Anger-associated panic attacks in Cambodian refugees with PTSD; a multiple baseline examination of clinical data

Hinton, Devon E.; Hsia, Curtis; Um, Khin; Otto, Michael W.

doi:10.1016/s0005-7967(02)00035-9

Cited by 42 publications

(37 citation statements)

References 18 publications

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“…However, evidence suggests that different aspects of affect dysregulation may be more salient in certain types of trauma. For example, symptoms that fall into the hyper-activation domain include uncontrollable anger, which has been found to have a relatively low endorsement in adult survivors of child sexual abuse (Cloitre, Garvert, Weiss, Carlson, & Bryant, 2014), whereas it has been found to be highly endorsed in survivors of mass conflict and severe human rights violations (Hinton, Hsia, Um, & Otto, 2003; Murphy, Elklit, Dokkedahl, & Shevlin, 2016; Rees et al, 2013). Moreover, in a study of survivors of an industrial disaster, anger was the only symptom that increased over a period of 30 months (Weisæth, 1984).…”

Section: Discussionmentioning

confidence: 99%

Testing competing factor models of the latent structure of post-traumatic stress disorder and complex post-traumatic stress disorder according to ICD-11

Murphy

Elklit

Dokkedahl

et al. 2018

European Journal of Psychotraumatology

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With the publication of the International Statistical Classification of Diseases and Related Health Problems, 11th edition (ICD-11) due for release in 2018, a number of studies have assessed the factorial validity of the proposed post-traumatic stress disorder (PTSD) and complex (CPTSD) diagnostic criteria and whether the disorders are correlated but distinct constructs. As the specific nature of CPTSD symptoms has yet to be firmly established, this study aimed to examine the dimension of affect dysregulation as two separate constructs representing hyper-activation and hypo-activation. Seven alternative models were estimated within a confirmatory factor analytic framework using the International Trauma Questionnaire (ITQ). Data were analysed from a young adult sample from northern Uganda (n = 314), of which 51% were female and aged 18–25 years. Forty per cent of the participants were former child soldiers (n = 124) while the remainder were civilians (n = 190). The prevalence of CPTSD was 20.8% and PTSD was 13.1%. The results indicated that all models that estimated affective dysregulation as distinct but correlated constructs (i.e. hyper-activation and hypo-activation) provided satisfactory model fit, with statistical superiority for a seven-factor first-order correlated model. Furthermore, individuals who met the criteria for CPTSD reported higher levels of war experiences, symptoms of anxiety and depression, and somatic problems than those with PTSD only and no diagnosis. There was also a much larger proportion of former child soldiers that met the criteria for a CPTSD diagnosis. In conclusion, these results partly support the factorial validity of the ICD-11 proposals for PTSD and CPTSD in a non-Western culture exposed to mass violence. These findings highlight that more research is required across different cultural backgrounds before firm conclusions can be made regarding the factor structure of CPTSD using the ITQ.

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Section: Discussionmentioning

confidence: 99%

Testing competing factor models of the latent structure of post-traumatic stress disorder and complex post-traumatic stress disorder according to ICD-11

Murphy

Elklit

Dokkedahl

et al. 2018

European Journal of Psychotraumatology

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“…In their work with Turkish earthquake survivors, Basoglu and colleagues (2005) developed an efficacious single session CBT treatment that aimed at enhancing sense of control over traumatic stressors. A number of programs have made the difficult transition of translating CBT to low and middle-income countries and have found success when they have carefully translated intervention within the socio-cultural ecologies of the target countries (Hinton, Hsia, Um, & Otto, 2003;Hinton, Um, & Ba, 2001a, 2001bOtto et al 2003;Saltzman, Layne, Steinberg, Arslanagic, & Pynoos, 2003). If we keep in mind that most victims were living normal lives prior to the disaster or mass trauma, we can see that the task may be more one of reminding them of their efficacy than of building efficacy where there was none.…”

Section: Promotion Of Sense Of Self-efficacy and Collective Efficacymentioning

confidence: 99%

Five Essential Elements of Immediate and Mid–Term Mass Trauma Intervention: Empirical Evidence

Hobfoll

Watson

Bell

et al. 2007

Psychiatry: Interpersonal and Biological Processes

1,063

541

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Given the devastation caused by disasters and mass violence, it is critical that intervention policy be based on the most updated research findings. However, to date, no evidence-based consensus has been reached supporting a clear set of recommendations for intervention during the immediate and the mid-term post mass trauma phases. Because it is unlikely that there will be evidence in the near or mid-term future from clinical trials that cover the diversity of disaster and mass violence circumstances, we assembled a worldwide panel of experts on the study and treatment of those exposed to disaster and mass violence to extrapolate from related fields of research, and to gain consensus on intervention principles. We identified five empirically supported intervention principles that should be used to guide and inform intervention and prevention efforts at the early to mid-term stages. These are promoting: 1) a sense of safety, 2) calming, 3) a sense of self- and community efficacy, 4) connectedness, and 5) hope.

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“…In addition, the 10-year prevalence of depression and suicide attempts of PD patients was 6.8 and 4.2 times higher relative to the general population (Angst and Wicki, 1993). Clinical data suggest that panic is also facilitated by acute and post-traumatic stress disorders (Safadi and Bradwejn, 1995;Koenen et al, 2003;Nixon et al, 2004;Hinton et al, 2003;Cougle et al, 2010). Although current evidence supports a common genetic determinant of PD and CSA (Roberson-Nay et al, 2012a), the mechanisms underlying the comorbidity of PD and depression remain completely unknown.…”

Section: Modelling the Comorbidity Of Panic And Depressionmentioning

confidence: 99%

Translational approach to studying panic disorder in rats: Hits and misses

Schenberg

Schimitel

Armini

et al. 2014

Neuroscience & Biobehavioral Reviews

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Anger-associated panic attacks in Cambodian refugees with PTSD; a multiple baseline examination of clinical data

Cited by 42 publications

References 18 publications

Testing competing factor models of the latent structure of post-traumatic stress disorder and complex post-traumatic stress disorder according to ICD-11

Testing competing factor models of the latent structure of post-traumatic stress disorder and complex post-traumatic stress disorder according to ICD-11

Five Essential Elements of Immediate and Mid–Term Mass Trauma Intervention: Empirical Evidence

Translational approach to studying panic disorder in rats: Hits and misses

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