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  Vol. 45 No. 5, May 1988 TABLE OF CONTENTS
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The Course of Panic Attacks and Agoraphobia

Wolfgang Maier, MD; Raimund Buller, MD
Department of Psychiatry University of Mainz Untere Zahlbacher Straβe 8 D-6500 Mainz West Germany

Arch Gen Psychiatry. 1988;45(5):501.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Breier et al,1 in the November 1986 issue of the ARCHIVES, reported retrospective data on the course of panic disorder and agoraphobia. A major finding was the chronicity of anticipatory anxiety, generalized anxiety, agoraphobia, and frequent panic attacks. The problem with these findings is that the sample may be biased for chronicity: 28 of the 60 patients had a history of anxiety disorders longer than ten years. It may be that these patients came to the research treatment program because their conditions were refractory to treatment received in a primary care setting. Patients with a more favorable course that remits during treatment often never see a psychiatrist. Previous follow-up studies2 of anxiety disorders are similarly biased; the retrospective method may increase this bias. The hypothesis of chronicity in anxiety disorders therefore needs support from prospective studies in population samples. We had the opportunity to perform . . . [Full Text PDF of this Article]



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