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[Panic disorder in the elderly]

J Seguí1, L Salvador, J Canet

  • 1Sección de Psiquiatría, Hospital del Sagrado Corazón, La Alianza, Barcelona. juan.seguimontesinos@globalmed.es

Actas Luso-Espanolas De Neurologia, Psiquiatria Y Ciencias Afines
|February 9, 1999
PubMed
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Panic disorder (PD) is present in older adults, though elderly patients report fewer symptoms and less comorbidity. These differences may lead to misdiagnosis in clinical settings.

Area of Science:

  • Psychiatry
  • Gerontology
  • Clinical Psychology

Background:

  • The existence of panic disorder (PD) in the elderly population is debated.
  • Understanding the characteristics of PD in older adults is crucial for accurate diagnosis and treatment.

Purpose of the Study:

  • To investigate the sociodemographic and clinical features of panic disorder in patients aged 60 and above.
  • To compare the characteristics of elderly PD patients with younger adult patients.

Main Methods:

  • A comparative study assessed 341 consecutive panic disorder (PD) patients over a three-year period in two outpatient psychiatric clinics.
  • Patients aged 60+ were compared to a younger adult group, utilizing the PASS and Marks-Matthews' Phobia Scale.

Main Results:

Related Experiment Videos

  • Fifty-three (15.6%) PD patients were over 60. Elderly patients exhibited less symptom frequency and severity.
  • Elderly PD patients showed less comorbidity with social phobia and alcoholism but more with dysthymia.
  • Fewer family histories of alcoholism, depression, and PD were reported by elderly patients.

Conclusions:

  • Panic disorder is not uncommon in older adults seeking psychiatric care.
  • Reduced symptom severity and specific comorbidities in elderly PD patients may increase the risk of misdiagnosis.