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Panic disorder: History and epidemiology.
Summary
Panic disorder affects 2.7% and panic attacks 7.1% of the population. These common, serious conditions are more prevalent in females and linked to other psychiatric disorders, suicide risk, and significant impairment.
Area of Science:
- Psychiatry
- Epidemiology
- Psychology
Background:
- Panic was not always considered exclusively psychiatric.
- Diagnostic and Statistical Manual (DSM)-III criteria in 1980 established panic disorder.
- Prevalence estimates for panic disorder and panic attacks vary.
Purpose of the Study:
- To investigate the prevalence, associations, and time courses of panic disorder and panic attacks.
- To assess the validity of panic disorder and panic attacks as genuine psychological phenomena.
- To examine comorbidity with other psychiatric conditions and the prognosis of panic states.
Main Methods:
- A prospective epidemiological study in Zurich, Switzerland.
- Followed 591 individuals for 15 years.
- Analyzed associations with family history, suicide risk, psychiatric treatment, impairment, and comorbid conditions.
Main Results:
- Lifetime prevalence: 2.7% for panic disorder, 7.1% for panic attacks.
- Females are significantly more likely to experience both.
- Strong associations with family history, suicide risk, psychiatric treatment, impairment, and comorbid conditions like depression and phobias.
Conclusions:
- Panic disorder and panic attacks are common, serious, and disabling.
- They are valid psychological phenomena with significant impact.
- Effective diagnosis and treatment are crucial for improving outcomes.
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