Investigating Relations Between the Symptoms of Panic, Agoraphobia, and Suicidal Ideation: The Significance of Comorbid Depressive Symptoms in Veterans with Panic Disorder.

Autor: Gros DF; Mental Health Service, Ralph H. Johnson VA Healthcare System, 109 Bee Street, 29401 Charleston, SC, USA.; Department of Psychology & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA., Pavlacic JM; Mental Health Service, Ralph H. Johnson VA Healthcare System, 109 Bee Street, 29401 Charleston, SC, USA.; Department of Psychology & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA., Wray JM; Mental Health Service, Ralph H. Johnson VA Healthcare System, 109 Bee Street, 29401 Charleston, SC, USA.; Department of Psychology & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA., Szafranski DD; Orlando VA Healthcare System, Orlando, FL, USA.
Jazyk: angličtina
Zdroj: Journal of psychopathology and behavioral assessment [J Psychopathol Behav Assess] 2023 Dec; Vol. 45, pp. 1154-1162. Date of Electronic Publication: 2023 Aug 28.
DOI: 10.1007/s10862-023-10082-4
Abstrakt: Although panic disorder has been frequently associated with increased suicidal ideation and behaviors, there are multiple explanations for this association in the literature. For example, some research has demonstrated panic disorder symptoms to mediate agoraphobia and suicidal ideation, while other researchers have hypothesized that comorbid depression symptoms contribute to suicidal ideation across anxiety disorders. Of note, none of these studies were completed in veterans, a population at higher risk for suicide relative to civilian samples. The present study investigated relations between the symptoms of panic, agoraphobia, depression, and suicidal ideation in 58 veterans diagnosed with panic disorder via correlations, hierarchical regression, and exploratory path analyses. Multiple models were investigated based on prior research. The final path model demonstrated that symptoms of panic disorder predicted agoraphobia symptoms, with agoraphobia predicting symptoms of depression. Symptoms of depression, then, predicted suicidal ideation. Discussion of the findings related to comorbid depressive symptoms highlight considerations for the assessment and treatment practices for panic disorder, with a particular focus on veterans receiving care within Veterans Affairs Healthcare System.
Competing Interests: Conflicts of Interest The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States government. Daniel F. Gros, Jeffrey M. Pavlacic, Jennifer M. Wray, and Derek D. Szafranski have no conflicts of interest to disclose.
Databáze: MEDLINE
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