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[Separation anxiety and panic disorder]

J Seguí1, L Salvador, J Canet

  • 1Sección de Psiquiatría, Hospital del Sagrado Corazón (La Alianza), Barcelona. juanseguimontesinos@globalmed.es

Actas Luso-Espanolas De Neurologia, Psiquiatria Y Ciencias Afines
|February 11, 1999
PubMed
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Separation anxiety is a common predisposing factor in anxiety and depressive disorders. Patients with panic disorder and separation anxiety history experienced earlier panic onset and more social phobia and agoraphobia.

Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Separation anxiety is a recognized condition with potential links to various psychiatric disorders.
  • Understanding its prevalence across different conditions is crucial for diagnosis and treatment.

Purpose of the Study:

  • To investigate the history of separation anxiety in patients diagnosed with panic disorder.
  • To compare the prevalence of separation anxiety in panic disorder patients with other psychiatric conditions and healthy controls.

Main Methods:

  • The study included 150 patients diagnosed with panic disorder according to DSM III-R criteria.
  • Prevalence of separation anxiety was assessed and compared across panic disorder patients, healthy controls, and patients with major depression, dysthymia, generalized anxiety, and social phobia.

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Main Results:

  • Separation anxiety was reported by 15.3% of panic disorder patients, significantly higher than the 3.3% in the healthy control group (p < 0.001).
  • Prevalence was also notable in major depression (13.3%), dysthymia (16.7%), generalized anxiety (13.3%), and particularly social phobia (33.3%).
  • Panic disorder patients with a history of separation anxiety exhibited an earlier age of panic onset and increased comorbidity with social phobia and agoraphobia.

Conclusions:

  • Separation anxiety is a common factor that may predispose individuals to anxiety and depressive disorders.
  • A history of separation anxiety in panic disorder is associated with earlier symptom onset and higher rates of comorbid social phobia and agoraphobia.