Associations with subsyndromal panic and the validity of DSM-IV criteria

David A. Katerndahl, Janet P. Realini

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

The purpose of this study was to compare subsyndromal panic-infrequent panic (IP) and limited symptom attacks (LSA)-with panic disorder (PD) in psychiatric comorbidity, quality of life (QOL), and health care utilization and to assess validity of DSM-III-R criteria for panic disorder. Randomly selected adults were screened for the presence of PD, IP, and LSA by using the Structured Clinical Interview of the DSM-IIIR. Subjects with panic symptoms and matched controls completed a structured interview concerning comorbidity, QOL, and utilization. Although PD and IP subjects reported more psychiatric comorbidity than did LSA subjects, LSA subjects bad more comorbid conditions than did controls. Differences in utilization were limited to PD subjects. Although subsyndromal panic was associated with poor QOL, panic- related work disability was primarily seen in PD subjects. Regression analyses demonstrated little difference between LSA and IP subjects, but interaction analysis supported the distinction between LSA and full-blown panic attacks. Compared with controls, LSA and IP subjects bad more psychiatric comorbidity. PD subjects also bad poorer QOL and more utilization. Interaction analysis supports DSM-IV criteria for panic disorder.

Original languageEnglish (US)
Pages (from-to)33-38
Number of pages6
JournalDepression and Anxiety
Volume8
Issue number1
DOIs
StatePublished - 1998

Keywords

  • Anxiety
  • Comorbidity
  • Health care utilization
  • Panic disorder
  • Quality of life

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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