Prevalence, patterns and role of personality disorders in panic disorder patients with and without comorbid (lifetime) major depression

Langs, Gernot; Quehenberger, Franz; Fabisch, Karin; Klug, Günter; Fabisch, Hans; Zapotoczky, H. G.

doi:10.1111/j.1600-0447.1998.tb10052.x

Cited by 29 publications

(15 citation statements)

References 47 publications

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“…These results are in agreement with several previous studies that investigated personality disorders in patients with PD [Hoffart et al, 1994;Iketani et al, 2002Iketani et al, , 2004Langs et al, 1998;Massion et al, 2002;Mavissakalian and Hamann, 1988;Mavissakalian et al, 1993;Ozkan and Altindag, 2005;Reich and Troughton, 1988;Reich et al, 1987;Sanderson et al, 1994;Starcevic et al, 1999] and highlight the importance of examining personality status in PD. The comparison between subjects with and without NP concerning personality disorders failed to identify significant differences.…”

Section: Discussionsupporting

confidence: 95%

Axis I and II comorbidities in subjects with and without nocturnal panic

et al. 2006

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Our purpose in this study was to compare the prevalence and pattern of Axis I and II comorbidities between patients with and without nocturnal panic (NP) attacks. One hundred and sixteen subjects with panic disorder (PD; according to DSM-IV criteria) were included: We assessed Axis I and II comorbidities using the Structured Clinical Interview for DSM-IV Axis I and II disorders, respectively. Of the sample, 27.6% of subjects had recurrent nocturnal panic attacks (NP group). Subjects with NP did not differ from those without in any sociodemographic or clinical characteristics. In the sample (94 subjects), 81% had at least one lifetime comorbid Axis I disorder, without significant differences between subjects with and without nocturnal panic even when considering comorbidity rates for single disorders; a trend toward significance was found for anorexia nervosa and somatization disorder, which both were more frequent among subjects with NP. Concerning Axis II disorders, 49.1% of the sample (57 subjects) met the criteria for at least one personality disorder, without significant differences between patients with and without NP. No significant differences were detected in comorbidity rates for any single Axis II personality disorder. Personality might play a relevant role in influencing treatment approaches to PD, but it does not appear to be a differential focus of concern in patients with compared to those without NP.

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Section: Discussionsupporting

confidence: 95%

Axis I and II comorbidities in subjects with and without nocturnal panic

et al. 2006

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“…Additionally, we found that these Axis II cluster C personality disorders were an independent determinant of POPD. These results are in agreement with several previous studies that investigated personality disorders in patients with PD (14,40,41,42,43,47,48). Considering the high frequency of comorbidity of PD and personality disorder, together with the fact that both tend to have a chronic course, the possible clinical impact of this association becomes important (49).…”

Section: Discussionsupporting

confidence: 92%

“…As a class, personality disorders are more prevalent in patients affected by PD with a prevalence rate ranging from 20% to 86% (40,41,42,43,44). Among patients with PD, several studies found a significant excess of personality disorders from the anxious cluster C (15,45,46).…”

Section: Discussionmentioning

confidence: 99%

Pregnancy-Onset Panic Disorder: Incidence, Comorbidity and Associated Factors

Güler

Kaya

Gezginç

et al. 2015

Arch Neuropsychiatr

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Introduction: The present study aimed to investigate the incidence rate of pregnancy-onset panic disorder (POPD) among Turkish pregnant women using a diagnostic interview. Additionally, we examined whether the independent socio-demographic or clinical risk factors were associated with the risk of panic disorder in these women.Methods: The study sample comprised 1475 consecutive pregnant women who presented to the obstetric outpatient clinics of two research centers. The rate of POPD in these participants was 1.3% (Group 1, n=20). The 20 women with POPD were compared with 250 pregnant women without pregnancy-onset depression or anxiety (Group 2; controls). Panic disorder and other anxiety or mood disorders were determined by means of the Structured Clinical Interview for DSM-IV. Comorbid Axis II disorders were diagnosed with the Structured Clinical Interview for DSM-III-R Personality Disorders. Results:The incidence rate of panic disorder was 1.3% (n=20). In group 1, 55% (n=11) of the women with POPD had an additional mood or anxiety disorder. In addition, the prevalence rate of any cluster C personality disorder, including avoidant, passive-aggressive and obsessivecompulsive personality disorders, were significantly greater in the group 1 women with POPD than the control pregnant women without a panic disorder (group 2). Conclusion:The women with POPD were more likely than the controls to have a cluster C Axis II disorder and a history of a pre-existing anxiety or mood disorder.Keywords: Pregnancy, panic, comorbidity, personality ABSTRACTResearch Article

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“…El porcentaje de prevalencia encontrado ha ido variando a lo largo de los años, en la década de los 80 y principios de los 90 los trabajos ofrecían porcentajes entre el 40 y el 65% (Brooks, Baltasar, McDowell, Munjack y Bruns, 1988;Chambless y Renneberg, 1988;Friedman, Shear y Frances;Reich, 1988). Desde mitad de los 90 y a principios del 2000 se amplía el porcentaje de prevalencia de los TPe en pacientes con TP/TPA del 20 al 95% (Ampollini et al, 1999;Barzega, et al, 2001;Berger et al 2004;Langs et al, 1998;Massion et al 2002). Los estudios más recientes arrojan cifras que oscilan entre el 33.3 y el 76.8% (Albert, Maina, Bergesio y Bogetto, 2006;Marchesi, Cantón, Fonito, Giannelli y Maggini, 2005;Marchesi et al, 2006;Ozkan y Altindag, 2005).…”

Section: Resultsunclassified

Personalidad y Trastorno de Pánico: Un estudio de revisión

2014

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Resumen: A través de este trabajo ofreceremos una revisión exhaustiva de las aportaciones científicas que se han realizado en las últimas tres décadas sobre la influencia de la personalidad en aspectos clínicos y psicopatológi-cos del Trastorno de pánico (TP), con o sin agorafobia (AG). Los resultados que expondremos serán representativos de dos modelos distintos de evaluación y estudio de la personalidad, el modelo de personalidad clínico y el modelo de personalidad normal. Desde ambas perspectivas, parece existir suficiente evidencia para asociar las dimensiones y rasgos patológicos de personalidad más relacionados con la emocionabilidad negativa y la desregulación emocional con el TP, con o sin AG. Entre las variables de vulnerabilidad identificadas en relación a la mayor probabilidad de inicio y mantenimiento del TP destacan: patrones familiares específicos de educación y crianza, la inhibición conductual, la sensibilididad a la ansiedad, y, más recientemente, la percepción de control de la ansiedad. Desde una perspectiva clínica es muy relevante la identificación de estos factores de vulnerabilidad psicopatológica puesto que abren la puerta al diseño e implementación de programas de promoción, prevención y tratamiento que se dirijan específicamente a los procesos psicológicos alterados y mitiguen, con mayor rapidez y eficacia, el sufrimiento de las personas que padecen estas patologías. Palabras clave: Personalidad; trastorno de pánico; revisión; agorafobia; trastornos de la personalidad; factores de riesgo.Title: Personality and panic disorder: a review. Abstract: In this work we offer a comprehensive review of the scientific contributions that have been made in the last three decades on the influence of personality in the psychopathology of panic disorder (PD) with or without agoraphobia (AG). The findings that are discussed are representative of two different theoretical models in the assessment and the study of personality, the clinical approach to personality and the dimensional approach to personality. From both perspectives, there is sufficient evidence to associate the personality factors and the pathological personality traits more related to negative emotionality and emotional dysregulation with PD, with or without AG. Among the vulnerability factors identified in relation to the onset of PD and the maintenance of its symptoms are: specific family and education patterns, behavioral inhibition, anxiety sensitivity, and, more recently, the perception of anxiety control. From a clinical perspective it is very important to identify these psychopathological vulnerabilities in order to design and implement promotion, prevention and treatment programs that specifically target the disordered psychological processes and reduce, more quickly and effectively, the suffering of people with these conditions.

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Prevalence, patterns and role of personality disorders in panic disorder patients with and without comorbid (lifetime) major depression

Cited by 29 publications

References 47 publications

Axis I and II comorbidities in subjects with and without nocturnal panic

Axis I and II comorbidities in subjects with and without nocturnal panic

Pregnancy-Onset Panic Disorder: Incidence, Comorbidity and Associated Factors

Personalidad y Trastorno de Pánico: Un estudio de revisión

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