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Panic disorder in pregnancy

C J Northcott1, M B Stein

  • 1Department of Psychiatry, Faculty of Medicine, University of Manitoba, Winnipeg, Canada.

The Journal of Clinical Psychiatry
|December 1, 1994
PubMed
Summary
This summary is machine-generated.

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Pregnancy

Area of Science:

  • Psychiatry
  • Obstetrics
  • Reproductive Health

Background:

  • Panic disorder remission during pregnancy is inconsistently reported.
  • Pregnancy's impact on panic disorder requires further investigation.
  • This study examines panic disorder course across pregnancies in women with pre-existing diagnoses.

Purpose of the Study:

  • To investigate the influence of pregnancy on panic disorder.
  • To analyze panic symptom changes during and after pregnancy.
  • To assess factors like breastfeeding and caffeine use.

Main Methods:

  • Retrospective survey of 46 women with panic disorder.
  • Questionnaire on panic disorder course before, during, and after pregnancy.
  • Inquiry into breastfeeding, caffeine use, and symptom changes.

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Main Results:

  • Pregnancy outcomes for panic disorder varied: 43% improvement, 33% worsening, 23% no change.
  • Outcomes were inconsistent across subsequent pregnancies.
  • Postpartum symptom exacerbation occurred in 63% of cases.
  • No link found between weaning or caffeine and symptom change.

Conclusions:

  • Pregnancy has a variable effect on panic disorder.
  • Postpartum worsening of panic disorder is a common occurrence.
  • Findings inform pregnancy counseling and management strategies for panic disorder.