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J Psychiatr Res. 2011 Aug;45(8):1123-7. doi: 10.1016/j.jpsychires.2011.01.017. Epub 2011 Feb 18.

Family history of alcohol use disorders among adults with panic disorder in the community.

Author information

1
Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th Street, Rm 1505, New York, NY 10032, USA. rdg66@columbia.edu

Abstract

OBJECTIVE:

Clinical studies suggest a familial association between panic disorder and alcohol use disorders but this relationship has not been examined in a representative community sample. The objective of this study is to examine the familial association between panic disorder and alcohol use disorders among adults in the community.

METHOD:

Data were drawn from the NESARC, a nationally representative sample of over 43,000 adults in the United States. Rates of alcohol use disorders were examined using the family history method in first-degree relatives (FDRs) of adults with panic disorder. Analyses were adjusted for demographics, alcohol use disorders in the proband, and anxiety disorders in the FDRs.

RESULTS:

First-degree relatives of adults with panic disorder have significantly higher odds of alcohol use disorders, compared with FDRs of adults without panic disorder. These associations persist after adjusting for demographic characteristics, alcohol use disorders in the proband, and anxiety disorders in the FDR's.

CONCLUSIONS:

Consistent with findings from clinical studies, this is the first population-based study to show a familial link between panic disorder and alcohol use disorders. This association appears independent of the influence of comorbidity of alcohol use disorders and anxiety disorders, suggesting a potential familial and/or genetic pathway. Future longitudinal studies will be needed to further understand the mechanism of this observed association.

PMID:
21334007
PMCID:
PMC3337757
DOI:
10.1016/j.jpsychires.2011.01.017
[Indexed for MEDLINE]
Free PMC Article

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