Avoidance behaviour: A predictor of the efficacy of pharmacotherapy in panic disorder?
- 1 December 1991
- journal article
- clinical trial
- Published by Springer Nature in Archiv Fur Psychiatrie Und Nervenkrankheiten
- Vol. 241 (3) , 151-158
- https://doi.org/10.1007/bf02219714
Abstract
The impact of the avoidance behaviour on the psychopharmacological treatment of panic disorder was explored in the Cross National Collaborative Panic Study (n=1134 patients); in this double blind randomized trial alprazolam, imipramine and placebo were compared during an 8-week treatment period. Patients with extensive avoidance behaviour (agoraphobia) had the most profit from the active drugs. Counter expectancy these specific drug effects were most pronounced in avoidance behaviour. Active drugs (in particular imipramine) were especially more effective than placebo if the patients presented with associated avoidance behaviour. The results suggest that agoraphobia defines more a particular type of anxiety disorder overlapping with panic disorder than merely a severe state of panic disorder.Keywords
This publication has 15 references indexed in Scilit:
- Drug Treatment of Panic Disorder: Comparative Efficacy of Alprazolam, Imipramine, and PlaceboThe British Journal of Psychiatry, 1992
- The utility of the panic disorder conceptArchiv Fur Psychiatrie Und Nervenkrankheiten, 1989
- Anxiety, panic and phobic disorders: An oveviewJournal of Psychiatric Research, 1988
- Revised diagnostic criteria and a new structured interview for diagnosing anxiety disordersJournal of Psychiatric Research, 1988
- The Value of Structured Clinical InterviewsArchives of General Psychiatry, 1988
- Alprazolam in Panic Disorder and Agoraphobia: Results From a Multicenter TrialArchives of General Psychiatry, 1988
- Overview of the Cross-National Collaborative Panic StudyArchives of General Psychiatry, 1988
- Panic and Avoidance in AgoraphobiaArchives of General Psychiatry, 1987
- Treatment of PhobiasArchives of General Psychiatry, 1983
- THE ASSESSMENT OF ANXIETY STATES BY RATINGPsychology and Psychotherapy: Theory, Research and Practice, 1959