Environmental Factors in Panic Disorder

Asnis, Jeremy; Faisal, Abdul; Sanderson, William C.

doi:10.4088/jcp.v60n0412g

Cited by 3 publications

(1 citation statement)

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“…shifts and wind-Weather sensitivity is a common phenomenon among panic disorder patients [61][62]. Vietnamese patients have many more catastrophic cognitions about weather shifts than do Americans.…”

Section: Catastrophic Cognitions About Bodily Sensations Of Cold Fearmentioning

confidence: 99%

Panic disorder among Vietnamese refugees attending a psychiatric clinic: prevalence and subtypes

Hinton

Chau

Nguyen

et al. 2001

General Hospital Psychiatry

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This study surveys Vietnamese refugees attending two psychiatric clinics to determine both the prevalence of panic disorder (PD) as well as panic attack subtypes in those suffering PD. A culturally valid adaptation of the SCID-panic module (the Vietnamese Panic Disorder Survey or VPDS) was administered to 100 Vietnamese refugees attending two psychiatric clinics. Utilizing culturally sensitive panic probes, the VPDS provides information regarding both the presence of PD and panic attack subtypes during the month prior to interview. Of 100 patients surveyed, 50 (50%) currently suffered PD. Among the 50 patients suffering PD, the most common panic attack subtypes during the previous month were the following: "orthostatic dizziness" (74% of the 50 panic disorder patients [PDPs]), headache (50% of PDPs), wind-induced/temperature-shift-induced (24% of PDPs), effortinduced (18% of PDPs), gastro-intestinal (16% of PDPs), micturition-induced (8% of PDPs), outof-the-blue palpitations (24% of PDPs), and out-of-the-blue shortness of breath (16% of PDPs). Five mechanisms are adduced to account for this high PD prevalence as well as the specific profile of subtypes: 1) a trauma-caused panic attack diathesis; 2) trauma-event cues; 3) ethnic differences in physiology; 4) catastrophic cognitions generated by cultural syndromes; and 5) a modification of Clark's spiral of panic.

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Section: Catastrophic Cognitions About Bodily Sensations Of Cold Fearmentioning

confidence: 99%

Panic disorder among Vietnamese refugees attending a psychiatric clinic: prevalence and subtypes

Hinton

Chau

Nguyen

et al. 2001

General Hospital Psychiatry

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Anxiety Disorders

Barlow¹,

Pincus²,

Heinrichs³

et al. 2003

Handbook of Psychology

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The purpose of this chapter is to provide a comprehensive review of what is known about the etiology and pathology of anxiety disorders across the lifespan, highlighting in particular developmental differences in the expression of individual anxiety disorders. Anxiety is implicated heavily across the full range of psychopathology. Anxiety is a future‐oriented emotion characterized by marked negative affect, bodily symptoms of tension, and chronic apprehension. Fear, on the other hand, is an immediate alarm reaction to present danger characterized by strong escapist action tendencies. Anxiety, fear, and panic are the building blocks of anxiety disorders, arranging themselves in different ways as they focus on varying internal and external stimuli that have become imbued with threat or danger to form the commonly recognized variants of anxiety disorder. Included within this chapter will be separation anxiety disorder, obsessive‐compulsive disorder, specific phobias, social phobia, panic disorder (with and without agoraphobia), and generalized anxiety disorder. Covered for each disorder will be clinical presentation, prevalence, demographics, comorbidity, cultural influences, developmental changes, and etiology.

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`Hit by the Wind' and Temperature-Shift Panic among Vietnamese Refugees

Hinton

Pham

et al. 2003

Transcult Psychiatry

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Surveying 60 Vietnamese patients with either current or past post-traumatic stress disorder, this article aims to phenomenologically characterize the syndrome of 'hit by the wind' in a multidimensional manner. This includes determining the patient conceptualization of the disorder, profiling 'hit by the wind' episodes suffered by patients in the previous month, and presenting case vignettes. Eighteen of the 60 patients (30%) suffered at least one episode of 'hit by the wind' in the last month; all 18 patients had at least one episode of 'hit by the wind' in the last month that met panic attack criteria. For the 18 patients, 33 episodes of'hit by the wind' that met panic attack criteria were experienced in the previous month. For these 33 episodes, the most frequently reported DSM-IV panic attack symptoms were chills (100%; 33/33) and dizziness (88%; 29/33). Flashbacks played a role in the 'hit by the wind' episodes for 5 of the 18 patients (28%). In the discussion, a model of how the syndrome of 'hit by the wind' generates panic is adduced; also, possible Chinese origins of the disorder are discussed.

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Environmental Factors in Panic Disorder

Cited by 3 publications

References 0 publications

Panic disorder among Vietnamese refugees attending a psychiatric clinic: prevalence and subtypes

Panic disorder among Vietnamese refugees attending a psychiatric clinic: prevalence and subtypes

Anxiety Disorders

`Hit by the Wind' and Temperature-Shift Panic among Vietnamese Refugees

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