This study characterizes the childhood environment of adult women havi
ng panic disorder with agoraphobia, with particular emphasis placed on
parental rearing practices, family conflict resolution, experiences o
f sexual mistreatment, problematic childhood indicators, and childhood
separation experiences. The retrospective research design included at
titudinal and behavioral indicators for 80 female patients diagnosed w
ith panic disorder with agoraphobia, and a control group of 100 female
volunteers with no history of psychiatric illness. Study findings did
not support evidence of parental overprotection, parental death, divo
rce, or sexual mistreatment as risk factors. Results did suggest the s
ignificance of childhood separation anxiety, a conflicted family envir
onment, lack of parental warmth and support, and the presence of chron
ic physical illness and substance abuse in the childhood home of patie
nts, as well as more emotional, family, alcohol, and school problems a
s children and adolescents.