Panic Attacks and Related Disorders in Alcohol-Dependent, Depressed, and Nonclinical Samples
作者:
C ALEC POLLARD,
PAUL DETRICK,
TERESA PLYNN,
MONICA FRANK,
期刊:
The Journal of Nervous and Mental Disease
(OVID Available online 1990)
卷期:
Volume 178,
issue 3
页码: 180-185
ISSN:0022-3018
年代: 1990
出版商: OVID
数据来源: OVID
摘要:
Although several studies have indicated that a substantial portion of alcoholics have an anxiety disorder, relatively little information exists specifically regarding panic disorders. In addition, prior studies have been marred by the absence of appropriate contrast groups. The present investigation compared the lifetime prevalence of panic attacks and panicrelated disorders diagnosed according to DSM-III criteria in a group of 79 alcohol-dependent patients, 64 depressed patients, and 70 nonclinical subjects. Panic attacks, panic disorder, and agoraphobia with panic attacks were more prevalent in the alcohol-dependent and depressed samples than among nonclinical subjects. Men in both clinical samples were more likely than women to have had nonagoraphobic panic disorder, but male alcoholics were less likely to have developed agoraphobia than were female alcoholics or depressed patients of either sex. No consistent chronological relationship between onset of panic attacks and alcohol abuse was found. Results indicate that there is an unusually high prevalence of panic attacks and panic-related disorders among alcoholics, but comparable prevalence rates can be found in depressed and perhaps some other psychiatric populations. Implications for the assessment and treatment of alcohol-dependent and panic-disordered patients are discussed.
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