Preferred Label : Panic disorder 1;
Symbol : PAND1;
CISMeF acronym : PAND1;
Type : Phenotype or locus, molecular basis unknown;
Alternative titles and symbols : Panic disorder susceptibility locus, chromosome 13q-related;
Description : One locus for susceptibility to panic disorder (PAND1) has been mapped to chromosome
13q. The DSM-IV (American Psychiatric Association, 1994) defines panic disorder as
the spontaneous, unexpected occurrence of panic attacks followed by persistent concern,
worry, and anxiety about having additional panic attacks. Panic attacks are defined
as a discrete period of intense fear or discomfort in which at least 4 of 13 symptom
criteria are met that develop abruptly and reach a peak within 10 minutes. Some of
these criteria include cardiac palpitations, sweating, feelings of choking, fear of
losing control, and fear of dying. Panic disorder is divided into panic disorder with
or without accompanying agoraphobia. However, agoraphobia can also occur without panic
disorder, and panic attacks can occur in the absence of panic disorder. Comorbidity
with depressive and addictive disorders is frequent. Barlow et al. (1994) and Smoller
and Tsuang (1998) noted that because the diagnostic criteria remain purely clinical,
the nosology of anxiety disorders, such as panic disorder, is controversial and evolving.
Therefore, it is difficult to do genetic studies because of the difficulty in delineating
overlapping phenotypes within the broader context of anxiety disorders. For example,
there may be overlap of panic with specific phobias, variable expressivity of panic
and anxiety or depression, or phenocopies within a family. The terms 'anxiety neurosis'
and 'phobic neurosis' were used in the past (before the DSM-III in 1980) to encompass
all of these disorders. Smoller and Tsuang (1998) suggested that dimensional personality
traits, such as shyness, behavioral inhibition, and neuroticism (see 607834), could
be used to define an anxiety phenotype. Schumacher et al. (2011) provided a review
of the genetics of panic disorder. They noted that there is high (80%) comorbidity
with other psychiatric disorders, including agoraphobia, mood disorders, substance
abuse, and other anxiety disorders. Associated personality traits include anxiety
sensitivity, behavioral inhibition, neuroticism, and harm avoidance. Women are more
susceptible to development of the disorder, which has an average age of onset at 23.6
years. - Genetic Heterogeneity of Susceptibility to Panic Disorder See also PAND2
(607853), which has been mapped to chromosome 9, and;
Inheritance : ? Autosomal dominant form;
Prefixed ID : %167870;
Origin ID : 167870;
UMLS CUI : C1868649;
Automatic exact mappings (from CISMeF team)
Currated CISMeF NLP mapping
DO Cross reference
HPO term(s)
Semantic type(s)