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Comorbid panic disorder in patients with winter depression

M T Halle1, S C Dilsaver

  • 1Department of Psychiatry, Ohio State University, Columbus.

The American Journal of Psychiatry
|July 1, 1993
PubMed
Summary
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Patients with winter depression have a high risk of developing panic disorder. Symptoms of both conditions often begin and end simultaneously with the seasons.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Epidemiology

Background:

  • Recurrent major depression with a seasonal pattern, specifically wintertime depression, affects a significant portion of the population.
  • Comorbidity between different psychiatric disorders can complicate diagnosis and treatment.
  • Previous research suggests a link between seasonal mood disorders and other conditions, but the prevalence of panic disorder in winter depression specifically requires further investigation.

Purpose of the Study:

  • To determine the prevalence of comorbid panic disorder among patients diagnosed with major depression with a seasonal pattern (wintertime depression).
  • To examine the temporal relationship between the onset and remission of depressive symptoms and panic attacks in this patient group.

Main Methods:

  • The study included 38 patients (10 male, 28 female) who met DSM-III-R criteria for major depression with a seasonal pattern (wintertime depression).

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  • Diagnostic interviews were conducted using DSM-III-R criteria to assess for panic disorder.
  • Data on the onset and remission of both depressive symptoms and panic attacks were collected.
  • Main Results:

    • Nine out of 38 subjects (23.7%) met the diagnostic criteria for panic disorder.
    • In patients with comorbid panic disorder, both panic attacks and depressive symptoms exhibited simultaneous onset in the fall or winter.
    • These symptoms spontaneously remitted in the spring for the affected patients.

    Conclusions:

    • Patients experiencing winter depression are at a significantly high risk for developing comorbid panic disorder.
    • The seasonal pattern of onset and remission observed in both conditions suggests a potential shared underlying mechanism or trigger.
    • Findings underscore the importance of screening for panic disorder in individuals with winter-pattern major depression.