The phenomenology of the first panic attack in clinical and community-based samples
•Symptoms, circumstances, and consequences of first panic attacks were assessed.•We compared first panic attacks of panic disorder with vs. without agoraphobia.•Attacks leading to PD with agoraphobia were more severe and occurred in public.•We also contrasted first attacks leading to PD vs. first is...
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| Veröffentlicht in: | Journal of anxiety disorders Jg. 28; H. 6; S. 522 - 529 |
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| Hauptverfasser: | , , , , , , , , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
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Amsterdam
Elsevier Ltd
01.08.2014
Elsevier |
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| ISSN: | 0887-6185, 1873-7897, 1873-7897 |
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| Abstract | •Symptoms, circumstances, and consequences of first panic attacks were assessed.•We compared first panic attacks of panic disorder with vs. without agoraphobia.•Attacks leading to PD with agoraphobia were more severe and occurred in public.•We also contrasted first attacks leading to PD vs. first isolated panic attacks.•Attacks leading to PD were more severe than first isolated attacks.
The purpose of the study was to contrast first panic attacks (PAs) of patients with panic disorder (PD) with vs. without agoraphobia and to explore differences between first PAs leading to the development of PD and those that remain isolated. Data were drawn from a community survey (N=2259 including 88 isolated PAs and 75 PD cases). An additional sample of 234 PD patients was recruited in a clinical setting. A standardized interview assessed the symptoms of the first PA, context of its occurrence and subsequent coping attempts. Persons who developed PD reported more severe first PAs, more medical service utilization and exposure-limiting coping attempts than those with isolated PAs. The context of the first PA did not differ between PD and isolated PAs. PD with agoraphobia was specifically associated with greater symptom severity and occurrence of first attacks in public. Future research should validate these findings using a longitudinal approach. |
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| AbstractList | •Symptoms, circumstances, and consequences of first panic attacks were assessed.•We compared first panic attacks of panic disorder with vs. without agoraphobia.•Attacks leading to PD with agoraphobia were more severe and occurred in public.•We also contrasted first attacks leading to PD vs. first isolated panic attacks.•Attacks leading to PD were more severe than first isolated attacks.
The purpose of the study was to contrast first panic attacks (PAs) of patients with panic disorder (PD) with vs. without agoraphobia and to explore differences between first PAs leading to the development of PD and those that remain isolated. Data were drawn from a community survey (N=2259 including 88 isolated PAs and 75 PD cases). An additional sample of 234 PD patients was recruited in a clinical setting. A standardized interview assessed the symptoms of the first PA, context of its occurrence and subsequent coping attempts. Persons who developed PD reported more severe first PAs, more medical service utilization and exposure-limiting coping attempts than those with isolated PAs. The context of the first PA did not differ between PD and isolated PAs. PD with agoraphobia was specifically associated with greater symptom severity and occurrence of first attacks in public. Future research should validate these findings using a longitudinal approach. The purpose of the study was to contrast first panic attacks (PAs) of patients with panic disorder (PD) with vs. without agoraphobia and to explore differences between first PAs leading to the development of PD and those that remain isolated. Data were drawn from a community survey (N=2259 including 88 isolated PAs and 75 PD cases). An additional sample of 234 PD patients was recruited in a clinical setting. A standardized interview assessed the symptoms of the first PA, context of its occurrence and subsequent coping attempts. Persons who developed PD reported more severe first PAs, more medical service utilization and exposure-limiting coping attempts than those with isolated PAs. The context of the first PA did not differ between PD and isolated PAs. PD with agoraphobia was specifically associated with greater symptom severity and occurrence of first attacks in public. Future research should validate these findings using a longitudinal approach.The purpose of the study was to contrast first panic attacks (PAs) of patients with panic disorder (PD) with vs. without agoraphobia and to explore differences between first PAs leading to the development of PD and those that remain isolated. Data were drawn from a community survey (N=2259 including 88 isolated PAs and 75 PD cases). An additional sample of 234 PD patients was recruited in a clinical setting. A standardized interview assessed the symptoms of the first PA, context of its occurrence and subsequent coping attempts. Persons who developed PD reported more severe first PAs, more medical service utilization and exposure-limiting coping attempts than those with isolated PAs. The context of the first PA did not differ between PD and isolated PAs. PD with agoraphobia was specifically associated with greater symptom severity and occurrence of first attacks in public. Future research should validate these findings using a longitudinal approach. Highlights•Symptoms, circumstances, and consequences of first panic attacks were assessed. •We compared first panic attacks of panic disorder with vs. without agoraphobia. •Attacks leading to PD with agoraphobia were more severe and occurred in public. •We also contrasted first attacks leading to PD vs. first isolated panic attacks. •Attacks leading to PD were more severe than first isolated attacks. The purpose of the study was to contrast first panic attacks (PAs) of patients with panic disorder (PD) with vs. without agoraphobia and to explore differences between first PAs leading to the development of PD and those that remain isolated. Data were drawn from a community survey (N=2259 including 88 isolated PAs and 75 PD cases). An additional sample of 234 PD patients was recruited in a clinical setting. A standardized interview assessed the symptoms of the first PA, context of its occurrence and subsequent coping attempts. Persons who developed PD reported more severe first PAs, more medical service utilization and exposure-limiting coping attempts than those with isolated PAs. The context of the first PA did not differ between PD and isolated PAs. PD with agoraphobia was specifically associated with greater symptom severity and occurrence of first attacks in public. Future research should validate these findings using a longitudinal approach. |
| Author | Alpers, Georg W. Schmidt, Carsten Oliver Hamm, Alfons O. Reif, Andreas Vossbeck-Elsebusch, Anna N. Schulz, Andrea Deckert, Jürgen Pané-Farré, Christiane A. Fenske, Kristin Kircher, Tilo Grabe, Hans J. John, Ulrich Lang, Thomas Stender, Jan P. |
| Author_xml | – sequence: 1 givenname: Christiane A. surname: Pané-Farré fullname: Pané-Farré, Christiane A. email: christiane.pane-farre@uni-greifswald.de organization: Institute of Psychology, University of Greifswald, Greifswald, Germany – sequence: 2 givenname: Jan P. surname: Stender fullname: Stender, Jan P. organization: Institute of Psychology, University of Greifswald, Greifswald, Germany – sequence: 3 givenname: Kristin surname: Fenske fullname: Fenske, Kristin organization: Institute of Psychology, University of Greifswald, Greifswald, Germany – sequence: 4 givenname: Jürgen surname: Deckert fullname: Deckert, Jürgen organization: Department of Psychiatry, Psychosomatics and Psychotherapy, University of Würzburg, Würzburg, Germany – sequence: 5 givenname: Andreas surname: Reif fullname: Reif, Andreas organization: Department of Psychiatry, Psychosomatics and Psychotherapy, University of Würzburg, Würzburg, Germany – sequence: 6 givenname: Ulrich surname: John fullname: John, Ulrich organization: Institute of Epidemiology and Social Medicine, University Medicine Greifswald, Greifswald, Germany – sequence: 7 givenname: Carsten Oliver surname: Schmidt fullname: Schmidt, Carsten Oliver organization: Institute of Community Medicine, University Medicine Greifswald, Greifswald, Germany – sequence: 8 givenname: Andrea surname: Schulz fullname: Schulz, Andrea organization: Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany – sequence: 9 givenname: Thomas surname: Lang fullname: Lang, Thomas organization: Christoph-Dornier-Stiftung for Clinical Psychology, Institute Bremen, Bremen, Germany – sequence: 10 givenname: Georg W. surname: Alpers fullname: Alpers, Georg W. organization: Department of Clinical and Biological Psychology, School of Social Sciences and Otto-Selz-Institute, University of Mannheim, Mannheim, Germany – sequence: 11 givenname: Tilo surname: Kircher fullname: Kircher, Tilo organization: Department of Psychiatry and Psychotherapy, Philipps-University Marburg, Marburg, Germany – sequence: 12 givenname: Anna N. surname: Vossbeck-Elsebusch fullname: Vossbeck-Elsebusch, Anna N. organization: Department of Psychology, University of Münster, Münster, Germany – sequence: 13 givenname: Hans J. surname: Grabe fullname: Grabe, Hans J. organization: Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany – sequence: 14 givenname: Alfons O. surname: Hamm fullname: Hamm, Alfons O. organization: Institute of Psychology, University of Greifswald, Greifswald, Germany |
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| Cites_doi | 10.1002/da.20646 10.1001/archpsyc.1989.01810110042006 10.1093/ije/dyp394 10.1038/npp.2011.81 10.1007/s00406-009-0065-6 10.1192/bjp.173.6.501 10.1007/s001270050095 10.1186/1751-0759-6-12 10.1016/j.janxdis.2013.06.008 10.1016/j.brat.2004.06.019 10.1016/j.cpr.2004.02.001 10.1093/oxfordjournals.epirev.a036180 10.1001/archpsyc.63.4.415 10.1176/ajp.151.3.413 10.1002/da.20654 10.1016/0022-3956(94)90036-1 10.1111/j.1600-0447.1989.tb08584.x 10.1016/0272-7358(92)90110-T 10.1016/S0005-7967(96)00126-X 10.1159/000018922 10.1016/j.janxdis.2007.12.002 10.1016/0005-7967(90)90158-F 10.1016/j.jpsychires.2005.09.006 10.1002/mpr.44 10.1146/annurev.neuro.27.070203.144157 10.1016/j.biopsych.2011.03.005 10.4088/JCP.v60n0713 10.1038/mp.2010.81 10.1016/S0022-3956(98)00014-4 10.1001/archpsyc.62.6.617 10.1016/j.biopsych.2012.03.035 |
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| Keywords | Context First panic attack Agoraphobia Panic attack Panic disorder Coping Symptoms Phenomenology Community Anxiety disorder |
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| SubjectTerms | Adaptation, Psychological Adult Adult and adolescent clinical studies Age of Onset Aged Agoraphobia Agoraphobia - diagnosis Agoraphobia - etiology Agoraphobia - psychology Anxiety disorders. Neuroses Biological and medical sciences Context Coping Disease Progression Female First panic attack Humans Male Medical sciences Middle Aged Multicenter Studies as Topic Panic attack Panic disorder Panic Disorder - diagnosis Panic Disorder - psychology Patient Acceptance of Health Care - psychology Patient Acceptance of Health Care - statistics & numerical data Psychiatric/Mental Health Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Randomized Controlled Trials as Topic Symptoms Young Adult |
| Title | The phenomenology of the first panic attack in clinical and community-based samples |
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