Treatment of panic attack and risk of major depressive disorder in the community

Am J Psychiatry. 2001 Jul;158(7):1146-8. doi: 10.1176/appi.ajp.158.7.1146.

Abstract

Objective: The authors' goal was to determine whether treatment of panic attacks has a protective effect on the risk of major depression in the community.

Method: Data were drawn from the National Comorbidity Survey, a community-based household sample representative of the U.S. adult population. A Cox proportional hazard model was used to estimate the association between risk of first-onset major depression and panic among subjects who had or had not received treatment for panic.

Results: A significantly smaller proportion of individuals who received treatment for panic (19%) than those who did not receive treatment (45%) developed major depression. This difference remained significant in a Cox proportional hazard analysis adjusted for age at onset of panic and differences in demographic characteristics.

Conclusions: Detection and treatment of panic may reduce the risk of developing major depression.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Age of Onset
  • Comorbidity
  • Depressive Disorder / epidemiology
  • Depressive Disorder / prevention & control*
  • Female
  • Health Surveys
  • Humans
  • Male
  • Middle Aged
  • Panic Disorder / diagnosis
  • Panic Disorder / epidemiology
  • Panic Disorder / therapy*
  • Prevalence
  • Proportional Hazards Models
  • Psychiatric Status Rating Scales / statistics & numerical data
  • Risk Factors
  • United States / epidemiology