Quality of Life in Panic Disorder
- 1 November 1989
- journal article
- clinical trial
- Published by American Medical Association (AMA) in Archives of General Psychiatry
- Vol. 46 (11), 984-92
- https://doi.org/10.1001/archpsyc.1989.01810110026004
Abstract
Data from the Epidemiologic Catchment Area study showed that a lifetime Diagnostic Interview Schedule/DSM-III diagnosis of panic disorder was associated with pervasive social and health consequences similar to or greater than those associated with major depression. These consequences included subjective feelings of poor physical and emotional health, alcohol and other drug abuse, increased likelihood of suicide attempts, impaired social and marital functioning, financial dependency, and increased use of psychoactive medications, health services, and the hospital emergency department for emotional problems. Comorbidity of panic disorder with major depression, agoraphobia, and alcohol or other drug abuse did not explain these findings. The social and health consequences of panic disorder (quality of life) should be considered, as risks and benefits of currently available acute and maintenance treatments are evaluated. Clinical trials of panic disorder, whether of drugs or behavioral treatment, should include quality of life assessments as outcome measures. Long-term prospective studies based on clinical samples of patients with panic disorder are indicated to relate the illness more precisely to social morbidity.Keywords
This publication has 13 references indexed in Scilit:
- One-Month Prevalence of Mental Disorders in the United StatesArchives of General Psychiatry, 1988
- Social functioning in community residents with depression and other psychiatric disorders: results of the New Haven Epidemiologic catchment area studyJournal of Affective Disorders, 1988
- Overview of the Cross-National Collaborative Panic StudyArchives of General Psychiatry, 1988
- Schedule for Affective Disorders and Schizophrenia—Lifetime version modified for the study of anxiety disorders (SADS-LA): Rationale and conceptual developmentJournal of Psychiatric Research, 1986
- Diagnosis of Psychiatric Disorders in Epidemiologic Field StudiesArchives of General Psychiatry, 1985
- The relationship between social functioning and psychiatric symptomatology in primary careSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 1985
- PERCEIVED HEALTH AND MORTALITY: A NINE-YEAR FOLLOW-UP OF THE HUMAN POPULATION LABORATORY COHORT1American Journal of Epidemiology, 1983
- Choosing measures of health status for individuals in general populations.American Journal of Public Health, 1981
- BIAS DUE TO MISCLASSIFICATION IN THE ESTIMATION OF RELATIVE RISKAmerican Journal of Epidemiology, 1977
- Treatment of Depression by Drugs and PsychotherapyAmerican Journal of Psychiatry, 1974