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The panic-agoraphobic spectrum

The panic-agoraphobic spectrum

Human Psychopharmacology 14(Suppl. 1): S38-S44

Categorical classifications of mental disorders do not take into account the subthreshold, atypical and often enduring symptoms that accompany the core manifestations of full-blown mental disorders. However, this often neglected spectrum of symptoms may be as distressing and debilitating as the full-blown disorder and may have unrecognized importance in treatment selection and response. To this end, a spectrum approach to mental disorders, such as bipolar, obsessive-compulsive, eating, and panic disorder has been developed, which has been extensively used and proven effective in clinical practice. The need for a systematic identification and assessment of a broad array of symptoms and behavioural features led, as a first step, to the conceptualization of the panic-agoraphobic spectrum model and to the development of a structured interview (SCI-PAS). This model has been constructed by identifying different psychopathological and clinical domains incorporating and extending Panic Disorder as described in DSM-IV. The rationale, clinical usefulness, and heuristic significance of the panic-agoraphobic spectrum model will be discussed.

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Accession: 011531335

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DOI: 10.1002/(sici)1099-1077(199908)14:1+3.0.co;2-6

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