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Coping and illness behavior among young adults with panic

M Vollrath1, J Angst

  • 1Department of Social Psychology, University of Zurich, Switzerland.

The Journal of Nervous and Mental Disease
|May 1, 1993
PubMed
Summary
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Young adults with panic disorder utilize maladaptive coping strategies like rumination and cognitive avoidance more frequently. While they access psychiatric care more, their overall medical care and substance use remain minimal.

Area of Science:

  • Psychology
  • Psychiatry
  • Epidemiology

Background:

  • Anxiety disorders, particularly panic disorder, significantly impact young adults' lives.
  • Understanding illness behavior and coping mechanisms is crucial for effective treatment.

Purpose of the Study:

  • To investigate and compare illness behavior and coping strategies in young adults with panic disorder, other anxiety disorders, and no anxiety disorders.
  • To identify differences in healthcare utilization and substance consumption among these groups.

Main Methods:

  • Cross-sectional study of 29- to 30-year-old adults in Zurich, Switzerland.
  • Comparison of coping strategies (social support, cognitive avoidance, rumination) and illness behavior (medical care use, substance consumption) across three groups: panic disorder, other anxiety disorders, and controls.

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Main Results:

  • Subjects with panic disorder employed more social support seeking, cognitive avoidance, and rumination compared to other groups.
  • Panic disorder group showed higher psychiatric consultation rates and more work absenteeism than controls.
  • No excessive use of non-psychiatric medical care or illicit psychoactive substances was observed, except for tranquilizers.

Conclusions:

  • Maladaptive coping strategies like rumination and cognitive avoidance are prevalent in panic disorder.
  • Findings suggest targeted interventions for coping mechanisms in panic disorder treatment.
  • Illness behavior differences are subtle, primarily involving psychiatric care utilization.