DSM-IV and the disappearance of agoraphobia without a history of panic disorder: new data on a controversial diagnosis
1995; American Psychiatric Association; Volume: 152; Issue: 10 Linguagem: Inglês
10.1176/ajp.152.10.1438
ISSN1535-7228
AutoresRobert M. Goisman, Meredith G. Warshaw, Gail Steketee, Eugene J. Fierman, Malcolm P. Rogers, Irina Goldenberg, Naomi J. Weinshenker, Russell G. Vasile, Martin B. Keller,
Tópico(s)Psychosomatic Disorders and Their Treatments
ResumoBack to table of contents Previous article Next article No AccessDSM-IV and the disappearance of agoraphobia without a history of panic disorder: new data on a controversial diagnosisPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.152.10.1438AboutSectionsView articleAbstractPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View articleAbstractOBJECTIVE: This analysis describes subjects who met rigorous criteria for DSM-III-R agoraphobia without a history of panic disorder and makes inferences from these data regarding relationships among agoraphobia without a history of panic disorder, panic disorder, and panic disorder with agoraphobia. METHOD: Twenty-six subjects (seven men and 19 women) with agoraphobia without a history of panic disorder were identified from among 711 subjects recruited for a multicenter, longitudinal anxiety disorder study. Narrative transcripts prepared by raters from study evaluations were coded for limited symptom attacks, situational panic, catastrophic cognitions, and possible precipitants and stressors, course, and somatic and psychosocial treatments received. RESULTS: Sixty-five percent of the subjects reported experiences consistent with situational panic attacks, and 57% had definite or probable limited symptom attacks; these attacks usually preceded or appeared at the same time as avoidance behavior. Eighty-one percent had catastrophic cognitions associated with agoraphobia. Twenty-six percent reported a likely precipitating factor for symptom onset, and 30% reported a definite or probable major life stressor within 6 months before symptom onset. Cognitive-behavioral treatments were relatively infrequently used. Course was relatively unchanged across the follow-up period. CONCLUSIONS: These data support a view of agoraphobia without a history of panic disorder on a continuum with uncomplicated panic disorder and with panic disorder and agoraphobia, rather than as a separate diagnosis. Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Register for access Purchase Save for later Item saved, go to cart PPV Articles - American Journal of Psychiatry $35.00 Add to cart PPV Articles - American Journal of Psychiatry Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. 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FiguresReferencesCited byDetailsCited byPharmacological treatments in panic disorder in adults: a network meta-analysis28 November 2023 | Cochrane Database of Systematic Reviews, Vol. 2023, No. 11A descriptive study of agoraphobic situations and correlates on panic disorder1 July 2021 | Middle East Current Psychiatry, Vol. 28, No. 1Pharmacological treatments in panic disorder in adults: a network meta-analysis28 October 2020 | Cochrane Database of Systematic Reviews, Vol. 313Benzodiazepines versus placebo for panic disorder in adults28 March 2019 | Cochrane Database of Systematic Reviews, Vol. 48Antidepressants versus placebo for panic disorder in adults5 April 2018 | Cochrane Database of Systematic Reviews, Vol. 2018, No. 4Cochrane Database of Systematic ReviewsAntidepressants and benzodiazepines for panic disorder in adults12 September 2016 | Cochrane Database of Systematic Reviews, Vol. 14Psychological therapies for panic disorder with or without agoraphobia in adults: a network meta-analysis13 April 2016 | Cochrane Database of Systematic Reviews, Vol. 2016, No. 4Development and Psychopathology, Vol. 28, No. 4pt1Azapirones versus placebo for panic disorder in adults30 September 2014 | Cochrane Database of Systematic Reviews, Vol. 2014, No. 9Psychological therapies for panic disorder with or without agoraphobia in adults27 February 2014Cochrane Database of Systematic ReviewsCochrane Database of Systematic ReviewsDepression and Anxiety, Vol. 29, No. 11Expert Review of Neurotherapeutics, Vol. 11, No. 8Depression and Anxiety, Vol. 27, No. 2Depression and Anxiety, Vol. 27, No. 2Respiratory and non-respiratory panic disorder subtypes: Clinical and quality of life comparisonsRevista Portuguesa de Pneumologia (English Edition), Vol. 15, No. 5Revista Portuguesa de Pneumologia, Vol. 15, No. 5Journal of Anxiety Disorders, Vol. 23, No. 6Comprehensive Psychiatry, Vol. 49, No. 3Psychotherapy and Psychosomatics, Vol. 77, No. 3Introductory and Basic Aspects5 February 2008Cochrane Database of Systematic ReviewsEvidence-based guidelines for the pharmacological treatment of anxiety disorders: recommendations from the British Association for Psychopharmacology25 June 2016 | Journal of Psychopharmacology, Vol. 19, No. 6Panic Disorder: Symptoms and Syndromes26 October 2007The Journal of Nervous and Mental Disease, Vol. 190, No. 9Agoraphobia without history of panic disorder18 December 2001 | Clinical Psychology & Psychotherapy, Vol. 8, No. 6To what degree does the Composite International Diagnostic Interview (CIDI) correctly identify DSM‐IV disorders? Testing validity issues in a clinical sample24 March 2006 | International Journal of Methods in Psychiatric Research, Vol. 7, No. 3 Volume 152Issue 10 October 1995Pages 1438-1443 Metrics PDF download History Published online 1 April 2006 Published in print 1 October 1995
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