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Predictors of work disabilities in patients with panic disorder with agoraphobia

Published online by Cambridge University Press:  16 April 2020

Milan Latas ,
Vladan Starcevic  and
Dusanka Vucinic
Milan Latas*
Affiliation:
Institute of Psychiatry, Clinical Center of Serbia, Pasterova 2, Belgrade 11000, Serbia and Montenegro
Vladan Starcevic
Affiliation:
Department of Psychological Medicine, Nepean Hospital and University of Sydney, P.O. Box 63, Penrith, NSW 2751, Australia
Dusanka Vucinic
Affiliation:
Institute of Psychiatry, Clinical Center of Serbia, Pasterova 2, Belgrade 11000, Serbia and Montenegro
*
*Corresponding author. E-mail address: [email protected] (M. Latas).
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Abstract

Objective

The aim of this study was to ascertain predictors of work insufficiency in patients with panic disorder (PD) with agoraphobia (AG).

Method

Linear regression was used to identify predictors of work insufficiency in a sample of 72 consecutive outpatients with PD with AG. Intensity of work insufficiency was ascertained from modified National Institute of Mental Health Panic Questionnaire (NIMH PQ). That represented dependent variable. Independent variables were demographic data, duration of illness, presence of comorbid current major depression episode, presence of any personality disorder and scores on the Panic and Agoraphobia Scale (PAS) subscales: panic attacks, AG (avoidance behavior), anticipatory anxiety and worries about health.

Results

Patients reported severe work insufficiency. The best predict variable for the work insufficiency in patients with PD with AG was high score on the PAS dimension of AG.

Conclusion

Patients generally reported severe effects of PD with AG on work efficacy and the results suggested that the impaired work efficacy was the most associated with avoidance behavior. These results recommend that the treatment of PD with AG patients should be related to decreasing avoidance behavior in order to establish adequate work performance in patients.

Keywords

Panic disorderAgoraphobiaWork disabilityPredictors
Type
Original article
Information
European Psychiatry , Volume 19 , Issue 5 , August 2004 , pp. 280 - 284
Copyright
Copyright © 2004 European Psychiatric Association

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