Maddock R J, Blacker K H
Department of Psychiatry, University of California, Davis.
Psychopathology. 1991;24(1):1-6. doi: 10.1159/000284689.
Thirty outpatients with panic disorder (PD) were treated at an anxiety clinic using a symptom-focused approach. Thirteen (43%) had no history of major depressive disorder (MDD), 12 (40%) had a history of secondary MDD, and 5 (17%) had history of primary MDD. The outcome was equally good in patients with no history of MDD (77% had good or excellent outcomes) and patients with a history of secondary MDD (83% had good or excellent outcomes). Patients with a history of primary MDD had the worst outcomes. These findings agree with earlier studies showing that secondary MDD does not adversely affect prognosis of patients presenting for treatment of PD.
三十名惊恐障碍（PD）门诊患者在一家焦虑症诊所接受了以症状为重点的治疗方法。其中13人（43%）无重度抑郁症（MDD）病史，12人（40%）有继发性MDD病史，5人（17%）有原发性MDD病史。无MDD病史的患者（77%预后良好或极佳）和有继发性MDD病史的患者（83%预后良好或极佳）的治疗效果同样良好。有原发性MDD病史的患者预后最差。这些发现与早期研究一致，表明继发性MDD不会对因PD就诊的患者的预后产生不利影响。
