Evaluation of Axis I and Axis II Disorders Accompanied by Panic Disorder

Objective:Panic disorder (PD) is a disorder that progresses with relapses and reduces the quality of life. The frequent comorbidity of PD with other psychiatric diseases affects the course and treatment of the disease. In our study, it was aimed to evaluate the axis I and axis II disorders accompany...

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Bibliographic Details
Main Author: Mustafa Nuray Namlı
Format: Article
Language:English
Published: Galenos Yayinevi 2021-09-01
Series:Bagcilar Medical Bulletin
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Online Access: http://behmedicalbulletin.org/archives/archive-detail/article-preview/evaluation-of-axis--and-axis--disorders-accompanie/48856
Description
Summary:Objective:Panic disorder (PD) is a disorder that progresses with relapses and reduces the quality of life. The frequent comorbidity of PD with other psychiatric diseases affects the course and treatment of the disease. In our study, it was aimed to evaluate the axis I and axis II disorders accompanying PD.Method:The study was conducted in a university hospital psychiatry clinic with patients diagnosed with PD according to the diagnostic criteria of the diagnostic and statistical manual of mental disorders, revised 3rd edition (DSM-III-R) between February 1996 and June 1997. After psychiatric evaluation of 60 patients, socio-demographic and clinical information form, structured clinical interview for DSM-III-R (SCID-I), structured clinical interview for DSM-III-R personality disorders (SCID-II), Hamilton anxiety rating scale and Hamilton depression rating scale were applied. The chi-square (χ²) and Mann-Whitney U tests were used to evaluate the data. Study groups were formed as pure PD (group 1), PD with comorbid axis I disorder (group 2), and PD with comorbid axis II disorder (group 3).Results:In the study, 56.6% axis I and 43.3% axis II comorbidities were observed. Major depression, hypochondriasis, generalized anxiety disorder, social phobia, and obsessive-compulsive disorder were the most common Axis I comorbidities, respectively. Avoidant, dependent, obsessive-compulsive and histrionic personality disorders were the most common Axis II comorbidities, respectively.Conclusion:A high rate of axis I and axis II disorders accompanying PD adversely affects treatment and prognosis. Considering this situation in the treatment and follow-up of patients with PD and adding psychotherapies that also consider personality disorders to pharmacotherapy may increase the success rate in treatment.
ISSN:2547-9431