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Related Experiment Videos

Obsessive-compulsive symptoms in panic disorder.

T A Mellman1, T W Uhde

  • 1Unit on Anxiety and Affective Disorders, NIMH, Bethesda, MD 20892.

The American Journal of Psychiatry
|December 1, 1987
PubMed
Summary
This summary is machine-generated.

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Obsessive-compulsive symptoms are prevalent in panic disorder patients, affecting 27%. Those with these symptoms experienced earlier illness onset and poorer treatment outcomes, often linked to depression and substance abuse histories.

Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Previous research suggests a link between obsessive-compulsive symptoms and panic disorder.
  • Understanding this comorbidity is crucial for effective patient management.

Purpose of the Study:

  • To determine the prevalence of obsessive-compulsive symptoms in patients diagnosed with panic disorder.
  • To compare clinical characteristics and treatment outcomes between panic disorder patients with and without obsessive-compulsive symptoms.

Main Methods:

  • Seventy patients diagnosed with panic disorder were assessed for obsessive-compulsive symptoms.
  • A subgroup of patients with obsessive-compulsive symptoms was compared to a control subgroup without these symptoms.

Main Results:

  • Obsessive-compulsive symptoms were identified in 19 (27%) of the 70 panic disorder patients.

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  • Patients with comorbid obsessive-compulsive symptoms presented with earlier illness onset.
  • This subgroup also showed higher rates of personal/family history of major depression and substance abuse, and poorer treatment outcomes.

    • Conclusions:

    • Obsessive-compulsive symptoms represent a significant comorbidity in panic disorder.
    • Comorbid obsessive-compulsive symptoms are associated with a more severe clinical presentation and less favorable prognosis in panic disorder patients.