User:Guysmiley3000/sandbox

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Things wrong with the article[edit]

At first glance, the article on Panic attack has most of the section that seems appropriate. However, on closer inspection there are some large holes in the structure of the article and dozens of places where I could put the [citation needed] tab. That is perhaps the largest failing of this article is that it doesn't have proper citations lifting it up. That said there is room to improve the article and dramatically improve its grade.

Article paragraphs one sourseper article[edit]

Treatments new subheadings

Medication therapies

A meta-analysis was conducted to find which works best, selective serotonin reuptake inhibitors (SSRIs) or tricyclic antidepressants, for short-term efficacy.[1] The analysis included 43 different studies that included 53 treatment methodologies.[1] There were 2,367 participants in the study and they lost 563 by the end of the study.[1] The study’s conclusion was that there was no difference in effectiveness between SSRIs and TCAs.[1]

Combination Therapy and Medication

A meta-analysis was performed to try to find the efficacy of psychological treatment, cognitive behavioral therapy (CBT), over or alongside psychopharmacological treatment for anxiety disorders.[2] Their analysis focused on studies related to social and generalized anxiety disorders and panic disorder.[2] They found positive result from therapy and medication and a much better result when the two were combined.[2] This was especially true for panic disorder over the other anxiety disorders.[2]    

Epidemiology

A meta-analysis was conducted on data collected about twin studies and family studies on the link between genes and panic disorder. They also looked for a link to phobias, obsessive-compulsive disorder (OCD), and generalized anxiety disorder. The researcher used a database called MEDLINE to accumulate there data.[3] The results concluded that the afore mention disorders have a genetic component and are inherited or passed down through genes.[3] For the non-phobias, the likelihood of inheriting is 30%-40% and for the phobias, it was 50%-60%.[3]

Pathophysiology [4]

A meta-analysis was conducted to solidify the hypothesis that the reduction of variability in heart rate and anxiety disorders are related.[4] There is evidence that having an anxiety disorder increases your risk factor for cardiovascular disease (CVD).[4] They also found that people with these disorders had a reduction in heart rate variability (HRV). The analysis included 2086 patients 447 of whom has panic disorders and the rest had different anxiety disorders.[4] They concluded that there was a correlation between anxiety disorders and HRV.[4]

Therapy and comorbidity

There was a meta-analysis of the comorbidity of panic disorders and agoraphobia. It used exposure therapy to treat the patients over a period. Hundreds of patients were used in these studies and they all met the DSM-IV criteria for both of these disorders.[5] A result was that thirty-two percent of patients had a panic episode after treatment.[5] They concluded that the use of exposure therapy has lasting efficacy for client who are living with a panic disorder and agoraphobia.[5]

Group therapy treatment

A meta-analysis was conducted to discover the efficacy of group therapy treatment over conventional individual therapies for patients with panic disorder with or without agoraphobia. They assessed fifteen randomized controlled trials (RCTs) with a total of 864 patients.[6] Compared to the control groups they found a statistical significant finding that supports the efficacy of group therapy.[6] However, they found no significant statistical difference when comparing group therapy effectiveness to individual therapy treatments. [6]    


Peer Review

Hello, you've got some great sources to add to the overall article. A couple of spelling mistakes and rewording for this sentence "There were 2367 participants in the study and they lost 563 participant by the end of the study". Your epidemiology paragraph was so interesting,there was nne spelling mistake " heritable through family relations". inherited or passed down through genes would be better. Spelling error in "They accessed fifteen" assessed is what I think you were saying.... Other than a couple of minor errors overall you've collected a lot of information and excellent references. Keep up the good work. Ru31982 (talk) 06:09, 14 February 2018 (UTC)

Peer Review Respoce

Thank you Ru31982 for that wonderful review. I do agree that I have some good sources and that I'm of to a good start. I appreciate the editing help that is an area in which I need work and it's amazing what spell check misses. Thank you so much for the input I put all your ssuggestionsinto effect

good luck with your edits! Seth ~~~~

Bibliography[edit]

  1. ^ a b c d Bakker, A; Van Balkom, A; Spinhoven (August 2002). "SSRIs vs. TCAs in the treatment of panic disorder: a meta-analysis". Acta Psychiatrica Scandinavica,. 106 (3): 163–167.{{cite journal}}: CS1 maint: extra punctuation (link)
  2. ^ a b c d Bandelow, Borwin; Seidler-Brandler, Ulrich; Becker, Andreas; Wedekind, Dirk; Ruther, Eckart (July 2009). "Meta-analysis of randomized controlled comparisons of psychopharmacological and psychological treatments for anxiety disorders". The World Journal of Biological Psychiatry. 8 (3): 175–187.
  3. ^ a b c Hettema, John M.; Neale, Michael C.; Kendler, Kenneth S. (2001-10-01). "A Review and Meta-Analysis of the Genetic Epidemiology of Anxiety Disorders". American Journal of Psychiatry. 158 (10): 1568–1578. doi:10.1176/appi.ajp.158.10.1568. ISSN 0002-953X.
  4. ^ a b c d e Chalmers, John A.; Quintana, Daniel S.; Abbott, Maree J.-Anne; Kemp, Andrew H. (2014). "Anxiety Disorders are Associated with Reduced Heart Rate Variability: A Meta-Analysis". Frontiers in Psychiatry. 5. doi:10.3389/fpsyt.2014.00080. ISSN 1664-0640.{{cite journal}}: CS1 maint: unflagged free DOI (link)
  5. ^ a b c Fava, G. A.; Rafanelli, C.; Grandi, S.; Conti, S.; Ruini, C.; Mangelli, L.; Belluardo, P. (July 2001). "Long-term outcome of panic disorder with agoraphobia treated by exposure". Psychological Medicine. 31 (5): 891–898. doi:10.1017/S0033291701003592. ISSN 1469-8978.
  6. ^ a b c Schwartze, Dominique; Barkowski, Sarah; Strauss, Bernhard; Burlingame, Gary M.; Barth, Jürgen; Rosendahl, Jenny. "Efficacy of group psychotherapy for panic disorder: Meta-analysis of randomized, controlled trials". Group Dynamics: Theory, Research, and Practice. 21 (2): 77–93. doi:10.1037/gdn0000064.