Ambient ozone concentration and emergency department visits for panic attacks

Jaelim Cho, Yoon Jung Choi, Jungwoo Sohn, Mina Suh, Seong Kyung Cho, Kyoung Hwa Ha, Changsoo Kim, Dong Chun Shin

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

The effect of ambient air pollution on panic disorder in the general population has not yet been thoroughly elucidated, although the occurrence of panic disorder in workers exposed to organic solvents has been reported previously. We investigated the association of ambient air pollution with the risk of panic attack-related emergency department visits. Using health insurance claims, we collected data from emergency department visits for panic attacks in Seoul, Republic of Korea (2005-2009). Daily air pollutant concentrations were obtained using automatic monitoring system data. We conducted a time-series study using a generalized additive model with Poisson distribution, which included spline variables (date of visit, daily mean temperature, and relative humidity) and parametric variables (daily mean air pollutant concentration, national holiday, and day of the week). In addition to single lag models (lag1 to lag3), cumulative lag models (lag0-1 to lag0-3) were constructed using moving-average concentrations on the days leading up to the visit. The risk was expressed as relative risk (RR) per one standard deviation of each air pollutant and its 95% confidence interval (95% CI). A total of 2320 emergency department visits for panic attacks were observed during the study period. The adjusted RR of panic attack-related emergency department visits was 1.051 (95% CI, 1.014-1.090) for same-day exposure to ozone. In cumulative models, adjusted RRs were 1.068 (1.029-1.107) in lag0-2 and 1.074 (1.035-1.114) in lag0-3. The ambient ozone concentration was significantly associated with emergency department visits for panic attacks.

Original languageEnglish
Pages (from-to)130-135
Number of pages6
JournalJournal of Psychiatric Research
Volume62
DOIs
Publication statusPublished - 2015 Mar 1

Fingerprint

Ozone
Panic Disorder
Hospital Emergency Service
Air Pollutants
Air Pollution
Confidence Intervals
Poisson Distribution
Republic of Korea
Holidays
Health Insurance
Humidity
Information Systems
Temperature
Population

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health
  • Biological Psychiatry

Cite this

Cho, J., Choi, Y. J., Sohn, J., Suh, M., Cho, S. K., Ha, K. H., ... Shin, D. C. (2015). Ambient ozone concentration and emergency department visits for panic attacks. Journal of Psychiatric Research, 62, 130-135. https://doi.org/10.1016/j.jpsychires.2015.01.010
Cho, Jaelim ; Choi, Yoon Jung ; Sohn, Jungwoo ; Suh, Mina ; Cho, Seong Kyung ; Ha, Kyoung Hwa ; Kim, Changsoo ; Shin, Dong Chun. / Ambient ozone concentration and emergency department visits for panic attacks. In: Journal of Psychiatric Research. 2015 ; Vol. 62. pp. 130-135.
@article{5b5897a99812416a99e7da3a8d803c16,
title = "Ambient ozone concentration and emergency department visits for panic attacks",
abstract = "The effect of ambient air pollution on panic disorder in the general population has not yet been thoroughly elucidated, although the occurrence of panic disorder in workers exposed to organic solvents has been reported previously. We investigated the association of ambient air pollution with the risk of panic attack-related emergency department visits. Using health insurance claims, we collected data from emergency department visits for panic attacks in Seoul, Republic of Korea (2005-2009). Daily air pollutant concentrations were obtained using automatic monitoring system data. We conducted a time-series study using a generalized additive model with Poisson distribution, which included spline variables (date of visit, daily mean temperature, and relative humidity) and parametric variables (daily mean air pollutant concentration, national holiday, and day of the week). In addition to single lag models (lag1 to lag3), cumulative lag models (lag0-1 to lag0-3) were constructed using moving-average concentrations on the days leading up to the visit. The risk was expressed as relative risk (RR) per one standard deviation of each air pollutant and its 95{\%} confidence interval (95{\%} CI). A total of 2320 emergency department visits for panic attacks were observed during the study period. The adjusted RR of panic attack-related emergency department visits was 1.051 (95{\%} CI, 1.014-1.090) for same-day exposure to ozone. In cumulative models, adjusted RRs were 1.068 (1.029-1.107) in lag0-2 and 1.074 (1.035-1.114) in lag0-3. The ambient ozone concentration was significantly associated with emergency department visits for panic attacks.",
author = "Jaelim Cho and Choi, {Yoon Jung} and Jungwoo Sohn and Mina Suh and Cho, {Seong Kyung} and Ha, {Kyoung Hwa} and Changsoo Kim and Shin, {Dong Chun}",
year = "2015",
month = "3",
day = "1",
doi = "10.1016/j.jpsychires.2015.01.010",
language = "English",
volume = "62",
pages = "130--135",
journal = "Journal of Psychiatric Research",
issn = "0022-3956",
publisher = "Elsevier Limited",

}

Ambient ozone concentration and emergency department visits for panic attacks. / Cho, Jaelim; Choi, Yoon Jung; Sohn, Jungwoo; Suh, Mina; Cho, Seong Kyung; Ha, Kyoung Hwa; Kim, Changsoo; Shin, Dong Chun.

In: Journal of Psychiatric Research, Vol. 62, 01.03.2015, p. 130-135.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Ambient ozone concentration and emergency department visits for panic attacks

AU - Cho, Jaelim

AU - Choi, Yoon Jung

AU - Sohn, Jungwoo

AU - Suh, Mina

AU - Cho, Seong Kyung

AU - Ha, Kyoung Hwa

AU - Kim, Changsoo

AU - Shin, Dong Chun

PY - 2015/3/1

Y1 - 2015/3/1

N2 - The effect of ambient air pollution on panic disorder in the general population has not yet been thoroughly elucidated, although the occurrence of panic disorder in workers exposed to organic solvents has been reported previously. We investigated the association of ambient air pollution with the risk of panic attack-related emergency department visits. Using health insurance claims, we collected data from emergency department visits for panic attacks in Seoul, Republic of Korea (2005-2009). Daily air pollutant concentrations were obtained using automatic monitoring system data. We conducted a time-series study using a generalized additive model with Poisson distribution, which included spline variables (date of visit, daily mean temperature, and relative humidity) and parametric variables (daily mean air pollutant concentration, national holiday, and day of the week). In addition to single lag models (lag1 to lag3), cumulative lag models (lag0-1 to lag0-3) were constructed using moving-average concentrations on the days leading up to the visit. The risk was expressed as relative risk (RR) per one standard deviation of each air pollutant and its 95% confidence interval (95% CI). A total of 2320 emergency department visits for panic attacks were observed during the study period. The adjusted RR of panic attack-related emergency department visits was 1.051 (95% CI, 1.014-1.090) for same-day exposure to ozone. In cumulative models, adjusted RRs were 1.068 (1.029-1.107) in lag0-2 and 1.074 (1.035-1.114) in lag0-3. The ambient ozone concentration was significantly associated with emergency department visits for panic attacks.

AB - The effect of ambient air pollution on panic disorder in the general population has not yet been thoroughly elucidated, although the occurrence of panic disorder in workers exposed to organic solvents has been reported previously. We investigated the association of ambient air pollution with the risk of panic attack-related emergency department visits. Using health insurance claims, we collected data from emergency department visits for panic attacks in Seoul, Republic of Korea (2005-2009). Daily air pollutant concentrations were obtained using automatic monitoring system data. We conducted a time-series study using a generalized additive model with Poisson distribution, which included spline variables (date of visit, daily mean temperature, and relative humidity) and parametric variables (daily mean air pollutant concentration, national holiday, and day of the week). In addition to single lag models (lag1 to lag3), cumulative lag models (lag0-1 to lag0-3) were constructed using moving-average concentrations on the days leading up to the visit. The risk was expressed as relative risk (RR) per one standard deviation of each air pollutant and its 95% confidence interval (95% CI). A total of 2320 emergency department visits for panic attacks were observed during the study period. The adjusted RR of panic attack-related emergency department visits was 1.051 (95% CI, 1.014-1.090) for same-day exposure to ozone. In cumulative models, adjusted RRs were 1.068 (1.029-1.107) in lag0-2 and 1.074 (1.035-1.114) in lag0-3. The ambient ozone concentration was significantly associated with emergency department visits for panic attacks.

UR - http://www.scopus.com/inward/record.url?scp=84924289173&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84924289173&partnerID=8YFLogxK

U2 - 10.1016/j.jpsychires.2015.01.010

DO - 10.1016/j.jpsychires.2015.01.010

M3 - Article

C2 - 25669697

AN - SCOPUS:84924289173

VL - 62

SP - 130

EP - 135

JO - Journal of Psychiatric Research

JF - Journal of Psychiatric Research

SN - 0022-3956

ER -