Personality Disorders and Time to Remission in Generalized Anxiety Disorder, Social Phobia, and Panic Disorder.

Autor: Massion, Ann O., Dyck, Ingrid R., Shea, M. Tracie, Phillips, Katharine A., Warshaw, Meredith G., Keller, Martin B.
Předmět:
Zdroj: Archives of General Psychiatry; May2002, Vol. 59 Issue 5, p434, 7p
Abstrakt: Background: This investigation assessed the effect of personality disorders (PersDs) on time to remission in patients with generalized anxiety disorder, social phobia, or panic disorder. Methods: Selected Axis I and II predictors of time to remission during 5 years of follow-up were assessed in 514 patients with 1 or more of these anxiety disorders who participated in the Harvard/Brown Anxiety Research Program, a multisite, prospective, longitudinal, naturalistic study. Results: The presence of a PersD predicted a 30% lower likelihood of generalized anxiety disorder remission, a 39% lower likelihood of social phobia remission, and no difference in likelihood of panic disorder remission. More specifically, a lower likelihood of remission from generalized anxiety disorder was predicted by the presence of avoidant PersD (34% lower) and dependent PersD (14% lower). The presence of avoidant PersD predicted a 41% lower likelihood of social phobia remission. The presence of major depressive disorder did not account for these findings. Conclusions: Our findings provide new data on the pernicious effect of PersDs on the course of generalized anxiety disorder and social phobia but not panic disorder, suggesting that PersDs have a differential effect on the outcome of anxiety disorders. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index