0
Article |

The Course of Panic Attacks and Agoraphobia

Wolfgang Maier, MD; Raimund Buller, MD
Arch Gen Psychiatry. 1988;45(5):501-501. doi:10.1001/archpsyc.1988.01800290123014
Text Size: A A A
Published online

To the Editor.—  Breier et al,1 in the November 1986 issue of the ARCHIVES, reported retrospective data on the course of panic disorder and agoraphobia. A major finding was the chronicity of anticipatory anxiety, generalized anxiety, agoraphobia, and frequent panic attacks. The problem with these findings is that the sample may be biased for chronicity: 28 of the 60 patients had a history of anxiety disorders longer than ten years. It may be that these patients came to the research treatment program because their conditions were refractory to treatment received in a primary care setting. Patients with a more favorable course that remits during treatment often never see a psychiatrist. Previous follow-up studies2 of anxiety disorders are similarly biased; the retrospective method may increase this bias. The hypothesis of chronicity in anxiety disorders therefore needs support from prospective studies in population samples. We had the opportunity to perform

REFERENCES

Breier A, Charney DS, Heninger GR:  Agoraphobia with panic attacks: Development, diagnostic stability, and course of illness . Arch Gen Psychiatry 1986;;43:1029-1036.
Noyes R, Clancy J, Hoenk PR, Slymen OJ:  The prognosis of anxiety neurosis . Arch Gen Psychiatry 1980;;31:173-177.
Buller R, Maier W, Benkert O:  Clinical subtypes of panic attacks: Phenomenological and predictive validity . J Affective Disord , in press.

First Page Preview

First page PDF preview

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Breier A, Charney DS, Heninger GR:  Agoraphobia with panic attacks: Development, diagnostic stability, and course of illness . Arch Gen Psychiatry 1986;;43:1029-1036.
Noyes R, Clancy J, Hoenk PR, Slymen OJ:  The prognosis of anxiety neurosis . Arch Gen Psychiatry 1980;;31:173-177.
Buller R, Maier W, Benkert O:  Clinical subtypes of panic attacks: Phenomenological and predictive validity . J Affective Disord , in press.

Correspondence

CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.