Document Detail


Comorbid panic attacks among individuals with posttraumatic stress disorder: associations with traumatic event exposure history, symptoms, and impairment.
MedLine Citation:
PMID:  19914036     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Little is known about the prevalence of panic attacks in PTSD and their influence on symptom severity and disability. Utilizing the National Comorbidity Survey-Replication data, respondents meeting DSM-IV criteria for past year PTSD (n=203) with and without comorbid panic attacks were compared across various dimensions. Past year panic attacks were found among 35% of the sample and were associated with greater PTSD-related disability and less time spent at work. Panic attacks were also associated with greater prevalence of comorbid depression, substance abuse/dependence, medically unexplained chronic pain, number of anxiety disorders and lifetime traumatic events, PTSD reexperiencing and avoidance/numbing symptoms, and treatment-seeking related to traumatic stress reactions. Multivariate analyses revealed that panic attacks were one of the only unique predictors of severe PTSD-related disability. Overall, findings suggest that panic attacks are common among individuals with PTSD; therapeutic strategies targeting panic in this population may be of significant benefit.
Authors:
Jesse R Cougle; Matthew T Feldner; Meghan E Keough; Kirsten A Hawkins; Kristin E Fitch
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Publication Detail:
Type:  Journal Article     Date:  2009-10-27
Journal Detail:
Title:  Journal of anxiety disorders     Volume:  24     ISSN:  1873-7897     ISO Abbreviation:  J Anxiety Disord     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-01     Completed Date:  2010-04-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710131     Medline TA:  J Anxiety Disord     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  183-8     Citation Subset:  IM    
Copyright Information:
Copyright 2009 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Psychology, Florida State University, FL 32306, United States. cougle@psy.fsu.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Comorbidity
Female
Humans
Logistic Models
Male
Middle Aged
Multivariate Analysis
Pain / epidemiology
Panic Disorder / epidemiology*,  psychology
Prevalence
Psychophysiologic Disorders / epidemiology
Stress Disorders, Post-Traumatic / epidemiology*,  psychology
United States / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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