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Personality Profiles in Patients Referred for Chest Pain

Investigation With Emphasis on Panic Disorder Patients

Received February 3, 1999; revised July 12, 1999; accepted July 28, 1999. From the Departments of Psychiatry, Acute Medicine, and Cardiology, Ullevål University Hospital, Oslo, Norway. Address reprint requests to Dr. Dammen, Department of Psychiatry, Ullevål University Hospital, 0407 Oslo, Norway; email: toril.dammen{at}psykiatri.uio.no

Patients (N=199) referred to cardiac outpatient investigation because of chest pain were assessed with the Personality Diagnostic Questionnaire (PDQ-4). Thirty-nine percent scored positive for any personality disorder. Borderline and avoidant personality disorders were found significantly more often in patients with panic disorder (PD) (n=72) than in patients without PD (12.5% vs. 2.5%, 23.7% vs. 7.7%, respectively). In PD patients, the presence of any personality disorder was significantly associated with higher scores of self-reported anxiety-agoraphobia symptoms, neuroticism, and the presence of suicidal thoughts. These results suggest that personality pathology is important in a subgroup of patients presenting with chest pain and that these patients may require more extensive treatment.

Key Words: Panic Disorder • Other Personality Disorder • Chest Pain

This article has been cited by other articles:

				D. Katerndahl Panic & Plaques: Panic Disorder & Coronary Artery Disease in Patients with Chest Pain J Am Board Fam Med, March 1, 2004; 17(2): 114 - 126. [Abstract] [Full Text] [PDF]

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