ABSTRACT

Since the introduction of panic disorder as a diagnostic entity in 1980 with the publication of DSM-III, at least five family history studies ( 4 - 8) and seven direct-interview family studies (9-18) have been reported. Every one of these studies has documented an excess risk of panic disorder among the relatives of affected probands. Because agorapho­ bia is considered an associated condition, several of the studies have reported rates of panic disorder with and without agoraphobia. Table 1 summarizes the direct-interview family studies. Overall, these studies have found that first-degree relatives of probands with panic disorder have about a three-to 17-fold higher lifetime risk of panic disorder compared to relatives of unaffected probands.