The relationship between panic disorder/agoraphobia and personality disorders

Phobia and Anxiety Disorders Clinic, Ohio State University College of Medicine, Columbus.
Psychiatric Clinics of North America (Impact Factor: 2.13). 01/1991; 13(4):661-84.
Source: PubMed


This selective review of the relationship between panic disorder/agoraphobia and DSM-III personality disorders points to a preponderance of dependent, avoidant, and histrionic features and reveals a certain degree of covariation between severity of Axis I disorder and personality functioning. However, the link between panic/agoraphobia and Axis II disorders does not appear to be specific because (1) general features such as neuroticism, stress, dysphoric mood, and interpersonal sensitivity, rather than duration and severity of panic attacks and phobias, emerge as unique predictors or determinants of personality disorder; and (2) similar personality profiles are obtained in a heterogenous population of psychiatric outpatients or patients with social phobia, obsessive-compulsive disorder, and major depression.

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    • "The possibility of anxiety-state confounding of personality disorder trait measurement has not been addressed thoroughly in all anxiety disorders. However, personality disorder traits do appear to lessen in response to treatment of panic disorder (Mavissakalian, 1990), suggesting that state-trait confounding may occur in acute anxiety states. Although an in-depth discussion of the effects of personality traits on anxiety disorder outcomes is beyond the scope of this article, we will mention one recent study that illustrates this important topic. "
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    Journal of Personality Disorders 05/2003; 17(2):139-51. DOI:10.1521/pedi. · 2.31 Impact Factor
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    ABSTRACT: The element of chance and the role of the individual in causing negative life events was explored by examining the relationship between measures of personality, symptoms, and a number of demographic variables in a nonclinical population (n = 892). The results indicated that Eysenck's neuroticism was the best predictor of negative interpersonal life events. Symptoms added a negligible amount to the variance explained in the occurrence of life events. The well-established relationships between neuroticism and symptoms and life events and symptoms are discussed in the light of these findings.
    Acta Psychiatrica Scandinavica 02/1992; 85(1):35-8. DOI:10.1111/j.1600-0447.1992.tb01439.x · 5.61 Impact Factor
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