OBJECTIVE: Little is known about the prevalence of panic symptoms that
do not meet criteria for panic disorder. This study was conducted to
determine the prevalence of panic disorder, panic attacks, and limited-
symptom attacks in the general population. METHOD: The authors identified a
community-based sample of 1,683 randomly selected adults in 18 census
tracts in San Antonio, Tex.; 1,306 of these subjects agreed to be
interviewed with the Structured Clinical Interview for DSM- III. Subjects
were classified as having panic disorder if they met DSM- III-R criteria,
as having panic attacks if they had attacks of four or more panic symptoms
but did not have panic disorder, and as having limited-symptom attacks if
they had attacks of fewer than four symptoms but no full-blown panic
attacks. RESULTS: The crude lifetime prevalence rates were 3.8% for panic
disorder, 5.6% for panic attacks, and 2.2% for limited symptom attacks.
Women had higher rates of panic disorder and panic attacks than men, but
the difference between men and women was not statistically significant for
limited-symptom attacks. No statistically significant differences in rates
between Hispanic and either non-Hispanic white or black subjects were
found. Non-Hispanic white subjects had higher rates of limited-symptom
attacks than black subjects. CONCLUSIONS: The prevalence of limited-symptom
attacks in this community-based study was 2.2%; black subjects had lower
rates than non-Hispanic white subjects. Panic attacks appear to be at least
as common as DSM-III-R panic disorder and, like panic disorder, are more
common among women.
Abstract Teaser