Investigating Relations Between the Symptoms of Panic, Agoraphobia, and Suicidal Ideation: The Significance of Comorbid Depressive Symptoms in Veterans with Panic Disorder.

IF 1.3 4区 心理学 Q3 PSYCHOLOGY, CLINICAL
Daniel F Gros, Jeffrey M Pavlacic, Jennifer M Wray, Derek D Szafranski
{"title":"Investigating Relations Between the Symptoms of Panic, Agoraphobia, and Suicidal Ideation: The Significance of Comorbid Depressive Symptoms in Veterans with Panic Disorder.","authors":"Daniel F Gros, Jeffrey M Pavlacic, Jennifer M Wray, Derek D Szafranski","doi":"10.1007/s10862-023-10082-4","DOIUrl":null,"url":null,"abstract":"<p><p>Although panic disorder has been frequently associated with increased suicidal ideation and behaviors, there are multiple explanations for this association in the literature. For example, some research has demonstrated panic disorder symptoms to mediate agoraphobia and suicidal ideation, while other researchers have hypothesized that comorbid depression symptoms contribute to suicidal ideation across anxiety disorders. Of note, none of these studies were completed in veterans, a population at higher risk for suicide relative to civilian samples. The present study investigated relations between the symptoms of panic, agoraphobia, depression, and suicidal ideation in 58 veterans diagnosed with panic disorder via correlations, hierarchical regression, and exploratory path analyses. Multiple models were investigated based on prior research. The final path model demonstrated that symptoms of panic disorder predicted agoraphobia symptoms, with agoraphobia predicting symptoms of depression. Symptoms of depression, then, predicted suicidal ideation. Discussion of the findings related to comorbid depressive symptoms highlight considerations for the assessment and treatment practices for panic disorder, with a particular focus on veterans receiving care within Veterans Affairs Healthcare System.</p>","PeriodicalId":16910,"journal":{"name":"Journal of Psychopathology and Behavioral Assessment","volume":null,"pages":null},"PeriodicalIF":1.3000,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10996580/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Psychopathology and Behavioral Assessment","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1007/s10862-023-10082-4","RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/8/28 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 0

Abstract

Although panic disorder has been frequently associated with increased suicidal ideation and behaviors, there are multiple explanations for this association in the literature. For example, some research has demonstrated panic disorder symptoms to mediate agoraphobia and suicidal ideation, while other researchers have hypothesized that comorbid depression symptoms contribute to suicidal ideation across anxiety disorders. Of note, none of these studies were completed in veterans, a population at higher risk for suicide relative to civilian samples. The present study investigated relations between the symptoms of panic, agoraphobia, depression, and suicidal ideation in 58 veterans diagnosed with panic disorder via correlations, hierarchical regression, and exploratory path analyses. Multiple models were investigated based on prior research. The final path model demonstrated that symptoms of panic disorder predicted agoraphobia symptoms, with agoraphobia predicting symptoms of depression. Symptoms of depression, then, predicted suicidal ideation. Discussion of the findings related to comorbid depressive symptoms highlight considerations for the assessment and treatment practices for panic disorder, with a particular focus on veterans receiving care within Veterans Affairs Healthcare System.

惊恐、广场恐怖和自杀意念之间的关系:退伍军人惊恐障碍共病抑郁症状的意义
虽然惊恐障碍经常与自杀意念和行为的增加有关,但文献中对这种关联有多种解释。例如,一些研究表明恐慌症症状是恐旷症和自杀意念的中介,而另一些研究人员则假设,合并抑郁症状会导致焦虑症患者产生自杀意念。值得注意的是,这些研究都不是针对退伍军人完成的,而相对于平民样本,退伍军人的自杀风险更高。本研究通过相关性分析、分层回归分析和探索性路径分析,调查了 58 名被诊断患有惊恐障碍的退伍军人的惊恐、惧高症、抑郁症状和自杀意念之间的关系。根据先前的研究,对多个模型进行了研究。最终的路径模型表明,恐慌症症状可预测惧旷症症状,而惧旷症可预测抑郁症症状。抑郁症状则预示着自杀意念。与合并抑郁症状相关的研究结果讨论强调了恐慌症评估和治疗实践中的注意事项,尤其关注在退伍军人事务医疗保健系统内接受治疗的退伍军人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
2.70
自引率
6.20%
发文量
64
期刊介绍: The Journal of Psychopathology and Behavioral Assessment publishes articles reporting research investigations and clinical case summaries which enhance understanding of psychopathology and mental disorders applicable to all ages, deviant or abnormal behaviors, including those related to medical conditions and trauma, and constructs descriptive of personality. The Journal fosters scientific inquiry into assessment, description, and classification of normal and abnormal behaviors, psychobiological factors predisposing, precipitating, and maintaining psychopathology, and theories of psychopathology and behavior change. Studies of normal personality constructs and positive person attributes, person and environment factors influencing behavioral outcomes, and interactive models of cognitive, emotional, and behavior resource factors as impacting normal and abnormal behaviors are encouraged. Within Journal purview are articles focusing on therapeutic interventions, technical notes on instrumentation and assessment methodology, and reviews of recently-published books.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信