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Panic disorder appears to increase risk of coronary heart disease
September 23, 2005Patients with panic disorder have nearly double the risk for coronary heart disease, and those also diagnosed with depression are at almost three times the risk, according to new research.
The study in the current issue of Psychosomatic Medicine focuses on the medical histories of nearly 40,000 people from the time they were first diagnosed as suffering from panic disorder.
Lead author Andres Gomez-Caminero, Ph.D., says the large cohort study "highlights, for the first time, the potential for additive effects of different psychiatric conditions on cardiovascular health.and it really sets the foundation for new research in the area of cardiovascular risk estimation among patients with mental illness."
The report focuses on medical histories from a database of 17 million patients jointly maintained by 30 managed care providers.
Panic disorder involves unexpected and repeated episodes of intense fear accompanied by physical symptoms including chest pain, heart palpitations, shortness of breath, dizziness or abdominal distress. Panic disorder patients are more likely to be female, overweight, smokers and have a history of depression.
About 2.4 million Americans annually experience panic episodes, and the manifestations often mimic symptoms of a heart attack. The disorder can be treated by medications and psychotherapy.
Coronary heart disease is an umbrella term for processes that reduce the arterial flow of blood to the heart. Nearly 14 million Americans have a history of coronary heart disease, which is the leading cause of death in the United States.
The authors of the study say the mechanism by which incidents of panic disorder might trigger coronary heart disease is not known. However, they note that certain stress responses to depression already have been shown to increase the risk of coronary heart disease, which reinforces the study's conclusion that the association between a panic disorder and coronary heart disease "suggests the need for cardiologists and internists to monitor panic disorder" in the interest of cutting the risk of coronary heart disease.
Jack Gorman, M.D., a professor pf psychiatry and neuroscience at the Mount Sinai School of Medicine, calls the study, "one more piece of evidence that mood and anxiety disorders significantly increase the risk for heart disease," adding that more work is needed "to understand the basic biological link between the brain and the heart that explains these phenomena."
Center for the Advancement of Health
The report focuses on medical histories from a database of 17 million patients jointly maintained by 30 managed care providers.
Panic disorder involves unexpected and repeated episodes of intense fear accompanied by physical symptoms including chest pain, heart palpitations, shortness of breath, dizziness or abdominal distress. Panic disorder patients are more likely to be female, overweight, smokers and have a history of depression.
About 2.4 million Americans annually experience panic episodes, and the manifestations often mimic symptoms of a heart attack. The disorder can be treated by medications and psychotherapy.
Coronary heart disease is an umbrella term for processes that reduce the arterial flow of blood to the heart. Nearly 14 million Americans have a history of coronary heart disease, which is the leading cause of death in the United States.
The authors of the study say the mechanism by which incidents of panic disorder might trigger coronary heart disease is not known. However, they note that certain stress responses to depression already have been shown to increase the risk of coronary heart disease, which reinforces the study's conclusion that the association between a panic disorder and coronary heart disease "suggests the need for cardiologists and internists to monitor panic disorder" in the interest of cutting the risk of coronary heart disease.
Jack Gorman, M.D., a professor pf psychiatry and neuroscience at the Mount Sinai School of Medicine, calls the study, "one more piece of evidence that mood and anxiety disorders significantly increase the risk for heart disease," adding that more work is needed "to understand the basic biological link between the brain and the heart that explains these phenomena."
Center for the Advancement of Health
Panic Disorder Current Events and Panic Disorder News RSSExpectant brains help predict anxiety treatment success
A network of emotion-regulating brain regions implicated in the pathological worry that can grip patients with anxiety disorders may also be useful for predicting the benefits of treatment.
Lower childhood IQ associated with higher risk of adult mental disorders
Researchers have hypothesized that people with lower IQs may have a higher risk of adult mental disorders, but few studies have looked at the relationship between low childhood IQ and psychiatric disorders later in life.
Mouse genes guide search for human anxiety disorder genes
We are all familiar with the question - "Are you a man or a mouse?" What if the answer is "a little of both"?
Study offers new insights into teenagers and anxiety disorders
Can scientists predict who will develop anxiety disorders years in advance? UCLA psychology professor Michelle Craske thinks so. She is four years into an eight-year study evaluating 650 students, who were 16 when the study began, to identify risk factors for the development of anxiety and depression - the most comprehensive study of its kind.
Genetic predisposition may play a role in anxiety disorders
Finnish scientists have identified genes that may predispose to anxiety disorders. Research conducted under the supervision of Academy Research Fellow Iiris Hovatta have focused on genes that influence human behaviour, and some of the studied genes show a statistical association with specific anxiety disorders.
D-cycloserine may improve behavioral therapy treatment for anxiety
Anxiety is a normal human response to stress, but in some, it can develop into a disabling disorder of excessive and irrational fears, such as obsessive-compulsive disorder, panic disorder, or posttraumatic stress disorder. Effective treatments are available and can involve either behavioral therapy or medications.
NIH study reveals incidence, precursors and psychiatric sequelae of major psychiatric disorders
A new study by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) presents results on the first onset of substance use disorders (i.e., alcohol and drug abuse and dependence) and major mood and anxiety disorders, based on Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC).
Fear that freezes the blood in your veins
"The blood froze in my veins" or "My blood curdled" - these common figures of speech can be taken literally, according to the latest studies. Indeed, more literally than some of us would like. For it turns out that intense fear and panic attacks can really make our blood clot and increase the risk of thrombosis or heart attack.
Research team finds link between asthma and depressive disorders
Young people with asthma are about twice as likely to suffer from depressive and anxiety disorders than are children without asthma, according to a study by a research team in Seattle.
Mental disorders are disorders of the brain
Depression, anxiety disorders such as panic disorder and obsessive-compulsive disorders, alcohol and drug dependence, dementia and Parkinson's disease are just a few examples of "disorders of the brain".
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