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Panic disorder.

S C Dilsaver1

  • 1Psychopharmacology Program, Ohio State University College of Medicine, Columbus.

American Family Physician
|June 1, 1989
PubMed
Summary
This summary is machine-generated.

Panic disorder impacts 1.4% of people, often co-occurring with major depressive disorder. Effective treatments include antidepressants and behavioral interventions for panic disorder and agoraphobia.

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Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Panic disorder affects 1.4% of the general population.
  • Comorbidity with major depressive disorder is high, affecting nearly 70% of patients.
  • Agoraphobia frequently develops secondary to panic disorder, impacting management.

Purpose of the Study:

  • To review the epidemiology and treatment of panic disorder.
  • To highlight the significant comorbidity with major depressive disorder.
  • To discuss pharmacological and behavioral treatment options.

Main Methods:

  • Literature review of panic disorder, major depressive disorder, and treatment modalities.
  • Synthesis of information on epidemiological data, comorbidity rates, and therapeutic efficacy.
  • Analysis of treatment responses to antidepressants, monoamine oxidase inhibitors, and alprazolam.

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Main Results:

  • Panic disorder has a notable prevalence in the general population.
  • A significant percentage of panic disorder patients experience major depressive disorder.
  • Pharmacological treatments like tricyclic antidepressants, monoamine oxidase inhibitors, and alprazolam show efficacy.
  • Behavioral interventions are crucial for managing associated agoraphobia.

Conclusions:

  • Panic disorder and major depressive disorder share significant overlap and require integrated management.
  • A combination of pharmacotherapy and behavioral therapy offers a comprehensive approach to treating panic disorder and its sequelae.
  • Understanding comorbidity and associated conditions like agoraphobia is key to effective patient care.