A 15-year follow-up study of patients with panic disorder

Andersch, Sven; Hetta, Jerker

doi:10.1016/j.eurpsy.2003.03.007

Cited by 42 publications

(23 citation statements)

References 25 publications

(36 reference statements)

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“…At the nine year follow-up, this rate had dropped to 25.5%. These rates of PD persistence are similar to rates reported in a 4-10 month follow-up in primary care (114) and 6-15 years follow-up in psychiatric settings (46)(47)(48). These results have several implications.…”

Section: Prevalence Of Panic Disorder At Follow-upsupporting

confidence: 74%

See 1 more Smart Citation

A 1-year follow-up study of chest-pain patients with and without panic disorder

Dammen

Bringager

Arnesen

et al. 2006

General Hospital Psychiatry

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Section: Prevalence Of Panic Disorder At Follow-upsupporting

confidence: 74%

“…The rate of major depression and alcoholism tend to increase over time in some follow-up studies of PD (47), yet, not in all (46).…”

Section: Outcome Of Panic Disordermentioning

confidence: 99%

A 1-year follow-up study of chest-pain patients with and without panic disorder

Dammen

Bringager

Arnesen

et al. 2006

General Hospital Psychiatry

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“…Studies from the 1950s and 1960s found that 40%-60% of patients with panic disorder were either unchanged or slightly improved (10). The findings of retrospective studies conducted since the availability of approved treatments for anxiety disorders are also variable, although some of these reports also found a lack of substantial improvement in subjects after a variable number of years (11)(12)(13).…”

mentioning

confidence: 80%

Influence of Psychiatric Comorbidity on Recovery and Recurrence in Generalized Anxiety Disorder, Social Phobia, and Panic Disorder: A 12-Year Prospective Study

Bruce

Yonkers²,

Otto³

et al. 2005

AJP

813

564

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Objective-The authors sought to observe the long-term clinical course of anxiety disorders over 12 years and to examine the influence of comorbid psychiatric disorders on recovery from or recurrence of panic disorder, generalized anxiety disorder, and social phobia.Method-Data were drawn from the Harvard/Brown Anxiety Disorders Research Program, a prospective, naturalistic, longitudinal, multicenter study of adults with a current or past history of anxiety disorders. Probabilities of recovery and recurrence were calculated by using standard survival analysis methods. Proportional hazards regression analyses with time-varying covariates were conducted to determine risk ratios for possible comorbid psychiatric predictors of recovery and recurrence.Results-Survival analyses revealed an overall chronic course for the majority of the anxiety disorders. Social phobia had the smallest probability of recovery after 12 years of follow-up. Moreover, patients who had prospectively observed recovery from their intake anxiety disorder had a high probability of recurrence over the follow-up period. The overall clinical course was worsened by several comorbid psychiatric conditions, including major depression and alcohol and other substance use disorders, and by comorbidity of generalized anxiety disorder and panic disorder with agoraphobia.Conclusions-These data depict the anxiety disorders as insidious, with a chronic clinical course, low rates of recovery, and relatively high probabilities of recurrence. The presence of particular comorbid psychiatric disorders significantly lowered the likelihood of recovery from anxiety disorders and increased the likelihood of their recurrence. The findings add to the understanding of the nosology and treatment of these disorders.Anxiety disorders are more common than any other major group of diagnoses, with the exception of substance use disorders. According to the National Comorbidity Survey, the overall lifetime prevalence of anxiety disorders is 24.9%, including rates of 3.5%, 13.3%, 5.1%, for panic disorder with or without agoraphobia, social phobia, and generalized anxiety disorder, respectively (1). The effects of these disorders on both physical health and occupational functioning have been well documented (2-6). In the WHO Collaborative Study on Psychological Problems in General Health Care, more than one-half of the patients with panic disorder without or with agoraphobia reported moderate to severe occupational Address correspondence and reprint requests to Dr. Bruce, Department of Psychiatry and Human Behavior, Brown University, Box G-BH, Providence, RI 02906; Steven_Bruce_PhD@Brown.edu (e-mail). NIH Public Access NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript dysfunction and physical disability (3). The severity of disability reported was similar to that reported for depressive episodes and higher than that for alcohol dependence.Despite the high prevalence of anxiety disorders and the morbidity associated with these disorders, much is yet...

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“…Di converso, per formulare diagnosi di addizione da benzodiazepine, devono essere presenti sintomi quali craving o uso continuativo nonostante la presenza di persistenti o ricorrenti problemi sociali o interpersonali (Starcevic 2016;Shaffer, 1999;APA, 2013). Il pattern di addizione da benzodiazepine (senza uso di altre sostanze), al pari dell'abuso (Salzman et al, 1991;Andersch et al, 2003), non è di frequente riscontro nella pratica clinica (Cook et al, 2007, Lalive et al, 2011, Starcevic, 2014. Oltre alla farmacoterapia, un intervento di dimostrata efficacia nel DP è la psicoterapia, in particolar modo la psicoterapia cognitivocomportamentale (APA, 2009;NICE, 2011).…”

Section: Terapiaunclassified

Panico: nosografia di un'entità, clinica di un disturbo

Mancuso

Marucco²,

Vivo³

et al. 2017

Mission

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Il termine "panico" affonda le sue radici nella mitologia della Grecia classica ed in particolare nella descrizione del terrore improvviso che colpiva gli uomini all'apparizione del dio Pan (Gigante e Presta, 1962). Il quadro sintomatologico del panico compare già nelle prime descrizioni dell'isteria ad opera di Ippocrate (460-377 a.C). Più recentemente, descrizioni di sintomi psichici e cardiorespiratori compatibili con l'attuale Disturbo di Panico (DP) possono essere rintracciate in vari testi di medicina dell'800: le "palpitazioni nervose" di Hope (1832), il "cuore irritabile di Da Costa (1871), la "neuropatia cerebro-cardiaca" di Krishaber (Kaplan et al., 1996) o la "nevrosi d'angoscia" di Freud (1894). La seconda metà del '900 si caratterizza per il progressivo affermarsi della farmacoterapia nei disturbi mentali. Klein (1964) verifica l'efficacia dell'imipramina (un antidepressivo triciclico) nel bloccare gli attacchi di panico, ma lo scarso effetto di tale molecola su altre manifestazioni ansiose. Con questa tecnica, denominata "dissezione farmacologica", Klein individua il nucleo fondamentale del DP a cui dà il nome di "ictus emotivo". Gli articoli di questa sezione sono sottoposti a referaggio doppiamente cieco (double blind peer review process) e seguono gli standard in uso per le pubblicazioni scientifiche a livello internazionale ed accettati dalle principali banche dati citazionali Copyright © FrancoAngeli Opera pubblicata con Licenza Creative Commons Attribuzione -Non commerciale -Non opere derivate. SAGGI, STUDI E RICERCHE Panico: nosografia di un'entità, clinica di un disturboPer i termini e le condizioni di utilizzo di questa opera consultare il sito: http://creativecommons.org/.

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A 15-year follow-up study of patients with panic disorder

Abstract: PD has a favourable outcome in a substantial proportion of patients. However, the illness is chronic and needs treatment. The short-term treatment given in the drug trial had no influence on the long-term outcome.

Cited by 42 publications

References 25 publications

A 1-year follow-up study of chest-pain patients with and without panic disorder

A 1-year follow-up study of chest-pain patients with and without panic disorder

Influence of Psychiatric Comorbidity on Recovery and Recurrence in Generalized Anxiety Disorder, Social Phobia, and Panic Disorder: A 12-Year Prospective Study

Panico: nosografia di un'entità, clinica di un disturbo

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A 15-year follow-up study of patients with panic disorder

Abstract: PD has a favourable outcome in a substantial proportion of patients. However, the illness is chronic and needs treatment. The short-term treatment given in the drug trial had no influence on the long-term outcome.

Cited by 42 publications

References 25 publications

A 1-year follow-up study of chest-pain patients with and without panic disorder

A 1-year follow-up study of chest-pain patients with and without panic disorder

Influence of Psychiatric Comorbidity on Recovery and Recurrence in Generalized Anxiety Disorder, Social Phobia, and Panic Disorder: A 12-Year Prospective Study

Panico: nosografia di un'entit&agrave;, clinica di un disturbo

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Product

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Panico: nosografia di un'entità, clinica di un disturbo