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PMID |
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TITLE |
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Panic disorder in women: a population-based twin study. |
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ABSTRACT |
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Previous studies based on probands from clinical samples suggest that panic disorder aggregates strongly in families and may be due to a highly penetrant single major locus. In this study we examine panic disorder as assessed at blind, structured psychiatric interview in 2163 women from a population-based twin registry. DSM-III-R diagnoses were assigned at a narrow and at a broad level both by clinician review and by computer algorithm. The familial aggregation of panic disorder in this sample was only modest. The relatively small number of affected individuals prevented a definitive resolution of competing genetic and non-genetic models of familial transmission. Although there was some inconsistency across diagnostic approaches, most results suggested that the familial aggregation of panic disorder was due largely to genetic factors. Using a multifactorial-threshold model, the best estimates of the heritability of liability ranged from 30 to 40%. From a familial perspective, panic disorder with phobic avoidance appears to represent a more severe form of the syndrome than panic disorder without avoidance. Our results, which suggest that in the general population panic disorder is only a moderately heritable condition, are at variance with results from several previous investigations based on clinically ascertained samples. |
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DATE PUBLISHED |
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HISTORY |
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PUBSTATUS |
PUBSTATUSDATE |
pubmed |
1993/05/01 |
medline |
1993/05/01 00:01 |
entrez |
1993/05/01 00:00 |
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AUTHORS |
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NAME |
COLLECTIVENAME |
LASTNAME |
FORENAME |
INITIALS |
AFFILIATION |
AFFILIATIONINFO |
Kendler KS |
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Kendler |
K S |
KS |
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Department of Psychiatry, Medical College of Virginia/Virginia Commonwealth University, Richmond 23298-0710. |
Neale MC |
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Neale |
M C |
MC |
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Kessler RC |
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Kessler |
R C |
RC |
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Heath AC |
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Heath |
A C |
AC |
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Eaves LJ |
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Eaves |
L J |
LJ |
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INVESTIGATORS |
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JOURNAL |
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VOLUME: 23 |
ISSUE: 2 |
TITLE: Psychological medicine |
ISOABBREVIATION: Psychol Med |
YEAR: 1993 |
MONTH: May |
DAY: |
MEDLINEDATE: |
SEASON: |
CITEDMEDIUM: Print |
ISSN: 0033-2917 |
ISSNTYPE: Print |
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MEDLINE JOURNAL |
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MEDLINETA: Psychol Med |
COUNTRY: England |
ISSNLINKING: 0033-2917 |
NLMUNIQUEID: 1254142 |
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PUBLICATION TYPE |
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PUBLICATIONTYPE TEXT |
Journal Article |
Research Support, U.S. Gov't, P.H.S. |
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COMMENTS AND CORRECTIONS |
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REFTYPE |
REFSOURCE |
REFPMID |
NOTE |
CommentIn |
Psychol Med. 1994 Feb;24(1):259-60 |
8208890 |
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GRANTS |
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GRANTID |
AGENCY |
COUNTRY |
HD-26746 |
NICHD NIH HHS |
United States |
MH-40828 |
NIMH NIH HHS |
United States |
NS-25630 |
NINDS NIH HHS |
United States |
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GENERAL NOTE |
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KEYWORDS |
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MESH HEADINGS |
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DESCRIPTORNAME |
QUALIFIERNAME |
Adult |
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Diseases in Twins |
psychology |
Female |
psychology |
Humans |
psychology |
Models, Genetic |
psychology |
Panic Disorder |
psychology |
Psychiatric Status Rating Scales |
psychology |
Risk Factors |
psychology |
Social Environment |
psychology |
Twins, Dizygotic |
psychology |
Twins, Monozygotic |
psychology |
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SUPPLEMENTARY MESH |
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GENE SYMBOLS |
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CHEMICALS |
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OTHER ID's |
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