (1997)
DOI: 10.1177/0193841X9702100315

Effectiveness of Care and Improvement in Quality of Life in Patients With Panic Disorder

Richard R. Owen

The Ueteran's Affairs Field Program for Mental Health, Little Rock VA Medical Center, and the Centers for Mental Healthcare Research, The University of Arkansas for Medical Sciences

Kathryn Rost

The Ueteran's Affairs Field Program for Mental Health, Little Rock VA Medical Center, and the Centers for Mental Healthcare Research, The University of Arkansas for Medical Sciences

Jan Hollenberg

The Ueteran's Affairs Field Program for Mental Health, Little Rock VA Medical Center, and the Centers for Mental Healthcare Research, The University of Arkansas for Medical Sciences

Joylyn B. Humphrey

The Ueteran's Affairs Field Program for Mental Health, Little Rock VA Medical Center, and the Centers for Mental Healthcare Research, The University of Arkansas for Medical Sciences

Martin Lazoritz

Florida Psychiatric Management Inc.

John Bartlett

Magellan Health Service

G. Richard Smith

The Veteran's Affairs Field Program for Mental Health, Little Rock VA Medical Center, and the Centers for Mental Healthcare Research, The University of Arkansas for Medical Sciences

To investigate how practice guidelines or recommendations can be applied in the assessment of quality of care, 72 subjects beginning specialty treatment for panic disorder were enrolled. The Panic Outcomes Module assessed symptoms, health status, and treatment at baseline and after 8 weeks. Ustng published guidelines, the authors developed specific criteria to rate whethersubjects' reports reflected appropriate treatment, including antipanic medication or three or more subse quent visits that involved antipanic behavioral therapy elements. Scxty-nine subjects (96%) completed the Panic Outcomes Module at both baseline andfollow-up. Improvement in symptoms and health status was not different between subjects receiving appropriate and inappropriate care.


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