Publikationen


Suche nach „[H.-U.] [Wittchen]“ hat 26 Publikationen gefunden
Suchergebnis als PDF
    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    S. Knappe, Agnes Nocon, K. Beesdo-Baum, H.-U. Wittchen

    Further evidence for the differential familial aggregation of agoraphobia and panic disorder

    [Congress Abstract; 102nd Annual American Psychopathological Association Meeting on “Multigenerational Transmission of Psychopathology"; March 1-3, 2012; New York, NY, USA]

    Comprehensive Psychiatry, vol. 54, no. 1

    2013

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    S. Knappe, Agnes Nocon, K. Beesdo-Baum, H.-U. Wittchen

    Re-examining the differential familial liability of agoraphobia and panic disorder

    Depression and Anxiety, vol. 29, no. 11, pp. 931-938

    2012

    DOI: 10.1002/da.21975

    Abstract anzeigen

    BACKGROUND: Controversy surrounds the question of whether agoraphobia (AG) exists as an independent diagnostic entity apart from panic. In favor of this position, AG without panic disorder (PD) in parents was found being unrelated to offsprings' risk for AG or PD, albeit it may enhance the familial transmission of PD (Nocon et al., Depress Anxiety 2008;25:422-434). However, a recent behavioral genetic analysis (Mosing et al., Depress Anxiety 2009;26:1004-1011) found an increased risk for both PD and AG in siblings of those with AG without PD, casting doubt on whether AG exists independently of PD. Convincing evidence for either position notably requires considering also other anxiety disorders to establish the position of AG relative to the panic/anxiety spectrum. METHODS: Familial transmission of panic attacks (PAs), PD, and AG was examined in a 10-year prospective-longitudinal community study of 3,021 adolescents and young adults including completed direct and indirect information on parental psychopathology. Standardized diagnostic assessments using the Munich-Composite International Diagnostic Interview allowed generating exclusive diagnostic groups independent from diagnostic hierarchy rules. RESULTS: Parental PD without AG was associated with an increased risk for PA and PD+AG, but not for PD without AG or AG without PD in offspring. Parental AG without PD was unrelated to the offsprings' risk for PA, exclusive PD or AG, or PD+AG. Findings were largely unaffected by adjustment for other offspring or parental anxiety disorders. CONCLUSIONS: Findings provide further evidence for the independence of AG apart from the PD spectrum.

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    R. Lieb, M. Uhr, Agnes Nocon, T. Brückl, M. Ising, P. Zimmermann, H.-U. Wittchen, E. Binder, H. Pfister, F. Holsboer

    The interplay of variations in the FKBP5 gene and adverse life events in predicting the first onset of depression during a ten-year follow-up

    [Congress Abstract; 26th Symposium of the AGNP; Munich; October, 7-10, 2009]

    Pharmacopsychiatry, vol. 42, no. 5

    2009

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    R. Lieb, Agnes Nocon, T. Brückl, P. Zimmermann, Angst, H.-U. Wittchen, H. Pfister, F. Holsboer

    Heterogeneity of DSM-IV Major Depressive Disorder as a Consequence of Subthreshold Bipolarity

    Archives of General Psychiatry, vol. 66, no. 12, pp. 1341-1352

    2009

    GesundAngewandte Gesundheitswissenschaften

    Beitrag (Sammelband oder Tagungsband)

    R. Lieb, Agnes Nocon, T. Brückl, M. Ising, P. Zimmermann, H.-U. Wittchen, H. Pfister, M. Höfler

    Pathways into panic and phobias

    Abstractband zum Institutssymposium des Max-Planck-Instituts für Psychiatrie (29.-30.07.2008), München

    2008

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    R. Lieb, Agnes Nocon, K. Beesdo, D. Pine, H.-U. Wittchen, A. Gloster, M. Höfler

    Relationship of panic and agoraphobia: rethinking of a diagnostic concept?

    [Abstract]

    European Neuropsychopharmacology, vol. 18, no. Supplement 4

    2008

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    J. Rehm, R. Lieb, Agnes Nocon, T. Brückl, P. Zimmermann, H.-U. Wittchen, H. Pfister, M. Höfler, H. Irving

    Pathways into panic and phobias

    [Abstract]

    The International Journal of Neuropsychopharmacology, vol. 11, no. Suppl. 1

    2008

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    R. Lieb, Agnes Nocon, K. Beesdo, D. Pine, H.-U. Wittchen, A. Gloster, M. Hoefler

    Agoraphobia and Panic: Prospective-longitudinal Relations Suggest a Rethinking of Diagnostic Concepts

    Psychotherapy and Psychosomatics, vol. 77, no. 3, pp. 147-157

    2008

    DOI: 10.1159/000116608

    Abstract anzeigen

    Background: The relationship of panic attacks (PA), panic disorder (PD) and agoraphobia (AG) is controversial. The aim of the current study is to prospectively examine the 10-year natural course of PA, PD and AG in the first three decades of life, their stability and their reciprocal transitions. Methods: DSM-IV syndromes were assessed via Composite International Diagnostic Interview – Munich version in a 10-year prospective-longitudinal community study of 3,021 subjects aged 14–24 years at baseline. Results: (1) Incidence patterns for PA (9.4%), PD (with and without AG: 3.4%) and AG (5.3%) revealed differences in age of onset, incidence risk and gender differentiation. (2) Temporally primary PA and PD revealed only a moderately increased risk for subsequent onset of AG, and primary AG had an even lower risk for subsequent PA and PD. (3) In strictly prospective analyses, all baseline groups (PA, PD, AG) had low remission rates (0–23%). Baseline PD with AG or AG with PA were more likely to have follow-up AG, PA and other anxiety disorders and more frequent complications (impairment, disability, help-seeking, comorbidity) as compared to PD without AG and AG without PA. Conclusions: Differences in incidence patterns, syndrome progression and outcome, and syndrome stability over time indicate that AG exists as a clinically significant phobic condition independent of PD. The majority of agoraphobic subjects in this community sample never experienced PA, calling into question the current pathogenic assumptions underlying the classification of AG as merely a consequence of panic. The findings point to the necessity of rethinking diagnostic concepts and DSM diagnostic hierarchies.

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    R. Lieb, Agnes Nocon, T. Brückl, K. Beesdo, M. Ising, P. Zimmermann, H.-U. Wittchen

    The interplay of familial depression liability and adverse events in predicting the first onset of depression during a 10-year follow-up

    Biological Psychiatry, vol. 63, no. 4, pp. 406-414

    2008

    DOI: 10.1016/j.biopsych.2007.05.020

    Abstract anzeigen

    BACKGROUND: The aim of the present article is to explore interaction and correlation effects between familial depression liability and selected adverse (separation and traumatic) events in predicting the first onset of a major depressive episode (MDE) in a 10-year prospective longitudinal community survey. METHODS: Analyses are based on 1982 subjects (14 to 24 years at baseline) without baseline MDE who participated during the whole study period and for whom diagnostic information about psychopathology in both parents was available. The offspring's familial depression liability was determined by aggregating information on parental depressive symptoms obtained from family history data and direct interviews with parents. Data were assessed with the Munich-Composite International Diagnostic Interview according to its DSM-IV algorithms. RESULTS: Adverse events predicted a substantially increased incidence of MDE among respondents with familial liability but not in those without familial liability. There was a significant interaction between familial liability and traumatic events with the strongest effect for the number of severe traumatic events (risk difference = 11.3%; 95% confidence interval = 3.55-19.15). Associations with familial liability were most pronounced for separation events. CONCLUSIONS: Adverse events are particularly pathogenic in individuals with familial liability. The involvement of interactions and correlations between familial liability and adversity might depend on type, severity, and number of events. Both processes are suggested to be concomitant rather than exclusive.

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    R. Lieb, Agnes Nocon, T. Brückl, K. Beesdo, P. Zimmermann, H.-U. Wittchen, M. Pfister, M. Höfler

    Differential familial liability of panic disorder and agoraphobia

    Depression and Anxiety, vol. 25, no. 5, pp. 422-434

    2008

    DOI: 10.1002/da.20425

    Abstract anzeigen

    To examine the familial liability of panic disorder (PD) and agoraphobia (AG) in a community sample, namely the effect of parental PD and AG on the offspring's risk to develop either or both conditions in adolescence or adulthood. A representative community sample of N=3,021 adolescents and young adults aged 14-24 years at baseline was followed up over a period of 10 years in up to four waves. Family information was assessed by either direct interviews with at least one parent or by using subjects' family history information at either wave (N=3,014). Diagnoses and selected symptoms were assessed in both, parents and subjects, by using a standardized diagnostic interview (DSM-IV M-CIDI) with its respective family history module. (1) Parental panic attacks (PA), PD, and AG were all shown to be associated with an increased risk of offspring to also develop PA, PD, and AG. (2) Associations of parental PD were present irrespective of parental AG, whereas parental AG without PD was not associated with an increased offspring risk. (3) Outcome risk was particularly elevated in offspring of parents with PD+AG. (4) Parental PD or AG was not associated with an earlier age of onset of any syndrome in the offspring. We confirmed and expanded previous results from clinical samples that comorbid PD and AG aggregate in families. AG without PD is not familial, but it might enhance the familial transmission of PD.

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    R. Lieb, Agnes Nocon, T. Brückl, P. Zimmermann, H.-U. Wittchen

    Specific vulnerability and risk factors for the onset of panic disorder, agoraphobia and other phobias

    [Congress Abstract; 25th Symposium of the AGNP; Munich; October, 3-6, 2007]

    Pharmacopsychiatry, vol. 40, no. 5

    2007

    Abstract anzeigen

    Background: On the background of the ongoing debate whether agoraphobia is a conditioned reaction to biologically elicited panic attacks as proposed by Donald Klein, or whether agoraphobia is accompanied by panic attacks just like other phobias as suggested by Isaac Marks, we aim to study the common and the specific nature of vulnerability/risk factors of panic disorder [PD], agoraphobia [AG], social [SOC] and specific phobia [SPE]. Method: Analyses are based on 3021 participants from a 10-year prospective-longitudinal community survey (14-24 years old at baseline). Lifetime DSM-IV diagnoses and syndromes were assessed via standardized M-CIDI interview. Vulnerabilities in three domains (socio-demographic, family and behavioral-emotional) were assessed. Results: (1) Subjects with PD, SOC and SP were at higher risk for AG, and subjects with AG and SP were at higher risk for panic attacks/disorder. 2) All syndromes were associated with behavioral inhibition (fear). 3) Only phobias, but not PD, were associated with temperament (harm avoidance), behavioral inhibition (social), gender, parental mood disorder, and separation from parents. 4) Parenting style (rejection) was associated to SOC and SP, but not to AG or PD. Discussion: There is some evidence that phobias (particularly AG and SP) are similar with respect to anxiety comorbidity patterns and associations with socio-demographic, family and behavioral-emotional factors, and that these associations are not accounted for by anxiety comorbidity. Risk factors for PD might be rather unspecific and accounted for by comorbid phobias.

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    R. Lieb, Agnes Nocon, T. Brückl, M. Ising, P. Zimmermann, H.-U. Wittchen

    Birth complications increase the liability for depression according to trauma

    [Abstract]

    Nervenarzt, vol. 78, no. Supplement 2

    2007

    GesundAngewandte Gesundheitswissenschaften

    Beitrag (Sammelband oder Tagungsband)

    R. Lieb, Agnes Nocon, T. Brückl, M. Ising, P. Zimmermann, H.-U. Wittchen

    Exposure to natal complications influences vulnerability for depression under traumatic conditions

    Abstractband zum Institutssymposium des Max-Planck-Instituts für Psychiatrie (24.-25.07.2007), München

    2007

    GesundAngewandte Gesundheitswissenschaften

    Beitrag (Sammelband oder Tagungsband)

    M. Hofler, R. Lieb, Agnes Nocon, T. Brückl, K. Beesdo, M. Ising, P. Zimmermann, H.-U. Wittchen, H. Pfister

    Differential familial liability of panic disorder and agoraphobia

    Abstractband zum Institutssymposium des Max-Planck-Instituts für Psychiatrie (24.-25.07.2007), München

    2007

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    R. Lieb, Agnes Nocon, H.-U. Wittchen, H. Pfister, L. Schwender

    Natural course of obsessive compulsive disorder (OCD) over four years: findings from a prospective community study of adolescents and young adults (P.4.a.007)

    Abstract

    European Neuropsychopharmacology, vol. 16, no. Suppl. 4

    2006

    DOI: 10.1016/S0924-977X(06)70588-0

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    F. Waszak, R. Lieb, Agnes Nocon, P. Zimmermann, H.-U. Wittchen, M. Höfler

    Pathways into ecstasy use: the role of prior cannabis use and ecstasy availability (P.6.c.007)

    Abstract

    European Neuropsychopharmacology, vol. 16, no. Suppl. 4

    2006

    DOI: 10.1016/S0924-977X(06)70686-1

    GesundAngewandte Gesundheitswissenschaften

    Beitrag (Sammelband oder Tagungsband)

    R. Lieb, Agnes Nocon, M. Ising, H.-U. Wittchen, H. Pfister, M. Höfler

    Panic and agoraphobia in the first three decades of life

    Abstractband zum Institutssymposium des Max-Planck-Instituts für Psychiatrie (25.-26.07.2006), München

    2006

    GesundAngewandte Gesundheitswissenschaften

    Beitrag (Sammelband oder Tagungsband)

    R. Lieb, Agnes Nocon, H.-U. Wittchen, H. Pfister, M. Höfler

    Eltern mit Panik und ihre Kinder

    [Abstract]

    Wissenschaftliche Beiträge zum 24. Symposium der Fachgruppe Klinische Psychologie und Psychotherapie der Deutschen Gesellschaft für Psychologie (DGPs) [25.-27.05.2006; Würzburg], Lengerich; Berlin; Bremen; Miami; Riga; Viernheim; Wien; Zagreb

    2006

    ISBN: 978-3899673210

    GesundAngewandte Gesundheitswissenschaften

    Zeitschriftenartikel

    R. Lieb, Agnes Nocon, P. Zimmermann, H.-U. Wittchen, H. Pfister

    Dependence symptoms in young cannabis users? A prospective epidemiological study

    Journal of Psychiatric Research, vol. 40, no. 5, pp. 394-403

    2006

    DOI: 10.1016/j.jpsychires.2005.07.011

    Abstract anzeigen

    AIM: To examine prospectively over a period of 4 years the profile of cannabis dependence and the risk of specific dependence criteria in a community sample of adolescents. METHODS: A representative community sample of 2446 young adults aged 14-24 years at baseline was followed up over a period of 4 years. Frequency of use measures and of criteria for DSM-IV dependence were assessed by standardized diagnostic interview measures (CIDI). To explore the nature of this association, frequency of use and concomitant use of other psychoactive substances was considered. RESULTS: 30% of the sample were cannabis users. Among all users 35% met at least one dependence criterion. Most frequently reported dependence criteria among all users were withdrawal (17%), tolerance (15%), loss of control (14%) and continued use despite a health problem (13%). Even without concomitant use of other illicit drugs, 22% of low frequency users and 81% of high frequency users met at least one dependence criterion. Symptom patterns were similar in high and low frequency users. The occurrence of a dependence syndrome or of specific dependence criteria could not be attributed to the use of other illicit drugs or to comorbid nicotine and alcohol dependence. CONCLUSIONS: Regular cannabis use in adolescence is associated with the development of a dependence syndrome. This association cannot be explained by the concomitant use of other illicit substances or by comorbid nicotine and alcohol dependence.

    GesundAngewandte Gesundheitswissenschaften

    Beitrag (Sammelband oder Tagungsband)

    R. Lieb, Agnes Nocon, H.-U. Wittchen, M. Höfler, L. Schwender

    Panic in parents – panic in children?

    Abstractband zum Institutssymposium des Max-Planck-Instituts für Psychiatrie (27.-28.07.2005), München

    2005