Original ArticleSCan Religious Coping and Depressive Symptoms Predict Clinical Outcome and Quality of Life in Panic Disorder? A Brazilian Longitudinal StudyZimpel, Rogério R. PhD*†; Panzini, Raquel Gehrke PhD*‡; Bandeira, Denise Ruschel PhD§; Heldt, Elizeth PhD*†∥; Manfro, Gisele Gus PhD*†; Fleck, Marcelo P. PhD*†; da Rocha, Neusa Sica PhD*†Author Information *Postgraduate Program in Psychiatry and Behavioral Sciences – Universidade Federal do Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos, 2400 – CEP 90035-003 - Porto Alegre, RS – Brazil; †Secretary of Health of the State of Rio Grande do Sul – Av. Borges de Medeiros, 1501 – CEP 90110-150 - Porto Alegre, RS – Brazil; ‡Postgraduate Program in Psychology – Universidade Federal do Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos, 2400 – CEP 90035-003 - Porto Alegre, RS - Brazil; §Postgraduate Program in Nursing – Universidade Federal do Rio Grande do Sul (UFRGS), Rua São Manoel, 963 / 205 – CEP 90620-110 - Porto Alegre, RS - Brazil; and ∥Hospital de Clínicas de Porto Alegre (HCPA) – Rua Ramiro Barcelos, 2350 – CEP 90035-903 - Porto Alegre/RS, Brazil Send reprint requests to Rogério R. Zimpel, Av. Protásio Alves, 1281/204, Porto Alegre, RS CEP 90410-001, Brazil. E-mail: [email protected]. The Journal of Nervous and Mental Disease: July 2018 - Volume 206 - Issue 7 - p 544-548 doi: 10.1097/NMD.0000000000000841 Buy Metrics Abstract Few studies have investigated the relationship between spiritual/religious coping (S/R coping) and panic disorder (PD). This Brazilian longitudinal study evaluated if S/R coping and depressive symptoms can predict PD remission and improved quality of life (QoL). There were 101 outpatients with PD who were followed up for 12 to 16 weeks. The prevalence ratio (PR) between positive S/R coping and negative S/R coping and PD remission was assessed, as well as the association between positive S/R coping and negative S/R coping and QoL. After adjusting for confounding factors, positive S/R coping presented an inverse PR with PD remission, which was not statistically significant (0.88; p = 0.075). There was no association between S/R coping and QoL. Depressive symptoms were negatively associated with PD remission (PR = 0.97; p < 0.01) and were not predictive of a better QoL. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.