The present study provides data on the prevalence of symptoms of major depressive disorders and generalized anxiety disorder in 128 patients with panic disorder. Symptoms were assessed using DSM-IV definitional criteria that consider not only the presence and severity of symptoms but also their duration and pervasiveness. The findings of this study document the presence of subdiag-nostic levels of clinically significant depressive and generalized anxiety symptoms within patients with panic disorder. The majority of the patients with panic disorder reported at least two or more depressive symptoms and six or more generalized anxiety symptoms. Depressive symptoms that most frequently met definitional criteria for diagnostic significance were fatigue, insomnia, and concentration difficulties. Over 50% of the sample endorsed feelings of tension, irritability and restlessness. Disturbances of appetite, feelings of worthlessness
and suicidal ideation were found in less than 10% of the nondepressed panic patients. The total numbers of both depressive and generalized anxiety symptoms were related to a past history of depression. These findings support recent theories about the relationship between anxiety and depression.