Panic attacks in psychosis.
OBJECTIVE
To determine the prevalence, psychiatric comorbidity and suicidal ideation associated with co-occurring non-affective psychosis and panic attacks, compared with non-affective psychosis without panic attacks, in the general population.


METHODS
Data were drawn from the National Comorbidity Survey (n = 8098). Statistical analyses were used to identify differences in sociodemographic characteristics, psychiatric comorbidity, suicidal ideation, and familial psychopathology between those with non-affective psychoses with and without panic, as well as to identify correlates of non-affective psychosis and panic.


RESULTS
Co-occurring panic attacks and non-affective psychosis, compared with non-affective psychosis without panic, was associated with elevated psychiatric comorbidity and increased odds of suicidal ideation.


CONCLUSIONS
Consistent with clinical findings, these data suggest that panic attacks commonly co-occur with psychosis in the community. Results indicate that the co-occurrence of panic and psychosis is associated with increased likelihood of psychiatric comorbidity and suicidality. These findings need replication.
Goodwin
Renee
R
Department of Psychiatry, College of Physicians and Surgeons, Joseph L. Mailman School of Public Health, Columbia University, USA.
Davidson
Larry
L
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016584:Panic Disorder / Q000150:complications* / Q000235:genetics / Q000523:psychology; D011618:Psychotic Disorders / Q000150:complications* / Q000235:genetics / Q000523:psychology; D011795:Surveys and Questionnaires