SCID diagnosis of panic disorder in psychogenic seizure patients.
The authors administered the Structured Clinic Interview for DSM-III-R (SCID) to 20 outpatients with nonepileptic seizures documented by video-EEG. Fourteen (70%) had one or more non-somatoform DSM-III-R diagnoses. All 14 met criteria for panic disorder. Comorbid mood, psychotic, substance abuse, and eating disorders were also noted. Meticulous use of the SCID, with extensive follow-up, may have resulted in enhanced detection of panic disorder in patients who do not spontaneously report panic symptoms. Panic attacks may play a more important role in nonepileptic seizures than has been generally recognized, especially in outpatients with a chronic course of illness.
Snyder
S L
SL
Department of Psychiatry, Mount Sinai School of Medicine, New York, NY 10029.
Rosenbaum
D H
DH
Rowan
A J
AJ
Strain
J J
JJ
D000328:Adult; D004569:Electroencephalography; D001068:Feeding and Eating Disorders / Q000150:complications / Q000175:diagnosis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000150:complications / Q000175:diagnosis; D016584:Panic Disorder / Q000150:complications* / Q000175:diagnosis* / Q000523:psychology; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000150:complications / Q000175:diagnosis; D012640:Seizures / Q000150:complications*; D013001:Somatoform Disorders / Q000150:complications / Q000175:diagnosis; D019966:Substance-Related Disorders / Q000150:complications / Q000175:diagnosis