Quality of life in panic disorder

ArticleinArchives of General Psychiatry 46(11):984-92 · December 1989with5 Reads
Source: PubMed
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.
    • "Our study found that severity of anxiety was negatively correlated with quality of life. This finding is consistent with previous epidemiological and clinical studies that have shown that anxiety disorders and subthreshold forms of anxiety disorders are associated with significantly reduced quality of life (Markowitz et al., 1989; Weissman, 1991; Kessler et al., 1994; Spitzer et al., 1995; Wittchen et al., 2000, Wittchen, 2002 Mendlowicz and Stein, 2014; Zatzick et al., 2014). On the other hand, subsyndromal GD and GD have also been associated with poorer life satisfaction when compared to the general population (Black et al., 2003; Grant and Kim, 2005). "
    [Show abstract] [Hide abstract] ABSTRACT: \textit{Background and aims:}$ Previous analyses have highlighted significant associations between gambling disorder (GD)/ subsyndromal GD and increased rates of anxiety symptoms and anxiety disorders relative to the general population. However, less is known about how anxiety symptoms influence the clinical presentation of gambling problems. The objective of this study was to evaluate the association between anxiety symptoms, gambling activity, and neurocognition across the spectrum of gambling behavior. $\textit{Methods:}$ The sample consisted of 143 non-treatment-seeking young adults (aged 18–29 years), in which 63 individuals (44.1%) were classified as recreational gamblers, 47 (32.9%) as having subsyndromal GD, and 33 (23.1%) met criteria for GD. $\textit{Results:}$ The main findings were: (a) there was a positive correlation between anxiety severity and gambling severity measured by the number of DSM-5 GD criteria met; (b) there was a positive correlation between anxiety severity and attentional impulsiveness; (c) subjects with suicidality presented higher levels of anxiety; and (d) the severity of anxiety symptoms was negatively correlated with the quality of life. $\textit{Discussion and conclusions:}$ This study suggests that anxiety may be associated with relevant clinical variables in the broad spectrum of gambling activity. Therefore, proper management of anxiety symptoms might improve the clinical presentation of gamblers in different areas.
    Article · Jul 2016 · Clinical psychology review
    • "Individuals with PD can experience impairments in social functioning because they fear the social consequences of having a panic attack in front of others (Langs et al., 2000). As a result, some individuals with PD avoid social situations, and PD is associated with impairments in social and marital functioning (Markowitz, Weissman, Ouellette, Lish, and Klerman, 1989 ). The correlation between PD and social impairment is not always strong, however, and may be attenuated among individuals whose social circles accommodate their symptoms (by interacting in 'safe spaces,' for example). "
    [Show abstract] [Hide abstract] ABSTRACT: Researchers and clinicians assume a strong, positive correlation between anxiety symptoms and functional impairment. That assumption may be well-justified since diagnostic criteria typically include functional impairment. Still, the relationship remains largely unavailable in any systematic review. Our aim with this paper was to provide empirical evidence for this assumed relationship and to document the observed correlations between anxiety symptom measures and functional impairment measures. Correlations existed for symptoms of six anxiety disorders (Panic Disorder, Agoraphobia, Social Anxiety Disorder, Post-Traumatic Stress Disorder, Generalized Anxiety Disorder, Obsessive Compulsive Disorder) across four functional domains (global, social, occupational, and physical). Overall, the mean of 497 correlations across all disorders and functional domains was modest (r=.34); since the variability between disorders and functional domains tended to be rather large, we explored these correlations further. We presented these results and the potential explanations for unexpected findings along with the clinical and research implications.
    Full-text · Article · Nov 2015
    • "On the medical and social levels, the consequences of depression may be comparable with those of anxiety, especially PD. These consequences include feelings of poor health on both the physical and the emotional levels leading to attempted suicide, as well as drug or alcohol abuse [25]. Indeed, the patient, to partially dam up his anxiety or his depressive disorder, may be tempted to regularly consume excessive amounts of alcohol and anxiolytic drugs. "
    Full-text · Dataset · May 2015 · Clinical psychology review
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