Article2001

Treatment of Panic Attack and Risk of Major Depressive Disorder in the Community

46 citations0/0 files storedAmerican Journal of Psychiatry

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Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Child and Adolescent Psychosocial and Emotional Development Mental Health Treatment and Access

Abstract

OBJECTIVE: The authors' goal was to determine whether treatment of panic attacks has a protective effect on the risk of major depression in the community. METHOD: Data were drawn from the National Comorbidity Survey, a community-based household sample representative of the U.S. adult population. A Cox proportional hazard model was used to estimate the association between risk of first-onset major depression and panic among subjects who had or had not received treatment for panic. RESULTS: A significantly smaller proportion of individuals who received treatment for panic (19%) than those who did not receive treatment (45%) developed major depression. This difference remained significant in a Cox proportional hazard analysis adjusted for age at onset of panic and differences in demographic characteristics. CONCLUSIONS: Detection and treatment of panic may reduce the risk of developing major depression.

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References

1994Lifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United States 1994Reliability and validity studies of the WHO-Composite International Diagnostic Interview (CIDI): A critical review 1989Quality of Life in Panic Disorder 1993Use of Services by Persons With Mental and Addictive Disorders 1995Advances in Strategies for Minimizing and Adjusting for Survey Nonresponse 1998Lifetime Panic-Depression Comorbidity in the National Comorbidity Survey 1986Agoraphobia With Panic Attacks 1998Dsm-iv panic attacks and panic disorder in a community sample of adolescents and young adults: how specific are panic attacks?

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2011Panic attacks as a risk for later psychopathology: results from a nationally representative survey 2012Depression Does Not Affect the Treatment Outcome of CBT for Panic and Agoraphobia: Results from a Multicenter Randomized Trial

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