Consensus statement on panic disorder from the International Consensus Group on Depression and Anxiety.
Journal Article (Review)
Objective
To provide primary care clinicians with a better understanding of management issues in panic disorder and guide clinical practice with recommendations for appropriate pharmacotherapy.Participants
The 4 members of the International Consensus Group on Depression and Anxiety were James C. Ballenger (chair), Jonathan R. T. Davidson, Yves Lecrubier, and David J. Nutt. Four faculty invited by the chairman also participated: David S. Baldwin, Johan A. den Boer, Siegfried Kasper, and M. Katherine Shear.Evidence
The consensus statement is based on the 6 review papers that are published in this supplement and on the scientific literature relevant to these issues.Consensus process
There were group meetings held during a 2-day period. On day 1, the group discussed each review paper and the chairman and discussant (Dr. Kasper) identified key issues for further debate. On day 2, the group discussed these key issues to arrive at a consensus view. After the group meetings, the consensus statement was drafted by the chairman and approved by all attendees.Conclusions
The consensus statement provides standard definitions for response and remission and identifies appropriate strategy for the management of panic disorder in a primary care setting. Serotonin selective reuptake inhibitors are recommended as drugs of first choice with a treatment period of 12 to 24 months. Pharmacotherapy should be discontinued slowly over a period of 4 to 6 months.Full Text
Duke Authors
Cited Authors
- Ballenger, JC; Davidson, JR; Lecrubier, Y; Nutt, DJ; Baldwin, DS; den Boer, JA; Kasper, S; Shear, MK
Published Date
- January 1998
Published In
Volume / Issue
- 59 Suppl 8 /
Start / End Page
- 47 - 54
PubMed ID
- 9707162
Pubmed Central ID
- 9707162
Electronic International Standard Serial Number (EISSN)
- 1555-2101
International Standard Serial Number (ISSN)
- 0160-6689
Language
- eng