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The Galway Study of Panic Disorder IV

Temporal Stability of Diagnosis by Present State Examination Test–Retest

Published online by Cambridge University Press:  02 January 2018

D. O'Rourke
Affiliation:
St Mary's Hospital, Castlebar, Co. Mayo, Ireland
T. J. Fahy*
Affiliation:
Clinical Science Institute, University College Hospital, Galway
P. Prescott
Affiliation:
Department of Mathematical Studies, University of Southampton, Southampton SO17 1BJ
*
Professor T. J. Fahy, Clinical Science Institute, University College Hospital, Galway, Ireland

Abstract

Background

A long-term outcome study of DSM–III–R panic disorder included the Present State Examination (PSE) at baseline and follow up five to six years later.

Method

PSE test–retest and individual within-patient change scores on various PSE syndromes were assessed for consistency with either a categorical view of panic disorder as a stable clinical entity or panic disorder as one facet only of a ‘general neurotic syndrome’.

Results

PSE profile at baseline was virtually identical with that at follow up. Few patients had ‘changed’ in PSE syndrome diagnosis after five to six years.

Conclusion

These data, although not conclusive, are supportive of the concept of DSM–III–R panic disorder as a stable clinical entity and are correspondingly difficult to reconcile with the view that panic disorder is but one facet only of a general neurotic syndrome.

Type
Papers
Copyright
Copyright © 1996 The Royal College of Psychiatrists 

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