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Titolo:
Axis I and Axis II comorbidity in panic/agoraphobic patients with and without suicidal ideation
Autore:
Starcevic, V; Bogojevic, G; Marinkovic, J; Kelin, K;
Indirizzi:
Inst Mental Hlth, YU-11000 Belgrade, Yugoslavia Inst Mental Hlth Belgrade Yugoslavia YU-11000 11000 Belgrade, Yugoslavia Univ Belgrade, Sch Med, Belgrade, Yugoslavia Univ Belgrade Belgrade Yugoslavia lgrade, Sch Med, Belgrade, Yugoslavia Univ Belgrade, Sch Med, Inst Social Med Stat & Hlth Res, Belgrade, Yugoslavia Univ Belgrade Belgrade Yugoslavia Stat & Hlth Res, Belgrade, Yugoslavia
Titolo Testata:
PSYCHIATRY RESEARCH
fascicolo: 2, volume: 88, anno: 1999,
pagine: 153 - 161
SICI:
0165-1781(19991108)88:2<153:AIAAIC>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
STRUCTURED CLINICAL INTERVIEW; PANIC DISORDER; RELIABILITY; PREVALENCE; BEHAVIOR;
Keywords:
panic disorder; agoraphobia; suicidal ideation; comorbidity; personality disorders; depression;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Life Sciences
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Starcevic, V Inst Mental Hlth, Palmoticeva 37, YU-11000 Belgrade, Yugoslavia Inst Mental Hlth Palmoticeva 37 Belgrade Yugoslavia YU-11000
Citazione:
V. Starcevic et al., "Axis I and Axis II comorbidity in panic/agoraphobic patients with and without suicidal ideation", PSYCHIAT R, 88(2), 1999, pp. 153-161

Abstract

In view of the controversial relationship between certain aspects of panicdisorder with agoraphobia (PDA), suicidal ideation and comorbidity, the purposes of this study were to compare severity of PDA and Axis I and Axis IIcomorbidity in PDA patients with and without suicidal ideation, and to examine predictors of suicidal ideation in these patients. Eighty-eight consecutive outpatients with PDA were administered structured diagnostic interviews for the DSM-IV Axis I and Axis II disorders (SCID-I and SCID-II), while the severity of PDA was assessed by means of the Panic Disorder Severity Scale. Of the patients, 25 (28.4%) reported suicidal ideation in past years ('ideators'). The severity of PDA was greater among ideators, and they were significantly more likely to have a personality disorder and more than one comorbid Axis I and Axis II disorder. There were no ideators without eitherAxis I or Axis II comorbidity. Univariate logistic regression identified several predictors of suicidal ideation: any DSM-IV Cluster C personality disorder, any DSM-IV Cluster B personality disorder, any comorbid mood disorder, and severity of PDA, With multivariate logistic regression, a combination of any Cluster C personality disorder and severity of PDA emerged as themost significant predictor of suicidal ideation. These findings have implications for clinical practice in that PDA patients should be carefully assessed for the severity of their illness and presence of certain personality disorders and comorbid mood disorders, because they may all increase the risk for suicidal ideation. (C) 1999 Elsevier Science Ireland Ltd. All rightsreserved.

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Documento generato il 16/07/20 alle ore 19:10:20