Dissociative symptoms in panic disorder
Abstract
The present study examined the prevalence and correlates of dissociative symptoms in patients with panic disorder and patients with other nonpanic anxiety disorders. A total of 56 patients with anxiety disorders (13 with panic disorder alone, 16 with comorbid panic and other anxiety, and 27 with other anxiety disorders) were assessed with structured clinical interviews and a battery of questionnaires. Although 69% of patients with panic disorder experienced depersonalization or derealization during their panic attacks, panic disorder patients were no more likely to experience dissociative experiences as assessed by the Dissociative Experience Scale than patients with other anxiety disorders. In the entire sample, the prevalence of dissociative experiences was very low and well within nonpathological ranges. The correlates of dissociative symptoms were severity of depression, social anxiety, and personality disorders. The implications of these findings for conceptualizing the nature of dissociative symptoms within an anxiety population are discussed.
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Dissociative symptomatology can also be present in syndromes less frequently associated with trauma, including major depressive disorder, anxiety disorders, obsessive compulsive disorder, bipolar disorder, alcohol and drug abuse and dependence, and schizophrenia.
“Notably, dissociative symptomatology can also be present in syndromes less frequently associated with trauma including major depressive disorder (MDD) (Bob et al., 2008;Molina-Serrano et al., 2008;Mula et al., 2007;Sar et al., 2013;Parlar et al., 2016), anxiety disorders (Ball et al., 1997;Marquez et al., 2001;Mula et al., 2007;Sierra et al., 2012), obsessive compulsive disorder (OCD) (Belli,”
From A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions (2016) · cites this paper as Ball et al., 1997
Among a sample of individuals with panic disorder and other anxiety disorders, individuals who experienced symptoms of depersonalization had higher rates of comorbid depression and personality disorder symptoms.
“Interestingly, among a sample of individuals with panic disorder and other anxiety disorders (social phobia; generalized anxiety disorder; OCD; specific phobia), individuals who experienced symptoms of depersonalization had higher rates of comorbid depression and personality disorder symptoms (Ball et al., 1997)”
From A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions (2016) · cites this paper as Ball et al., 1997
Dissociative symptomatology or comorbid dissociative disorders are observed across numerous psychiatric conditions, including panic disorder, agoraphobia and social phobia, MDD, bipolar disorder, OCD, and schizophrenia.
“dissociative symptomatology or comorbid dissociative disorders are observed across numerous psychiatric conditions, including panic disorder, agoraphobia and social phobia (Ball et al., 1997;Marquez et al., 2001;Mula et al., 2007;Simeon et al., 2003), MDD (Nuller, 1982;Parlar et al., 2016), bipolar disorder (Oedegaard et al., 2008), OCD (Belli, 2014;Belli et al., 2012;Rufer et al., 2006aRufer et a”
From A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions (2016) · cites this paper as Ball et al., 1997
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- Authors
- BALL, S., ROBINSON, A., SHEKHAR, A., & WALSH, K.
- Affiliations
- Indiana University School of Medicine (US)
- Venue
- The Journal of Nervous & Mental Disease
- Published
- 1997-12
- Volume
- 185
- Issue
- 12
- Pages
- 755-760
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W2317196251
- Cited by
- 65
- References
- 13
- Citations by year
- 2025: 1 · 2024: 2 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 2 · 2018: 3 · 2017: 2 · 2016: 2 · 2015: 3 · 2014: 5 · 2013: 4 · 2012: 1
- FWCI
- 0.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- dissociative symptoms, panic disorder, depersonalization, derealization, anxiety disorders, comorbidities, Dissociative Experiences Scale, depression severity, social anxiety, personality disorders, panic attacks
- MeSH terms
- Adult, Anxiety Disorders, Depressive Disorder, Dissociative Disorders, Female, Humans, Male, Personality Disorders, Psychiatric Status Rating Scales, Surveys and Questionnaires, Severity of Illness Index, Comorbidity, Prevalence, Panic Disorder
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