Summary
A 1-year follow-up study was carried out in 77 patients with panic attacks (panic disorder). Of these patients 43% were remitted; avoidance behaviour and chronic anxiety were more persistent than panic attacks within the 1-year period. The main predictor for features of anxiety in the follow-up was avoidance behaviour. The most prominent prognostic factor for features of depression was the history of previous depressive episodes. Female patients had a poorer outcome than male patients.
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References
American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorder, 3rd edn, revised (DSM-III-R). APA
Anderson JA, Philips PR (1981) Discrimination and measurement models for ordered categorical variables. Appl Stat 30:22–31
Breier A, Charney DR, Henninger GR (1984) Major depression in patients with agoraphobia and panic disorder. Arch Gen Psychiatry 41:1129–1135
Buller R, Maier W, Benkert O (1986) Clinical subtypes of panic disorder: descriptive and prospective validity. J Affect Disord 11:105–114
Clancy J, Noyes R, Hoenk PR (1978) Secondary depression in anxiety neurosis. J Nerv Ment Dis 166:846–850
Coryell W, Noyes R, Clancy J (1983) Panic disorder and primary unipolar depression. A comparison of background and outcome. J Affect Disord 5:311–317
Day CL, Lew RA, Mihm MC et al (1982) A multivariate analysis of prognostic factors for melanoma patients with lesions < 3.65 mm in thickness: The importance of revealing alternative Cox models. Ann Surg 195:44–47
Greer S (1976) The prognosis of anxiety states. In: Lader MH (ed) Studies of anxiety. Royal-Medico-Psychological Association, London
Kerr TA, Roth M, Schapira K (1974) Prediction of outcome in anxiety states and depressive illness. Br J Psychiatry 124:125–133
Klein DF (1981) Anxiety reconceptualized. In: Klein DF, Buskin J (eds) Anxiety: new research and changing concepts. Raven Press, New York, pp 235–263
Leckmann JF, Weissman MM, Merikangas KP (1983) Panic disorder increases risk of major depression, alcoholism, panic and phobic disorders in affectively ill families. Arch Gen Psychiatry 40:1055–1060
Marks I, Lader M (1973) Anxiety states (anxiety neurosis): a review. J Nerv Ment Dis 156:3–18
Noyes R, Clancy J, Hoenk PR (1980) Prognosis of anxiety neurosis. Arch Gen Psychiatry 37:173–178
Noyes R, Crowe RR, Harris EL et al (1986) Relationship between panic disorder and agaraphobia. Arch Gen Psychiatry 43:227–232
Schapira K, Roth M, Kerr TA (1972) Prognosis of affective disorders — the differentiation of anxiety states from depressive illness. Br J Psychiatry 121:171–181
Spitzer R, Williams JBW (1983) Structured clinical interview for DSM-III — patient version. New York
Thyrer BA, Himle J, Curtis GC (1985) A comparison of panic disorder and agoraphobia with panic attacks. Compr Psychiatry 26:208–213
Zitrin GM, Klein DF, Wörner MG (1983) Treatment of phobias: comparison of imipramine and placebo. Arch Gen Psychiatry 40:125–138
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Maier, W., Buller, R. One-year follow-up of panic disorder. Eur Arch Psychiatr Neurol Sci 238, 105–109 (1988). https://doi.org/10.1007/BF00452785
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DOI: https://doi.org/10.1007/BF00452785