Agoraphobia without history of panic disorder

Hedley, Liv Margaret; Hoffart, Asle

doi:10.1002/cpp.295

Cited by 7 publications

(6 citation statements)

References 23 publications

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“…However, the relation between introversion and agoraphobia in patients with PD has not been found in previous studies because they tended to compare PD (with or without agoraphobia) with agoraphobia without history of PD. However, these findings would support the existence of more similarities than differences between these two diagnostics (42). In clinical populations of PD patients, PD with agoraphobia is most heavily represented, followed in frequency by PD without agoraphobia, and agoraphobia without a history of PD.…”

Section: Discussionmentioning

confidence: 78%

Personality traits in early phases of panic disorder: implications on the presence of agoraphobia, clinical severity and short‐term outcome

Carrera

Herrán

Ramirez

et al. 2006

Acta Psychiatr Scand

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Section: Discussionmentioning

confidence: 78%

Personality traits in early phases of panic disorder: implications on the presence of agoraphobia, clinical severity and short‐term outcome

Carrera

Herrán

Ramirez

et al. 2006

Acta Psychiatr Scand

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“…The question of whether agoraphobia (AG) constitutes a separate, independent diagnostic category distinct from panic attacks (PA) and panic disorder (PD) is a matter of contention [1,2,3,4,5,6,7,8,9,10]. DSM-IV hierarchy rules result in the nearly unconditional priority of PA and PD over the diagnosis of AG.…”

Section: Introductionmentioning

confidence: 99%

Agoraphobia and Panic

Wittchen

Nocon

Beesdo

et al. 2008

Psychother Psychosom

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Background: The relationship of panic attacks (PA), panic disorder (PD) and agoraphobia (AG) is controversial. The aim of the current study is to prospectively examine the 10-year natural course of PA, PD and AG in the first three decades of life, their stability and their reciprocal transitions. Methods: DSM-IV syndromes were assessed via Composite International Diagnostic Interview – Munich version in a 10-year prospective-longitudinal community study of 3,021 subjects aged 14–24 years at baseline. Results: (1) Incidence patterns for PA (9.4%), PD (with and without AG: 3.4%) and AG (5.3%) revealed differences in age of onset, incidence risk and gender differentiation. (2) Temporally primary PA and PD revealed only a moderately increased risk for subsequent onset of AG, and primary AG had an even lower risk for subsequent PA and PD. (3) In strictly prospective analyses, all baseline groups (PA, PD, AG) had low remission rates (0–23%). Baseline PD with AG or AG with PA were more likely to have follow-up AG, PA and other anxiety disorders and more frequent complications (impairment, disability, help-seeking, comorbidity) as compared to PD without AG and AG without PA. Conclusions: Differences in incidence patterns, syndrome progression and outcome, and syndrome stability over time indicate that AG exists as a clinically significant phobic condition independent of PD. The majority of agoraphobic subjects in this community sample never experienced PA, calling into question the current pathogenic assumptions underlying the classification of AG as merely a consequence of panic. The findings point to the necessity of rethinking diagnostic concepts and DSM diagnostic hierarchies.

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Section: Agoraphobia Has Been Decoupled From Panic Disorder and The mentioning

confidence: 99%

“…Given inconsistent findings and viewpoints, past review has not regarded the literature as providing conclusive evidence that the DSM should adopt a dualistic model of PD and AG (Hedley & Hoffart, 2001). Much of the literature has attributed discrepancies to factors unrelated to the boundaries of AG and PA/PD, such as methodological issues including low sample sizes that limit the interpretability of results (Hedley & Hoffart, 2001;Wittchen et al, 2010). Others suggest that differences in findings between epidemiologic and clinical samples may reflect the reduced likelihood that individuals who meet criteria for AG without history of panic would seek treatment (Craighead, Miklowitz, & Craighead, 2008;Hedley & Hoffart, 2001).…”

Section: Agoraphobia Has Been Decoupled From Panic Disorder and The mentioning

confidence: 99%

DSM-5 and the Assessment of Childhood Anxiety Disorders: Meaningful Progress, New Problems, or Persistent Diagnostic Quagmires?

Chou

Cornacchio

Cooper‐Vince

et al. 2015

Psychopathology Review

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Having passed the one-year anniversary of the initial DSM-5 publication, this paper presents a guiding summary of key areas of change-and lack thereof-across DSM definitions of disorders affecting anxious youth, and offers data-informed evaluations and commentaries clarifying the areas in which DSM-5 should be celebrated as a meaningful advancement in the assessment of child anxiety, diagnostic dilemmas in child anxiety assessment from previous DSM editions that remain unresolved in DSM-5, and areas in which DSM-5 may have actually introduced new problems into the assessment of child anxiety. We organize our review and commentary around five of the meaningful changes in DSM-5 with implications for the assessment of anxious youth: (1) the new classification of selective mutism as an anxiety disorder; (2) the removal of the social anxiety disorder "generalized" specifier and the new addition of a "performance-only" specifier; (3) the revised operationalization of agoraphobia and the decoupling of agoraphobia from panic disorder; (4) the creation of a new category-disruptive mood dysregulation disorder-for diagnosing youth presenting with chronic irritability and severe temper outbursts; and (5) the revised classification of anxiety disorders not otherwise specified in the DSM. We then turn our attention to discuss four areas of noted diagnostic dilemmas in the assessment of child anxiety from DSM-IV that remain unresolved in the new DSM-5: (1) the phenomenological overlap between the OCD and generalized anxiety disorder (GAD) definitions; (2) the phenomenological overlap between GAD and major depressive disorder (MDD) definitions; (3) differential diagnostic utility across the separation anxiety disorder symptoms; and (4) the extent to which youth presenting with multiple marked and persistent fears should be assigned multiple distinct diagnoses of specific phobia.

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Agoraphobia without history of panic disorder

Cited by 7 publications

References 23 publications

Personality traits in early phases of panic disorder: implications on the presence of agoraphobia, clinical severity and short‐term outcome

Personality traits in early phases of panic disorder: implications on the presence of agoraphobia, clinical severity and short‐term outcome

Agoraphobia and Panic

DSM-5 and the Assessment of Childhood Anxiety Disorders: Meaningful Progress, New Problems, or Persistent Diagnostic Quagmires?

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