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Comorbidity and its effects on panic disorder

J R Marshall1

  • 1University of Wisconsin Anxiety Disorders Center, Madison 53719, USA.

Bulletin of the Menninger Clinic
|January 1, 1996
PubMed
Summary
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Comorbid conditions significantly impact panic disorder treatment outcomes. Addressing co-occurring depression, anxiety, and personality disorders is crucial for effective panic disorder management and improved prognosis.

Area of Science:

  • Psychiatry and Behavioral Sciences
  • Clinical Psychology
  • Medical Research

Background:

  • Comorbid conditions are prevalent in panic disorder, influencing its trajectory and treatment response.
  • High rates of co-occurrence are noted with depression, bipolar disorders, generalized anxiety disorder, social phobia, other anxiety disorders, and personality disorders.
  • Alcohol abuse comorbidity rates appear lower than clinically suggested.

Purpose of the Study:

  • To highlight the importance of comorbid conditions in panic disorder treatment planning.
  • To review existing literature on the impact of specific comorbidities on panic disorder prognosis and treatment outcomes.
  • To emphasize the complex interplay between panic disorder and co-occurring mental health conditions.

Main Methods:

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  • Literature review of studies examining panic disorder and its comorbid conditions.
  • Analysis of reported comorbidity rates across various psychiatric diagnoses.
  • Examination of research on the influence of specific co-occurring disorders on treatment efficacy.

    • Main Results:

    • Panic disorder frequently co-occurs with depression, anxiety disorders, and personality disorders.
    • Agoraphobia, while no longer classified as comorbid, indicates increased disorder severity when present with panic disorder.
    • Co-occurrence of depression and panic disorder often leads to more severe presentations of both conditions.

    Conclusions:

    • Comorbid conditions necessitate careful consideration in developing comprehensive treatment strategies for panic disorder.
    • The presence of specific comorbidities can significantly alter the course and prognosis of panic disorder.
    • Further research is warranted to elucidate the precise role of each comorbid condition in treatment outcomes.